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Antibiotic Resistance in Recreational Waters: State of the Science

Citation

Nappier, Sharon P.; Liguori, Krista; Ichida, Audrey M.; Stewart, Jill R.; & Jones, Kaedra R. (2020). Antibiotic Resistance in Recreational Waters: State of the Science. International Journal of Environmental Research and Public Health, 17(21), e8034. PMCID: PMC7663426

Abstract

Ambient recreational waters can act as both recipients and natural reservoirs for antimicrobial resistant (AMR) bacteria and antimicrobial resistant genes (ARGs), where they may persist and replicate. Contact with AMR bacteria and ARGs potentially puts recreators at risk, which can thus decrease their ability to fight infections. A variety of point and nonpoint sources, including contaminated wastewater effluents, runoff from animal feeding operations, and sewer overflow events, can contribute to environmental loading of AMR bacteria and ARGs. The overall goal of this article is to provide the state of the science related to recreational exposure and AMR, which has been an area of increasing interest. Specific objectives of the review include (1) a description of potential sources of antibiotics, AMR bacteria, and ARGs in recreational waters, as documented in the available literature; (2) a discussion of what is known about human recreational exposures to AMR bacteria and ARGs, using findings from health studies and exposure assessments; and (3) identification of knowledge gaps and future research needs. To better understand the dynamics related to AMR and associated recreational water risks, future research should focus on source contribution, fate and transport-across treatment and in the environment; human health risk assessment; and standardized methods.

URL

http://dx.doi.org/10.3390/ijerph17218034

Reference Type

Journal Article

Journal Title

International Journal of Environmental Research and Public Health

Author(s)

Nappier, Sharon P.
Liguori, Krista
Ichida, Audrey M.
Stewart, Jill R.
Jones, Kaedra R.

Year Published

2020

Volume Number

17

Issue Number

21

Pages

e8034

PMCID

PMC7663426

Reference ID

13286