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dc.contributor.authorMarano, Roberto B M
dc.contributor.authorFernandes, Telma
dc.contributor.authorManaia, Celia M
dc.contributor.authorNunes, Olga
dc.contributor.authorMorrison, Donald
dc.contributor.authorBerendonk, Thomas U.
dc.contributor.authorKreuzinger, Norbert
dc.contributor.authorTelson, Tanel
dc.contributor.authorCorno, Gianluca
dc.contributor.authorFatta-Kassinos, Despo
dc.contributor.authorMerlin, Christophe
dc.contributor.authorTopp, Edward
dc.contributor.authorJurkevitch, Edouard
dc.contributor.authorHenn, Leonie
dc.contributor.authorScott, Andrew
dc.contributor.authorHeß, Stefanie
dc.contributor.authorSlipko, Katarzyna
dc.contributor.authorLaht, Mailis
dc.contributor.authorKisand, Veljo
dc.contributor.authorDi Cesare, Andrea
dc.contributor.authorKaraolia, Popi
dc.contributor.authorMichael, Stella G
dc.contributor.authorPetre, Alice L
dc.contributor.authorRosal, Roberto
dc.contributor.authorPruden, Amy
dc.contributor.authorRiquelme, Virginia
dc.contributor.authorAgüera, Ana
dc.contributor.authorEsteban, Belen
dc.contributor.authorLuczkiewicz, Aneta
dc.contributor.authorKalinowska, Agnieszka
dc.contributor.authorLeonard, Anne
dc.contributor.authorGaze, William H.
dc.contributor.authorAdegoke, Anhony A
dc.contributor.authorStenström, Thor A
dc.contributor.authorPollice, Alfieri
dc.contributor.authorSalerno, Carlo
dc.contributor.authorSchwermer, Carsten Ulrich
dc.contributor.authorKrzeminski, Pawel
dc.contributor.authorGuilloteau, Hélène
dc.contributor.authorDonner, Erica
dc.contributor.authorDrigo, Barbara
dc.contributor.authorLibralato, Giovanni
dc.contributor.authorGuida, Marco
dc.contributor.authorBurgmann, Helmut
dc.contributor.authorBeck, Karin
dc.contributor.authorGarelick, Hemda
dc.contributor.authorTacão, Marta
dc.contributor.authorHenriques, Isabel
dc.contributor.authorMartínez-Alcalá, Isabel
dc.contributor.authorGuillén-Navarro, Jose M
dc.contributor.authorPopowska, Magdalena
dc.contributor.authorPiotrowska, Marta
dc.contributor.authorQuintela-Baluja, Marcos
dc.contributor.authorBunce, Joshua T
dc.contributor.authorPolo-López, Maria I
dc.contributor.authorNahim–Granados, Samira
dc.contributor.authorPons, Marie-Noëlle
dc.contributor.authorMilakovic, Milena
dc.contributor.authorUdikovic-Kolic, Nikolina
dc.contributor.authorOry, Jérôme
dc.contributor.authorOusmane, Traore
dc.contributor.authorCaballero, Pilar
dc.contributor.authorOliver, Antoni
dc.contributor.authorRodriguez-Mozaz, Sara
dc.contributor.authorBalcazar, Jose L
dc.contributor.authorJäger, Thomas
dc.contributor.authorSchwartz, Thomas
dc.contributor.authorYang, Ying
dc.contributor.authorZou, Shichun
dc.contributor.authorLee, Yunho
dc.contributor.authorYoon, Younggun
dc.contributor.authorHerzog, Bastian
dc.contributor.authorMayrhofer, Heidrun
dc.contributor.authorPrakash, Om
dc.contributor.authorNimonkar, Yogesh
dc.contributor.authorHeath, Ester
dc.contributor.authorBaraniak, Anna
dc.contributor.authorAbreu-Silva, Joana
dc.contributor.authorChoudhury, Manika
dc.contributor.authorMunoz, Leonardo P
dc.contributor.authorKrizanovic, Stela
dc.contributor.authorBrunetti, Gianluca
dc.contributor.authorMaile-Moskowitz, Ayella
dc.contributor.authorBrown, Connor
dc.contributor.authorCytryn, Eddie
dc.date.accessioned2020-09-17T11:29:47Z
dc.date.available2020-09-17T11:29:47Z
dc.date.created2020-08-31T16:00:34Z
dc.date.issued2020
dc.identifier.citationEnvironment International. 2020, 144, 106035.en_US
dc.identifier.issn0160-4120
dc.identifier.urihttps://hdl.handle.net/11250/2678257
dc.description.abstractThe World Health Organization Global Action Plan recommends integrated surveillance programs as crucial strategies for monitoring antibiotic resistance. Although several national surveillance programs are in place for clinical and veterinary settings, no such schemes exist for monitoring antibiotic-resistant bacteria in the environment. In this transnational study, we developed, validated, and tested a low-cost surveillance and easy to implement approach to evaluate antibiotic resistance in wastewater treatment plants (WWTPs) by targeting cefotaxime-resistant (CTX-R) coliforms as indicators. The rationale for this approach was: i) coliform quantification methods are internationally accepted as indicators of fecal contamination in recreational waters and are therefore routinely applied in analytical labs; ii) CTX-R coliforms are clinically relevant, associated with extended-spectrum β-lactamases (ESBLs), and are rare in pristine environments. We analyzed 57 WWTPs in 22 countries across Europe, Asia, Africa, Australia, and North America. CTX-R coliforms were ubiquitous in raw sewage and their relative abundance varied significantly (en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleA global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plantsen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2020 The Authorsen_US
dc.source.volume144en_US
dc.source.journalEnvironment Internationalen_US
dc.identifier.doi10.1016/j.envint.2020.106035
dc.identifier.cristin1826306
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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