Evidence map›Paper›PMID 36821031›Full record

SynthesisCurrent environmental health reports2023

A Systematic Review of Culture-Based Methods for Monitoring Antibiotic-Resistant Acinetobacter, Aeromonas, and Pseudomonas as Environmentally Relevant Pathogens in Wastewater and Surface Water.

Erin G Milligan, Jeanette Calarco, Benjamin C Davis, Ishi M Keenum, Krista Liguori, Amy Pruden, Valerie J Harwood

Abstract readSystematic Review
In one paragraph

Synthesis in Current environmental health reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. CharacterizingAntibiotics (Basel, Switzerland) · 2026
    Article
  5. Article
  6. Antimicrobial Resistance inPathogens (Basel, Switzerland) · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Culture, qPCR, and genome-based surveillance ofFrontiers in microbiology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Removal of coliform pollution using a gravel-packed contact bed: reduction effect and microbial community analysis.Water science and technology : a journal of the International Association on Water Pollution Research · 2025
    Article
  16. Bacterivorous CiliateAntibiotics (Basel, Switzerland) · 2025
    Article
  17. Review
  18. Microbiota Dysbiosis inMicroorganisms · 2025
    Article
  19. Journal of water and health · 2025
    Article
  20. 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

7 authors.

Erin G MilliganDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, 24061, USA.
Jeanette CalarcoDepartment of Integrative Biology, University of South Florida, Tampa, FL, 33620, USA.
Benjamin C DavisDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, 24061, USA.
Ishi M KeenumDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, 24061, USA.
Krista LiguoriDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, 24061, USA.
Amy PrudenDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA, 24061, USA. apruden@vt.edu.ORCID 0000-0002-3191-6244
Valerie J HarwoodDepartment of Integrative Biology, University of South Florida, Tampa, FL, 33620, USA. vharwood@usf.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewMounting evidence indicates that habitats such as wastewater and environmental waters are pathways for the spread of antibiotic-resistant bacteria (ARB) and mobile antibiotic resistance genes (ARGs). We identified antibiotic-resistant members of the genera Acinetobacter, Aeromonas, and Pseudomonas as key opportunistic pathogens that grow or persist in built (e.g., wastewater) or natural aquatic environments. Effective methods for monitoring these ARB in the environment are needed to understand their influence on dissemination of ARB and ARGs, but standard methods have not been developed. This systematic review considers peer-reviewed papers where the ARB above were cultured from wastewater or surface water, focusing on the accuracy of current methodologies. RECENT

findingsRecent studies suggest that many clinically important ARGs were originally acquired from environmental microorganisms. Acinetobacter, Aeromonas, and Pseudomonas species are of interest because their ability to persist and grow in the environment provides opportunities to engage in horizontal gene transfer with other environmental bacteria. Pathogenic strains of these organisms resistant to multiple, clinically relevant drug classes have been identified as an urgent threat. However, culture methods for these bacteria were generally developed for clinical samples and are not well-vetted for environmental samples. The search criteria yielded 60 peer-reviewed articles over the past 20 years, which reported a wide variety of methods for isolation, confirmation, and antibiotic resistance assays. Based on a systematic comparison of the reported methods, we suggest a path forward for standardizing methodologies for monitoring antibiotic resistant strains of these bacteria in water environments.

Indexed as

AeromonasWastewaterAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAnti-Bacterial AgentsGenes, BacterialHumansPseudomonasAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAnti-Bacterial AgentsWastewaterAntibiotic resistanceEnvironmental monitoringEnvironmental pathogensSurface waterWastewater

Identifiers

PMID36821031
PMCPMC10299953

What OpenQuestion holds

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LicenceCC BY
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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.