Document Type : Original Article

Authors

1 Biology Department, Faculty of Applied Sciences, Thamar University, Yemen

2 School of Environmental and Natural Resource Sciences, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600UKM, Bangi, Selangor, Malaysia

Abstract

In this study, drinking water sources including drilled wells (DW), water tankers (WT), stabilized water tanks (SWT), and plastic bottles (PB) as sequential sample were assessed at Dhamar City, Yemen to investigate the microbial contamination and the potential risk of contamination using microbial indicators and multiple antibiotic resistance index. The sequential sample involving, 5 drilled wells, 10 water tankers, 20 water tanks, and 100 plastic bottles. The study encompassed five sequential samples. Each water sample was collected in triplicate and analyzed for E.coli as a microbial indicator and antibiotic susceptibility testing. Results indicated that all the water samples were contaminated by E.coli and total coliform exceeded the acceptable levels recommended by WHO of microbial quality of drinking water. E.coli isolates (240) showed high resistance to the tested antibiotics comprising 79.82% to ampicillin, 78.32% to gentamicin, 67.5% to ceftriaxone, 19.98% to ciprofloxacin, 18.32% to amoxiclav, and 33.34% were resistant to tetracycline. The multiple antibiotic resistance index of E. coli that showed resistant to three antibiotics ranged from 0.19 to 0.24 for all the tested samples and exceeded the threshold value of 0.2 for all samples except sequential sample 4, indicating a high risk of contamination for drinking water effected by anthropogenic activities related to urbanization, accumulation of microbial contamination during the various transferring processes of water from the source into households, as well as  misuse and greater exposure to antibiotics in humans and poultry farms, which may pose a high ecological risk to the waters.

Keywords

1.     Bergeron, S., Boopathy, R., Nathaniel, R., Corbin, A. and LaFleur, G. 2015. 'Presence of antibiotic resistant bacteria and antibiotic resistance genes in raw source water and treated drinking water', International Biodeterioration and Biodegradation, 102, pp. 370-374. https://doi.org/10.1016/j.ibiod.2015.04.017
2.     Cabral, J. P. 2010. 'Water microbiology. Bacterial pathogens and water', International journal of environmental research and public health, 7(10), pp. 3657-3703. https://doi.org/10.3390/ijerph7103657
3.     Chuquimia, O. D., Bergion, V., Guzman-Otazo, J., Sörén, K., Rosén, L., Pettersson, T. J., Sokolova, E. and Sjöling, Å. 2020. 'Molecular Analyses of Fecal Bacteria and Hydrodynamic Modeling for Microbial Risk Assessment of a Drinking Water Source', Water, 12(1), pp. 3. https://doi.org/10.3390/w12010003
4.     Abia, A. L. K., Ubomba-Jaswa, E. and Momba, M. N. B. 2015. 'Impact of seasonal variation on Escherichia coli concentrations in the riverbed sediments in the Apies River, South Africa', Science of the Total Environment, 537, pp. 462-469. https://doi.org/10.1016/j.scitotenv.2015.07.132
5.     Smets, H. 2006. The right to water in national legislations. Agence Française de Développement Paris. https://www.worldwatercouncil.org/fileadmin/world_water_council/documents_old/Programs/Right_to_Water/Pdf_doct/Smets_RTW_in_national_legislations.pdf
6.     Dalu, T., Barson, M. and Nhiwatiwa, T. 2011. 'Impact of intestinal microorganisms and protozoan parasites on drinking water quality in Harare, Zimbabwe', Journal of Water, Sanitation and Hygiene for Development, 1(3), pp. 153-163. https://doi.org/10.2166/washdev.2011.049
7.     Engström, E., Balfors, B., Mörtberg, U., Thunvik, R., Gaily, T. and Mangold, M. 2015. 'Prevalence of microbiological contaminants in groundwater sources and risk factor assessment in Juba, South Sudan', Science of the Total Environment, 515, pp. 181-187. https://doi.org/10.1016/j.scitotenv.2015.02.023
8.     Graham, J. P. and Polizzotto, M. L. 2013. 'Pit latrines and their impacts on groundwater quality: a systematic review', Environmental Health Perspectives, 121(5), pp. 521-530. https://doi.org/10.1289/ehp.1206028
9.     Basson, M. 'Water development in South Africa', 2011. Water In The Green Economy In Practice: Towards RIO+20, Zaragoza, Spain: UN-Water International Conference. https://www.un.org/waterforlifedecade/green_economy_2011/pdf/session_1_economic_instruments_south_africa.pdf
10.   Kostyla, C., Bain, R., Cronk, R. and Bartram, J. 2015. 'Seasonal variation of fecal contamination in drinking water sources in developing countries: a systematic review', Science of the Total Environment, 514, pp. 333-343. https://doi.org/10.1016/j.scitotenv.2015.01.018
11.   Sapkota, A. R., Curriero, F. C., Gibson, K. E. and Schwab, K. J. 2007. 'Antibiotic-resistant enterococci and fecal indicators in surface water and groundwater impacted by a concentrated swine feeding operation', Environmental Health Perspectives, 115(7), pp. 1040-1045. https://doi.org/10.1289/ehp.9770
12.   Al-Badaii, F. and Shuhaimi-Othman, M. 2015. 'Water pollution and its impact on the prevalence of antibiotic-resistant E. coli and total coliform bacteria: a study of the Semenyih River, Peninsular Malaysia', Water Quality, Exposure and Health, 7(3), pp. 319-330. https://doi.org/10.1007/s12403-014-0151-5
13.   Guzman-Otazo, J., Gonzales-Siles, L., Poma, V., Bengtsson-Palme, J., Thorell, K., Flach, C.-F., Iñiguez, V. and Sjöling, Å. 2019. 'Diarrheal bacterial pathogens and multi-resistant enterobacteria in the Choqueyapu River in La Paz, Bolivia', PLOS One, 14(1), pp. e0210735. https://doi.org/10.1371/journal.pone.0210735
14.   Momba, M. N., Malakate, V. K. and Theron, J. 2006. 'Abundance of pathogenic Escherichia coli, Salmonella typhimurium and Vibrio cholerae in Nkonkobe drinking water sources', Journal of water and health, 4(3), pp. 289-296. https://doi.org/10.2166/wh.2006.011
15.   Teklehaimanot, G. Z., Coetzee, M. A. and Momba, M. N. 2014. 'Faecal pollution loads in the wastewater effluents and receiving water bodies: a potential threat to the health of Sedibeng and Soshanguve communities, South Africa', Environmental science and pollution research, 21(16), pp. 9589-9603. https://doi.org/10.1007/s11356-014-2980-y
16.   Al-badaii, F., Gasim, M. B., Mokhtar, M., Toriman, M. E. and Rahim, S. A. 2012. 'Water-pollution study based on the physico-chemical and microbiological parameters of the Semenyih River, Selangor, Malaysia', The Arab World Geographer, 15(4), pp. 318-334. https://doi.org/10.5555/arwg.15.4.hn3076665801k728
17.   Blondeau, J. and Vaughan, D. 2000. 'A review of antimicrobial resistance in Canada', Canadian Journal of Microbiology, 46(10), pp. 867-877. https://doi.org/10.1139/w00-076
18.   Rahman, M. A., Kumar, S., Mohana, A. A., Islam, R., Hashem, M. A. and Chuanxiu, L. 2019. 'Coliform Bacteria and trace metals in drinking water, southwest Bangladesh: Multivariate and human health risk assessment', International Journal of Environmental Research, 13(2), pp. 395-408. https://doi.org/10.1007/s41742-019-00184-x
19.   Kümmerer, K. and Henninger, A. 2003. 'Promoting resistance by the emission of antibiotics from hospitals and households into effluent', Clinical Microbiology and Infection, 9(12), pp. 1203-1214. https://doi.org/10.1111/j.1469-0691.2003.00739.x
20.   Snoad, C., Nagel, C., Bhattacharya, A. and Thomas, E. 2017. 'The effectiveness of sanitary inspections as a risk assessment tool for thermotolerant coliform bacteria contamination of rural drinking water: A review of data from West Bengal, India', The American journal of tropical medicine and hygiene, 96(4), pp. 976-983. https://doi.org/10.4269/ajtmh.16-0322
21.   Machado, A. and Bordalo, A. 2014. 'Prevalence of antibiotic resistance in bacteria isolated from drinking well water available in Guinea-Bissau (West Africa)', Ecotoxicology and Environmental Safety, 106, pp. 188-194. https://doi.org/10.1016/j.ecoenv.2014.04.037
22.   WHO/UNICEF 2015. Progress on sanitation and drinking water: 2015 update and MDG assessment. Joint Water Supply, Sanitation Monitoring Programme, World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/177752/9789245509141-chi.pdf
23.   Schwartz, T., Kohnen, W., Jansen, B. and Obst, U. 2003. 'Detection of antibiotic-resistant bacteria and their resistance genes in wastewater, surface water, and drinking water biofilms', FEMS microbiology ecology, 43(3), pp. 325-335. https://doi.org/10.1111/j.1574-6941.2003.tb01073.x
24.   Xi, C., Zhang, Y., Marrs, C. F., Ye, W., Simon, C., Foxman, B. and Nriagu, J. 2009. 'Prevalence of antibiotic resistance in drinking water treatment and distribution systems', Applied and Environmental Microbiology, 75(17), pp. 5714-5718. https://doi.org/10.1128/AEM.00382-09
25.   Chitanand, M., Kadam, T., Gyananath, G., Totewad, N. and Balhal, D. 2010. 'Multiple antibiotic resistance indexing of coliforms to identify high risk contamination sites in aquatic environment', Indian Journal of Microbiology, 50(2), pp. 216-220. https://doi.org/10.1007/s12088-010-0042-9
26.   Odonkor, S. T. and Addo, K. K. 2018. 'Prevalence of multidrug-resistant Escherichia coli isolated from drinking water sources', International journal of microbiology, 2018. https://doi.org/10.1155/2018/7204013
27.   World Health Organization (WHO), U. N. C. s. F. 2010. Progress on sanitation and drinking-water: 2010 update: WHO.
28.   Martinez, J. L. 2009. 'Environmental pollution by antibiotics and by antibiotic resistance determinants', Environmental pollution, 157(11), pp. 2893-2902. https://doi.org/10.1016/j.ecoenv.2014.04.037
29.   Zheng, S., Qiu, X., Chen, B., Yu, X., Liu, Z., Zhong, G., Li, H., Chen, M., Sun, G. and Huang, H. 2011. 'Antibiotics pollution in Jiulong River estuary: source, distribution and bacterial resistance', Chemosphere, 84(11), pp. 1677-1685. https://doi.org/10.1016/j.chemosphere.2011.04.076
30.   Kümmerer, K. 2009. 'Antibiotics in the aquatic environment–a review–part II', Chemosphere, 75(4), pp. 435-441. https://doi.org/10.1016/j.chemosphere.2008.12.006
31.   Varghese, M. and Roymon, M. 2013. 'Studies on antibiotic resistance profiles of thermotolerant Escherichia coli and multiple antibiotic resistance index of different water sources', Recent Research in Science and Technology, 5(2). https://updatepublishing.com/journal/index.php/rrst/article/view/1030/1014
32.   Chen, Z., Yu, D., He, S., Ye, H., Zhang, L., Wen, Y., Zhang, W., Shu, L. and Chen, S. 2017. 'Prevalence of antibiotic-resistant Escherichia coli in drinking water sources in Hangzhou City', Frontiers in microbiology, 8, pp. 1133. https://doi.org/10.3389/fmicb.2017.01133
33.   (WHO), W. H. O. 2019. Outbreak update - Cholera in Yemen, 12 May 2019 WHO. Available at: http://www.emro.who.int/pandemic-epidemic-diseases/cholera/outbreak-update-cholera-in-yemen-19-may-2019.html.
34.   Al Aizari, H., Lebkiri, A., Fadli, M. and Albaseer, S. S. 2017. 'Quality assessment of ground water in Dhamar City, Yemen', International Journal of Environmental Protection, 6, pp. 56-71. https://doi.org/10.3126/ije.v6i4.18910
35.   Al-Dobaee, H. 2016. 'Assessing the influence of climate change on cereal crop production in Dhamar', Water and Environment Centre, Sana'a University, Sana’a, Yemen. http://www.wec.edu.ye/wpcontent/uploads//05/Lecture-13
36.   Bruggeman, H. 1997. 'Agro-climatic resources of Yemen. Part 1. Agro-climatic inventory', Agricultural Research and Extension Authority, Yemen. https://agris.fao.org/agris-search/search.do?recordID=XF2004414631
37.   APHA, AWWA and WEF. 2012. Standard Methods for examination of water and wastewater 22nd edn. Washington: American Public Health Association ISBN 978-087553-013-0.
38.   Cheesbrough, M. 2005. District laboratory practice in tropical countries, part 2. Cambridge university press. https://doi.org/10.1017/CBO9780511543470
39.   Bauer, A. W., Kirby, W. M., Sherris, J. C. and Turck, M. 1966. 'Antibiotic susceptibility testing by a standardized single disk method', American Journal of Clinical Pathology 45(4), pp. 149-158. PMID: 5325707
40.   CLSI 2017. Performance standards for antimicrobial susceptibility testing. 27 edn. (1 vols). Clinical and Laboratory Standards Institute Wayne, PA. https://clsi.org/standards/products/microbiology/documents/m100/
41.   Titilawo, Y., Sibanda, T., Obi, L. and Okoh, A. 2015. 'Multiple antibiotic resistance indexing of Escherichia coli to identify high-risk sources of faecal contamination of water', Environmental Science and Pollution Research, 22(14), pp. 10969-10980. https://doi.org/10.1007/s11356-014-3887-3
42.   Manjusha, S., Sarita, G. B., Elyas, K. K. and Chandrasekaran, M. 2005. 'Multiple Antibiotic Resistances of Vibrio Isolates from Coastal and Brackish Water Areas', American Journal of Biochemistry and Biotechnology, 1(4). https://doi.org/10.3844/ajbbsp.2005.193.198
43.   Blasco, M., Esteve, C. and Alcaide, E. 2008. 'Multiresistant waterborne pathogens isolated from water reservoirs and cooling systems', Journal of Applied Microbiology, 105(2), pp. 469-475. https://doi.org/10.1111/j.1365-2672.2008.03765.x
44.   Mohanta, T. and Goel, S. 2014. 'Prevalence of antibiotic-resistant bacteria in three different aquatic environments over three seasons', Environmental monitoring and assessment, 186(8), pp. 5089-5100. https://doi.org/10.1007/s10661-014-3762-1
45.   Water Sanitation, World Health Organization. 2006. 'Guidelines  for drinking-water quality [electronic resource]: incorporating first addendum. Vol. 1, Recommendations'.
46.   Bertin, G. and Averbeck, D. 2006. 'Cadmium: cellular effects, modifications of biomolecules, modulation of DNA repair and genotoxic consequences (a review)', Biochimie, 88(11), pp. 1549-1559. https://doi.org/10.1016/j.biochi.2006.10.001
47.   EPA 2003. Safe Drinking Water Act. EPA 816-F-03-016 Retrieved from Environmental Protection Agency US. Available at: http://www.ehso.com/drinkingwaterepastds.php
48.   Johnson, R. C., Boni, G., Amoukpo, H., Barogui, Y., Diez, G., Agossadou, D., Sopoh, G. E. and Boko, M. 2016. 'Microbiological quality assessment of drinking water in Lalo commune, Benin (West Africa)', Journal of Water Resource and Protection, 8(08), pp. 816. https://doi.org/10.4236/jwarp.2016.88066
49.   Gwimbi, P. 2011. 'The microbial quality of drinking water in Manonyane community: Maseru District (Lesotho)', African Health Sciences, 11(3). https://doi.org/10.1371/journal.pone.0210735
50.   Kanyerere, T., Levy, J., Xu, Y. and Saka, J. 2012. 'Assessment of microbial  contamination  of groundwater in upper Limphasa River  catchment, located in a rural area of northern Malawi', Water SA, 38(4), pp. 581-596. https://doi.org/10.4314/wsa.v38i4.14
51.   Bain, R., Cronk, R., Hossain, R., Bonjour, S., Onda, K., Wright, J., Yang, H., Slaymaker, T., Hunter, P. and Prüss‐Ustün, A. 2014. 'Global assessment of exposure to faecal contamination through drinking water based on a systematic review', Tropical Medicine & International Health, 19(8), pp. 917-927. https://doi.org/10.1111/tmi.12334
52.   Falcone-Dias, M. F., Vaz-Moreira, I. and Manaia, C. M. 2012. 'Bottled mineral water as a potential source of antibiotic resistant bacteria', Water research, 46(11), pp. 3612-3622. https://doi.org/10.1016/j.watres.2012.04.007
53.   Signor, R. and Ashbolt, N. 2009. 'Comparing probabilistic microbial risk assessments for drinking water against daily rather than annualised infection probability targets', Journal of water and health, 7(4), pp. 535-543. https://doi.org/10.2166/wh.2009.101
54.   Berto, J., Rochenbach, G. C., Barreiros, M. A. B., Corrêa, A. X., Peluso-Silva, S. and Radetski, C. M. 2009. 'Physico-chemical, microbiological and ecotoxicological evaluation of a septic tank/Fenton reaction combination for the treatment of hospital wastewaters', Ecotoxicology and Environmental Safety, 72(4), pp. 1076-1081. https://doi.org/10.1016/j.ecoenv.2008.12.002
55.   Vanneste, J., Cornish, D., Yu, J., Boyd, R. and Morris, C. 2008. 'Isolation of copper and streptomycin resistant phytopathogenic Pseudomonas syringae from lakes and rivers in the central North Island of New Zealand', New Zealand Plant Protection, 61, pp. 80-85. https://doi.org/10.30843/nzpp.2008.61.6822
56.   Faria, C., Vaz-Moreira, I., Serapicos, E., Nunes, O. C. and Manaia, C. M. 2009. 'Antibiotic resistance in coagulase negative staphylococci isolated from wastewater and drinking water', Science of the total environment, 407(12), pp. 3876-3882. https://doi.org/10.1016/j.scitotenv.2009.02.034
57.   Farkas, A., Butiuc-Keul, A., Ciatarâş, D., Neamţu, C., Crăciunaş, C.,  Podar,  D.  and  Drăgan-Bularda,  M.  2013. 'Microbiological contamination and resistance genes in biofilms occurring during the drinking water treatment process', Science of the total environment, 443, pp. 932-938. https://doi.org/10.1016/j.scitotenv.2012.11.068
58.   Pathak, S. and Gopal, K. 2008. 'Prevalence of bacterial contamination with antibiotic resistant and enterotoxigenic fecal coliforms in treated drinking water', Journal of Toxicology and Environmental Health, Part A, 71(7), pp. 427-433. https://doi.org/10.1080/15287390701838796
59.   Vaz-Moreira, I., Nunes, O. C. and Manaia, C. M. 2011. 'Diversity and antibiotic resistance patterns of Sphingomonadaceae isolates from drinking water', Applied and Environmental Microbiology, 77(16), pp. 5697-5706. https://doi.org/10.1128/AEM.00579-11
60.   Eregno, F. E. 2014. Multiple linear regression models for estimating microbial load in a drinking water source case from the Glomma river, Norway. MS, Master's thesis, Norwegian University of Life Sciences, Ås [Online] Available at: http://hdl.handle.net/11250/189167.
61.   Blaak, H., Van Rooijen, S., Schuijt, M., Docters van Leeuwen, A., Italiaander, R., van den Berg, H., Lodder-Verschoor, F., Schets, F. and de Roda Husman, A. 2012. Prevalence of antibiotic resistant bacteria in the rivers Meuse, Rhine and New Meuse. Available at: https://rivm.openrepository.com/handle/10029/259859
62.   Al-Badaii, F. and Shuhaimi-Othman, M. 2014. 'Heavy metals and water quality assessment using multivariate statistical techniques and water quality index of the Semenyih River, Peninsular Malaysia', Iranian (Iranica) Journal of Energy and Environment, 5(2), pp. 132-145. Available at: https://www.ijee.net/article_64518_25182d9ab4e09cdef6769eded2626f40.pdf
63.   Bohm, R., Gozalan, F. and Philipp, W. 2004. 'Comparative study on antibiotic resistance in selected bacterial species isolated from wastewater originating from slaughterhouses and of municipal sources', Proceedings of International Society for Animal Hygiene. Saint-Malo, 277. https://doi.org/http://citeseerx.ist.psu.edu/viewdoc/similar?doi=10.1.1.576.1122&type=cc
64.   Berendonk, T. U., Manaia, C. M., Merlin, C., Fatta-Kassinos, D., Cytryn, E., Walsh, F., Bürgmann, H., Sørum, H., Norström, M. and Pons, M.-N. 2015. 'Tackling antibiotic resistance: the environmental framework', Nature Reviews Microbiology, 13(5), pp. 310-317. https://doi.org/10.1038/nrmicro3439
65.   Gray, N. F. 1994. Drinking water quality: problems and solutions. John Wiley & Sons. https://doi.org/10.1017/CBO9780511805387
66.   Ihimekpen, N., Atikpo, E., Kayode-Ojo, N. and Michael, A. 2020. 'Abilities of Three Microorganisms for Cleaning Cadmium Contaminated Soils', Iranian (Iranica) Journal of Energy and Environment, 11(2), pp. 170-177. https://doi.org/10.5829/ijee.2020.11.02.12
67.   Rodríguez-Rodríguez, N. J. 2010. Ph.D. Thesis: Multiple antibiotic resistance of Enterococcus spp. in waters and sediments of Barceloneta–Manatí, Puerto Rico. Dissertation.
68.   Kelly, B., Vespermann, A. and Bolton, D. 2009. 'Gene transfer events and their occurrence in selected environments', Food and Chemical Toxicology, 47(5), pp. 978-983. https://doi.org/10.1016/j.fct.2008.06.012
69.   Kim, S. and Aga, D. S. 2007. 'Potential ecological and human health impacts of antibiotics and antibiotic-resistant bacteria from wastewater treatment plants', Journal of Toxicology and Environmental Health, Part B, 10(8), pp. 559-573. https://doi.org/10.1080/15287390600975137