ArticlePublic health challenges2025
Environmental Dissemination of Multidrug-Resistant Gram-Negative Pathogens in Djibouti's Wastewaters.
Article in Public health challenges, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Environmental Dissemination of Multidrug-Resistant Gram-Negative Pathogens in Djibouti's Wastewaters.Public health challenges · 2025Article
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5 authors.
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Abstract
Background: The occurrence of multidrug-resistant (MDR) Enterobacteriaceae-producing extended-spectrum β-lactamases (ESBLs) and/or carbapenemases is increasingly reported in clinical and environmental settings. Here, we aimed to investigate the resistance profile of gram-negative bacterial isolates from urban and environmental wastewater in Djibouti. Materials and Methods: Twenty-five wastewater samples were collected from eight different locations of Djibouti. After bacterial culture on selective media for gram-negative bacteria (GNB), obtained isolates were identified using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry. Antibiotic susceptibility testing was performed by disk diffusion and Results: Eleven MDR gram-negative isolates were identified from the 25 water samples collected, including six Conclusion: For the first time, we describe here MDR-GNB bacterial isolates from urban and environmental wastewater in Djibouti. To date, carbapenem-resistant isolates have only been present in hospital wastewater. Regular surveillance policies, consistent with the "One Health" approach, are recommended to prevent the spread and monitor the evolution of antibiotic resistance in the environment and within the Djiboutian community.
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