Evidence map›Paper›PMID 27558582›Full record

ArticleBMC microbiology2016

Multidrug resistant Pseudomonas aeruginosa survey in a stream receiving effluents from ineffective wastewater hospital plants.

Mary Joyce Targino Lopes Magalhães, Gemilson Pontes, Paula Takita Serra, Antonio Balieiro, Diogo Castro, Fabio Alessandro Pieri, James Lee Crainey, Paulo Afonso Nogueira, Patricia Puccinelli Orlandi

Abstract read
In one paragraph

Article in BMC microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Occurrence of Virulence and Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Heliyon · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Frontiers in microbiology · 2019
    Article
  15. Article
  16. Prokaryotic community profiling of local algae wastewaters using advanced 16S rRNA gene sequencing.Environmental science and pollution research international · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mary Joyce Targino Lopes MagalhãesPrograma de Pós-Graduação Sociedade e Endemias na Amazônia, ILMD, 476, Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Gemilson PontesInstituto Nacional de Pesquisa da Amazônia - INPA, 2936 André Araújo Av, 69060-001, Manaus, AM, Brazil.
Paula Takita SerraInstituto de Pesquisa Leônidas e Maria Deane - FIOCRUZ AMAZONIA, 476 Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Antonio BalieiroInstituto de Pesquisa Leônidas e Maria Deane - FIOCRUZ AMAZONIA, 476 Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Diogo CastroInstituto de Pesquisa Leônidas e Maria Deane - FIOCRUZ AMAZONIA, 476 Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Fabio Alessandro PieriDepartamento Básico - Área de Saúde; Campus Governador Valadares, Universidade Federal de Juiz de Fora, Rua Israel Pinheiro, 2000, Bairro Universitário, Governador Valadares, MG, Brazil.
James Lee CraineyInstituto de Pesquisa Leônidas e Maria Deane - FIOCRUZ AMAZONIA, 476 Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Paulo Afonso NogueiraPrograma de Pós-Graduação Sociedade e Endemias na Amazônia, ILMD, 476, Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil.
Patricia Puccinelli OrlandiPrograma de Pós-Graduação Sociedade e Endemias na Amazônia, ILMD, 476, Teresina St, Adrianópolis, 69057-070, Manaus, AM, Brazil. patricia_orlandi@amazonia.fiocruz.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMulti-drug resistant forms of Pseudomonas aeruginosa (MDRPA) are a major source of nosocomial infections and when discharged into streams and rivers from hospital wastewater treatment plants (HWWTP) they are known to be able to persist for extended periods. In the city of Manaus (Western Brazilian Amazon), the effluent of three HWWTPs feed into the urban Mindu stream which crosses the city from its rainforest source before draining into the Rio Negro. The stream is routinely used by Manaus residents for bathing and cleaning (of clothes as well as domestic utensils) and, during periods of flooding, can contaminate wells used for drinking water.

results16S rRNA metagenomic sequence analysis of 293 cloned PCR fragments, detected an abundance of Pseudomonas aeruginosa (P. aeruginosa) at the stream's Rio Negro drainage site, but failed to detect it at the stream's source. An array of antimicrobial resistance profiles and resistance to all 14 tested antimicrobials was detected among P. aeruginosa cultures prepared from wastewater samples taken from water entering and being discharged from a Manaus HWWTP. Just one P. aeruginosa antimicrobial resistance profile, however, was detected from cultures made from Mindu stream isolates. Comparisons made between P. aeruginosa isolates' genomic DNA restriction enzyme digest fingerprints, failed to determine if any of the P. aeruginosa found in the Mindu stream were of HWWTP origin, but suggested that Mindu stream P. aeruginosa are from diverse origins. Culturing experiments also showed that P. aeruginosa biofilm formation and the extent of biofilm formation produced were both significantly higher in multi drug resistant forms of P. aeruginosa.

conclusionsOur results show that a diverse range of MDRPA are being discharged in an urban stream from a HWWTP in Manaus and that P. aeruginosa strains with ampicillin and amikacin can persist well within it.

Indexed as

AmikacinAmpicillinAnti-Bacterial AgentsBiodiversityBiofilmsBrazilDNA FingerprintingDrug Resistance, Multiple, BacterialElectrophoresis, Gel, Pulsed-FieldHospitalsMicrobial Sensitivity TestsPseudomonas aeruginosaRiversRNA, Ribosomal, 16SWastewaterAmikacinAmpicillinAnti-Bacterial AgentsRNA, Ribosomal, 16SWastewater16S-rRNA geneAmazonContaminationHospital effluentPFGEPseudomonas aeruginosa

Identifiers

PMID27558582
PMCPMC4995675

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.