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Medical students’ mobile phones: hotspots for antimicrobial-resistant Gram-negative bacteria 医学生手机:耐药革兰氏阴性菌的热点
Q1 Social Sciences Pub Date : 2025-12-24 DOI: 10.1016/j.jobb.2025.12.002
Ahmed E. Taha , Heba M. Saad Eldien , Mohamed Abouelkheir , Abdulbaqi S. Alduraywish , Ali A. Alanazi , Abdulaziz H. Alruwaili , Mmdoh M. Alrais , Abdulkareem A. Alyousef , Abdullah A. Alrais , Meshal A. Alanazi , Sultan N. Alhudaib , Bandar M. Alazmi , Abdulaziz L. Alruwaili , Gamal Abdelrahman Bakhaat

Introduction

The mobile phones (MPs) of medical personnel can be easily and rapidly contaminated by bacteria from patients or medical devices and by medical school or hospital environments. This is the first study set in Aljouf Province, Saudi Arabia, to assess the prevalence of bacterial contamination of medical students’ MPs, the antimicrobial susceptibility of the isolates and their independent risk factors.

Methodology

Swabs of 250 MPs of medical students were processed using standard microbiological procedures. Data were collected to identify independent contamination risk factors. The automated MicroScan WalkAway Microbiology System was used for bacterial isolate identification and antimicrobial sensitivity/resistance testing.

Results

The prevalence of MPs’ bacterial contamination was 56.00 % (n = 140/250). Multivariate logistic regression and stratified analyses revealed significant associations between MP bacterial contamination and a 10-minute duration since the last hand wash (odds ratio [OR] = 1.788; p = 0.037*) and the presence of breaks in the screen or screen protector of MPs (OR = 1.840; p = 0.038*). The most common bacterial contaminants were Escherichia coli, Klebsiella pneumoniae and Staphylococcus epidermidis, at frequencies of 31.79 %, 28.57 % and 19.29 %, respectively. The high frequency of Gram-negative bacterial contaminants in our geographical area was striking. Although Staphylococcus epidermidis isolates were completely sensitive, Gram-negative isolates were found to have varying degrees of reduced susceptibility to some antimicrobials.

Conclusion

Our findings support previous reports about the potential role of medical students’ MPs in the transmission of bacteria between community, medical education and healthcare (HC) settings. There is an urgent need to implement policies and regulations for MP use and decontamination, especially in medical education and HC settings. To minimise bacterial contamination risk, medical students should frequently wash their hands when in HC, medical education and community settings and ensure that their MP screens and screen protectors remain intact.
医务人员的移动电话(MPs)很容易被患者或医疗设备以及医学院或医院环境的细菌污染。这是在沙特阿拉伯Aljouf省开展的第一项研究,旨在评估医学生MPs中细菌污染的流行程度、分离物的抗菌敏感性及其独立危险因素。方法采用标准微生物程序对医学生250例MPs拭子进行处理。收集数据以确定独立的污染风险因素。采用自动MicroScan WalkAway微生物系统进行细菌分离鉴定和抗菌药物敏感性/耐药性试验。结果MPs细菌污染率为56.00% (n = 140/250)。多因素logistic回归和分层分析显示,MPs细菌污染与上次洗手后10分钟的持续时间(比值比[OR] = 1.788; p = 0.037*)和MPs的屏幕或屏幕保护膜破裂(OR = 1.840; p = 0.038*)之间存在显著关联。最常见的细菌污染物为大肠杆菌、肺炎克雷伯菌和表皮葡萄球菌,频率分别为31.79%、28.57%和19.29%。革兰氏阴性细菌污染物在我们的地理区域的高频率是惊人的。虽然表皮葡萄球菌分离株完全敏感,但革兰氏阴性分离株对某些抗菌素的敏感性有不同程度的降低。结论我们的研究结果支持了先前关于医学生MPs在社区、医学教育和卫生保健(HC)环境之间细菌传播中的潜在作用的报道。目前迫切需要实施多氯联苯使用和净化的政策和法规,特别是在医学教育和卫生保健机构。为了最大限度地降低细菌污染的风险,医学生在HC、医学教育和社区环境中应经常洗手,并确保他们的MP屏幕和屏幕保护膜完好无损。
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引用次数: 0
Forecasting tuberculosis prevalence in Afghanistan until 2032: a mathematical modelling analysis 预测阿富汗到2032年的结核病流行:一个数学模型分析
Q1 Social Sciences Pub Date : 2025-12-24 DOI: 10.1016/j.jobb.2025.12.003
Abdul Raqib Muslimyar , Mohammad Farooq Hakimi , Dost Mohammad Faizi , Muhammad Haroon Stanikzai , Naqibullah Wardak

Background

Accurate disease forecasting can inform public health policies. Nonetheless, many countries, including Afghanistan, have yet to learn from this exercise.

Objectives

This study aimed to forecast tuberculosis (TB) prevalence in Afghanistan until 2032 and to estimate the reproduction number R0 using a mathematical model.

Methods

We utilised the susceptible–infected (SI) nonlinear epidemic model to forecast the prevalence of TB in Afghanistan. The model parameters were estimated from the data collected by the Afghan Ministry of Public Health between 2013 and 2022. The goodness-of-fit of the SI model was also assessed.

Results

The SI model predicted that the prevalence of TB in Afghanistan would increase to 0.214058 by 2032. In addition, we parameterised the model using the TB notification data collected between 2013 and 2022 and estimated the basic reproduction number at approximately 3.39.

Conclusion

The study indicates that the SI model predicts a nonlinear increase in TB prevalence in Afghanistan in the years ahead. Therefore, this model can help inform health policymakers in optimising resource allocation and guiding future public health strategies for TB care in the country.
准确的疾病预测可以为公共卫生政策提供信息。然而,包括阿富汗在内的许多国家尚未从这次演习中吸取教训。本研究旨在预测阿富汗到2032年的结核病(TB)患病率,并使用数学模型估计繁殖数R0。方法采用易感感染(SI)非线性流行模型对阿富汗结核病流行进行预测。模型参数是根据阿富汗公共卫生部在2013年至2022年期间收集的数据估计的。还对SI模型的拟合优度进行了评估。结果SI模型预测到2032年阿富汗结核病患病率将上升至0.214058。此外,我们使用2013年至2022年期间收集的结核病报告数据对模型进行了参数化,并估计基本复制数约为3.39。该研究表明,SI模型预测了未来几年阿富汗结核病患病率的非线性增长。因此,该模型可以帮助卫生政策制定者优化资源分配并指导该国未来的结核病治疗公共卫生战略。
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引用次数: 0
Assessment of the biosecurity and slaughter practises in selected European abattoirs with a focus on the control of Salmonella and hepatitis E virus contamination 对选定的欧洲屠宰场的生物安全和屠宰做法进行评估,重点是控制沙门氏菌和戊型肝炎病毒污染
Q1 Social Sciences Pub Date : 2025-12-01 DOI: 10.1016/j.jobb.2025.11.001
Tarmo Niine , Arvo Viltrop , Imbi Nurmoja , Richard Piers Smith , Enrico Pavoni , Giovanni Loris Alborali , Giovanni Ianiro , Ilaria Di Bartolo , Tijs Tobias , Elena Lucia Sassu , Elke Burow
The zoonotic pathogens Salmonella and hepatitis E virus (HEV) are frequently found in domestic pigs. The consumption of contaminated pig meat products is one of the most common routes of such infections in humans. Accordingly, it is important for abattoirs to implement adequate biosecurity and slaughter practises (BSPs) to control these microorganisms during production. However, checklists that abattoir staff or officials can use to assess whether BSPs are being implemented are not freely available. In the current study, which was conducted under the Biosecurity Practises for Pig Farming across Europe (BIOPIGEE) project as part of the European Joint Programme under Horizon 2020, we developed a questionnaire based on research published in recent decades and conducted an online survey of European abattoirs to determine which BSPs were being implemented to avoid pig carcass contamination with Salmonella and HEV. We received and analysed a total of 32 responses from Austria (3), Czechia (10), Estonia (2), Germany (6), Italy (5), the Netherlands (2), and the UK (4). The results revealed that most of the abattoirs adhered to well-established practises, such as hygienic evisceration, scalding, and controlled singeing. Nevertheless, notable gaps were identified. The small abattoirs reported the less consistent use of effective scalding procedures and relied more frequently on the manual removal of visible carcass contamination, whereas in the large abattoirs, standardised trimming or hot water washing was applied more often. These differences highlight the areas where targeted interventions, particularly improved cleaning methods for visibly contaminated carcasses, could substantially reduce the risk of Salmonella contamination. The results of this study could help abattoirs benchmark their current BSPs against those of their peers. Additionally, the questionnaire developed for this study may provide a useful checklist of practises and ideas to enhance BSP implementation.
人畜共患病原体沙门氏菌和戊型肝炎病毒(HEV)常在家猪中发现。食用受污染的猪肉产品是人类感染这种疾病的最常见途径之一。因此,重要的是屠宰场在生产过程中实施适当的生物安全和屠宰规范(BSPs)来控制这些微生物。然而,屠宰场工作人员或官员可以用来评估是否实施了生物检疫措施的检查清单并不是免费提供的。目前的研究是在欧洲养猪业生物安全实践(BIOPIGEE)项目下进行的,该项目是地平线2020下欧洲联合计划的一部分,我们根据近几十年发表的研究编写了一份问卷,并对欧洲屠宰场进行了在线调查,以确定正在实施哪些BSPs以避免猪胴体受到沙门氏菌和HEV污染。我们共收到并分析了来自奥地利(3)、捷克(10)、爱沙尼亚(2)、德国(6)、意大利(5)、荷兰(2)和英国(4)的32份回复。结果显示,大多数屠宰场都遵循公认的做法,如卫生的内脏取出、烫伤和控制烧灼。尽管如此,还是发现了明显的差距。小型屠宰场报告说,不太经常使用有效的烫伤程序,更多地依赖于人工清除可见的胴体污染,而在大型屠宰场,标准化修剪或热水洗涤更经常使用。这些差异突出了有针对性的干预措施,特别是改进对明显受污染的胴体的清洁方法,可以大大降低沙门氏菌污染风险的领域。这项研究的结果可以帮助屠宰场将他们目前的BSPs与同行进行比较。此外,为本研究开发的问卷可能提供有用的实践和想法清单,以加强BSP的实施。
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引用次数: 0
WHO revises global framework for monitoring nonpharmaceutical interventions in health emergencies 世卫组织修订突发卫生事件非药物干预措施监测全球框架
Q1 Social Sciences Pub Date : 2025-12-01 DOI: 10.1016/j.jobb.2025.12.001
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引用次数: 0
Towards an attitude of responsibility for safety in life science education 生命科学教育中的安全责任态度
Q1 Social Sciences Pub Date : 2025-11-10 DOI: 10.1016/j.jobb.2025.10.002
Hetty Huijs , Enrique Asin-Garcia , Zoë Robaey , Vitor A.P. Martins dos Santos
The rapid pace of innovation in the life sciences raises new questions about the safety and security of emerging technologies and processes. Therefore, it is important to investigate what is taught about safety and how it is taught during the early stages of scientific training in higher education. In this study, we conducted a gap analysis based on an inventory of learning content covering different dimensions and elements of safety, including understanding and reasoning related to the Safe-by-Design concept. Each topic was evaluated using two three-level scales: one describing how frequently it appeared in the curriculum and another reflecting the depth of learning, from cognitive knowledge to skill and attitude development. Using Wageningen University as a case study, we conducted a series of qualitative interviews with programme directors and lecturers from various life science divisions. Our results show that the technical aspects of safety received the most attention, particularly when teaching about the development phase of innovations. At the same time, skills related to anticipating and managing risks and other responsibility-related elements needed to be strengthened in the curricula. Notably, the frequency with which a safety element is taught was always higher than the extent to which the corresponding skills were developed. This highlights the need to equip students with the skills needed to improve their own judgment of safety in their future careers.
生命科学领域的快速创新对新兴技术和工艺的安全性提出了新的问题。因此,重要的是调查在高等教育科学培训的早期阶段教了什么安全知识以及如何教安全知识。在这项研究中,我们基于一份涵盖不同安全维度和要素的学习内容清单进行了差距分析,包括对安全设计概念的理解和推理。每个主题都使用两个三级量表进行评估:一个描述它在课程中出现的频率,另一个反映学习的深度,从认知知识到技能和态度的发展。我们以瓦赫宁根大学(Wageningen University)为案例研究,对来自各个生命科学部门的项目主任和讲师进行了一系列定性访谈。我们的研究结果表明,安全的技术方面受到了最多的关注,特别是在教授创新的开发阶段时。同时,需要在课程中加强与预测和管理风险以及其他与责任有关的因素有关的技能。值得注意的是,传授安全要素的频率总是高于开发相应技能的程度。这凸显了让学生掌握必要的技能,以提高他们在未来职业生涯中对安全的判断。
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引用次数: 0
Adherence to biosafety standard operating procedures – Knowledge, attitudes, and practices of medical laboratory science students at an autonomous university in Davao City, Philippines 遵守生物安全标准操作程序——菲律宾达沃市一所自治大学医学实验室学生的知识、态度和实践
Q1 Social Sciences Pub Date : 2025-10-22 DOI: 10.1016/j.jobb.2025.10.001
Maria Bea C. Lao , Yana S. Usop , Claire Nicole L. Melendez , Marianne Felicity Bojo , Fare Valerie Delgado , Girly Larceña , Luchie Mae B. Pacabis , Clyde S. Baltazar , Rvin John T. Servillon , Cynthia V. Dayoan , April Joy D. Parilla , Alfredo A. Hinay Jr
Laboratory biosafety in the Philippines was given critical attention during the COVID-19 pandemic, which revealed gaps in the established safety practices and the need for strict protocol adherence. Considering this, the present study was conducted to evaluate the biosafety knowledge, attitudes, and practices (KAP) of medical laboratory science students (N = 262) at an autonomous university in Davao City, Philippines, using a validated questionnaire. The results revealed the students’ high attitudes towards biosafety, with strong compliance in using personal protective equipment (PPE) (mean = 4.89 ± 0.55) and aseptic techniques (mean = 4.84 ± 0.57) and following hand hygiene and laboratory protocols (compliance mean = 4.53 ± 0.20; routine disinfection mean = 4.85 ± 0.60). Attitude scores ranged from 3.61 ± 0.10 to 4.90 ± 1.39, indicating a significant emphasis on biosafety (4.90 ± 0.53). Statistically significant differences (p < 0.05) in knowledge and practices were observed across demographic variables, with female students and those in higher year levels demonstrating greater adherence and understanding. In sum, the study findings highlight the effectiveness of current biosafety education and the need for ongoing training to maintain a strong safety culture that can serve as a model for other institutions.
在2019冠状病毒病大流行期间,菲律宾的实验室生物安全问题受到了高度关注,这暴露出既定安全做法存在差距,需要严格遵守规程。考虑到这一点,本研究对菲律宾达沃市一所自治大学医学检验专业学生(N = 262)的生物安全知识、态度和实践(KAP)进行了评估,采用了有效的问卷调查。结果显示,学生对生物安全的态度较高,对个人防护装备(PPE)使用(平均4.89±0.55)和无菌技术(平均4.84±0.57)的依从性较强,对手卫生和实验室规程(平均4.53±0.20,常规消毒平均4.85±0.60)的依从性较高。态度评分范围为3.61±0.10 ~ 4.90±1.39,对生物安全的重视程度为4.90±0.53。在人口统计学变量中观察到知识和实践的统计学显著差异(p < 0.05),女学生和高年级学生表现出更强的依从性和理解。总而言之,研究结果强调了当前生物安全教育的有效性和持续培训的必要性,以维持一种强大的安全文化,这种文化可以作为其他机构的榜样。
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引用次数: 0
Efficacy of commercial disinfectants Virkon®S and Microchem Plus against poliovirus 商用消毒剂Virkon®S和Microchem Plus对脊髓灰质炎病毒的功效
Q1 Social Sciences Pub Date : 2025-09-01 DOI: 10.1016/j.jobb.2025.08.002
Leesa Bruggink, David Bagnara, Yi Nong, Matthew Kaye, Linda Hobday, Jade McKenzie, Ann Cornish, Bruce Thorley, Chuan Kok Lim

Introduction

The WHO Global Action Plan for Poliovirus Containment, 4th edition (GAPIV) describes the necessary conditions for the containment of poliovirus material in poliovirus-essential facilities (PEFs). PEF status is achieved by successfully undergoing the process of certification by the Global Commission for the Certification of the Eradication of Poliomyelitis in compliance with GAPIV requirements. The GAPIV guidelines cover many topics, including waste management, decontamination, disinfection and sterilization. This element of GAPIV requires PEFs to demonstrate in-house validation of decontamination methods with supporting data.

Methods

The method used for validation of chemical products for poliovirus decontamination in this study was based on processes outlined in European Standard EN14476, as recommended by the WHO GAPIV guidelines. In this study, the disinfectants 5 % Microchem Plus and 1 % Virkon®S were evaluated for efficacy against high titre poliovirus in solutions with and without high organic load using an endpoint dilution assay. A poliovirus Sabin 1 strain was used as the reference virus with the titre 8.33 log10 CCID50 (50 % cell culture infectious dose) in 0.1 ml.

Results

The poliovirus titre after Microchem Plus treatment was calculated as 5.5 (representing a 2.8 CCID50 titre reduction), indicating only partial inactivation. In contrast, poliovirus in solutions with and without high organic load achieved >4 log10 CCID50 titre reduction (≥6.8 and ≥5.8 reduction respectively), after Virkon®S treatment. The Virkon®S treatment results were at the limit of detection of the endpoint dilution assay, indicating complete inactivation, or as near complete that can be demonstrated with the assay. The virus culture results were confirmed by a molecular assay for the detection of enterovirus RNA.

Conclusion

Microchem Plus only partially inactivated poliovirus and cannot be relied upon as the sole decontaminant. In contrast, Virkon®S performed well for both high titre poliovirus in solutions with and without high organic load, achieving >4 log10 titre reduction for both, making Virkon®S a suitable disinfectant for poliovirus.
世卫组织遏制脊髓灰质炎病毒全球行动计划第4版(GAPIV)描述了在脊髓灰质炎病毒基础设施(pef)中遏制脊髓灰质炎病毒材料的必要条件。通过成功地通过全球根除脊髓灰质炎认证委员会的认证程序,符合《全球根除脊髓灰质炎疫苗计划》的要求,才能获得PEF地位。GAPIV指南涵盖了许多主题,包括废物管理、去污、消毒和灭菌。GAPIV的这一要素要求pef用支持数据证明净化方法的内部验证。方法本研究中用于脊髓灰质炎病毒去污染化学产品验证的方法基于欧洲标准EN14476中概述的流程,并由世卫组织GAPIV指南推荐。在这项研究中,使用终点稀释法评估了消毒剂5% Microchem Plus和1% Virkon®S在有和没有高有机负荷的溶液中对高滴度脊髓灰质炎病毒的功效。以脊髓灰质炎病毒Sabin 1株为对照病毒,0.1 ml中CCID50滴度为8.33 log10(50%细胞培养感染剂量)。结果Microchem Plus处理后脊髓灰质炎病毒滴度为5.5 (CCID50滴度降低2.8),仅部分失活。相比之下,在具有和不具有高有机负荷的溶液中,脊髓灰质炎病毒在经过Virkon®S处理后,CCID50滴度降低了4 log10(分别降低≥6.8和≥5.8)。Virkon®S处理结果在终点稀释试验的检测极限,表明完全失活,或接近完全失活,可以用该试验证明。病毒培养结果通过检测肠道病毒RNA的分子试验得到证实。结论microchem Plus仅能部分灭活脊髓灰质炎病毒,不能作为唯一的去污剂。相比之下,Virkon®S在有和没有高有机负荷的溶液中对高滴度的脊髓灰质炎病毒都表现良好,两者的滴度都降低了4 log10,使Virkon®S成为脊髓灰质炎病毒的合适消毒剂。
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引用次数: 0
Modeling and simulation of periodic lockdowns on COVID-19 dynamics using an adaptive SIRV model with daily-varying rates 基于日变速率自适应SIRV模型的COVID-19周期性封锁动力学建模与仿真
Q1 Social Sciences Pub Date : 2025-09-01 DOI: 10.1016/j.jobb.2025.08.004
Benny Yong , Arief Anbiya
We introduce a model for analyzing periodic short-term COVID-19 lockdowns featuring short, alternating periods of W working days and L lockdown days with a weekly cycle: W+L=7. A modified adaptive SIR epidemic model with vaccination (A-SIRV) with a smooth damping function is used to account for periodic suppression of the transmission rate. We use real-world COVID-19 data from Indonesia, United States, Singapore, and Israel to estimate the non-constant transmission and recovery rates using the Method of Variational Imbedding (MVI). The calculated rates reveal that the results of the simulation using A-SIRV models without a damping function approximate the real-world data accurately enough, with low RMSE and MAE values and high values for the coefficient of determination. We also validate the transmission rates with phases of Delta and Omicron variants and obtain agreeable results. We then simulate various scenarios of periodic short-term lockdown using the damped A-SIRV model, finding that implementing five working days and two lockdown days throughout the entire simulation period is sufficient for consistently flattening the number of active cases in the models for Indonesia and United States. However, for the Singapore and Israel models, the use of five working days and two lockdown days only flattens the number of active cases for several years before a blow-up, an extremely high peak of active cases, appears despite the periodic lockdown remaining in place. We then perform additional numerical simulations for Singapore and Israel models and find that the sudden extreme peak can be suppressed by three scenarios: increasing the share of vaccination to the susceptibles, reducing the number of working days per week to three, or using a dynamic policy of five working days per week followed by a policy shift to only two working days per week when sudden extreme peaks start to form. Our study finds that preventive vaccination should be emphasized while allowing partial economic activity during periodic lockdowns.
我们引入了一个以周为周期,W个工作日和L个工作日交替进行的周期性短期封锁分析模型:W+L=7。采用带有平滑阻尼函数的改进自适应SIR流行病模型(A- sirv)来解释传播率的周期性抑制。我们使用来自印度尼西亚、美国、新加坡和以色列的真实COVID-19数据,使用变分嵌入法(MVI)估计非恒定传播和恢复率。计算速率表明,不加阻尼函数的a - sirv模型的模拟结果与实际数据足够接近,RMSE和MAE值较低,决定系数值较高。我们还用Delta和Omicron变体的相位验证了传输速率,得到了令人满意的结果。然后,我们使用阻尼的A-SIRV模型模拟了周期性短期封锁的各种情景,发现在整个模拟期间实施五个工作日和两个封锁日足以使印度尼西亚和美国模型中的活跃病例数量持续趋于平稳。然而,对于新加坡和以色列的模式,使用5个工作日和2个封锁日只会使活跃病例数在几年内趋于平缓,然后出现爆发,即活跃病例的极高峰值,尽管定期封锁仍然存在。然后,我们对新加坡和以色列的模型进行了额外的数值模拟,发现突然的极端峰值可以通过三种情况来抑制:增加易感人群的疫苗接种份额,将每周工作日减少到三天,或者使用每周五个工作日的动态政策,然后在突然的极端峰值开始形成时将政策转变为每周只有两个工作日。我们的研究发现,应强调预防性疫苗接种,同时在周期性封锁期间允许部分经济活动。
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引用次数: 0
Upgraded hands-on BSL-3 training model significantly improves quality of biosafety personnel training 升级实践生物安全三级培训模式,显著提高生物安全人员培训质量
Q1 Social Sciences Pub Date : 2025-09-01 DOI: 10.1016/j.jobb.2025.09.002
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引用次数: 0
Environmental pathways and drivers of antimicrobial resistance in waterborne Escherichia coli in Pakistan: a one health perspective 巴基斯坦水源性大肠杆菌抗菌素耐药性的环境途径和驱动因素:一个健康观点
Q1 Social Sciences Pub Date : 2025-09-01 DOI: 10.1016/j.jobb.2025.08.001
Adnan Khan , Shahbaz Ahmad Zakki , Ijaz ul Haq , Muhammad Shahzad , Nauman Khan

Background

Antimicrobial resistance (AMR) is a global health crisis requiring a One Health approach to integrate surveillance across sectors, particularly in water sources, to control its spread. Considering socioeconomic and environmental factors, this study explored Escherichia coli and AMR patterns in water using a One Health approach.

Methodology

This cross-sectional study assessed E. coli and AMR in drinking and sewerage water across three districts in Khyber Pakhtunkhwa, Pakistan. Multi-stage random sampling yielded 840 water samples from 420 households, along with socio-demographic and AMR awareness data. Microbiological analyses identified E. coli, CRE, and ESBL. The resistance profiles were determined using the disk diffusion method, and the association between socio-demographics and awareness was analyzed.

Results

The prevalence of E. coli in drinking water was 44 %, with 40 % ESBL, 21 % CRE, and 15 % co-occurrence of ESBL and CRE. Swat had the highest E. coli prevalence in sewerage (78 %) and drinking water (58 %), while Bannu had the highest ESBL levels. Tetracycline resistance was widespread (78 % sewerage and 69 % drinking water). The MAR index showed that 20.5 % of the isolates were resistant to six antibiotics, varying by district. Location influenced the contamination level (p = 0.002). Access to health (OR = 0.497), veterinary services (OR = 0.881), and frequent medical advice (OR = 1.557) lowered E. coli contamination. Education (p = 0.002) and locality (p < 0.001) affected AMR knowledge. Animal area cleaning was significantly correlated with AMR awareness.

Conclusion

High E. coli and AMR levels in water pose public health risks because they are driven by poor sanitation, limited water access, and low awareness. Better water management, awareness, and antimicrobial control are essential to mitigate AMR spread.
抗生素耐药性(AMR)是一项全球卫生危机,需要采取“同一个健康”方针,将跨部门监测整合起来,特别是在水源领域,以控制其传播。考虑到社会经济和环境因素,本研究使用“同一个健康”方法探索了水中大肠杆菌和抗菌素耐药性的模式。方法:本横断面研究评估了巴基斯坦开伯尔普赫图赫瓦省三个地区饮用水和污水中的大肠杆菌和抗菌素耐药性。多阶段随机抽样从420个家庭获得840个水样,以及社会人口统计和抗菌素耐药性认识数据。微生物学分析鉴定出大肠杆菌、CRE和ESBL。采用盘片扩散法测定抗性分布,并分析社会人口统计学与认知的关系。结果饮用水中大肠杆菌感染率为44%,其中ESBL为40%,CRE为21%,ESBL和CRE共发病15%。斯瓦特的污水和饮用水中大肠杆菌感染率最高(78%),而班努的ESBL水平最高。四环素耐药性普遍存在(污水78%,饮用水69%)。MAR指数显示,20.5%的分离株对6种抗生素耐药,各地区差异较大。地点影响污染程度(p = 0.002)。获得卫生服务(OR = 0.497)、兽医服务(OR = 0.881)和频繁的医疗建议(OR = 1.557)降低了大肠杆菌污染。教育(p = 0.002)和地区(p < 0.001)影响AMR知识。动物区域清洁与抗菌素耐药性意识显著相关。结论水体中大肠杆菌和抗菌素耐药性的高水平存在公共卫生风险,其原因是卫生条件差、取水渠道有限和意识不高。更好的水管理、意识和抗菌素控制对于减轻抗菌素耐药性的传播至关重要。
{"title":"Environmental pathways and drivers of antimicrobial resistance in waterborne Escherichia coli in Pakistan: a one health perspective","authors":"Adnan Khan ,&nbsp;Shahbaz Ahmad Zakki ,&nbsp;Ijaz ul Haq ,&nbsp;Muhammad Shahzad ,&nbsp;Nauman Khan","doi":"10.1016/j.jobb.2025.08.001","DOIUrl":"10.1016/j.jobb.2025.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Antimicrobial resistance (AMR) is a global health crisis requiring a One Health approach to integrate surveillance across sectors, particularly in water sources, to control its spread. Considering socioeconomic and environmental factors, this study explored <em>Escherichia coli</em> and AMR patterns in water using a One Health approach.</div></div><div><h3>Methodology</h3><div>This cross-sectional study assessed <em>E. coli</em> and AMR in drinking and sewerage water across three districts in Khyber Pakhtunkhwa, Pakistan. Multi-stage random sampling yielded 840 water samples from 420 households, along with socio-demographic and AMR awareness data. Microbiological analyses identified <em>E. coli</em>, CRE, and ESBL. The resistance profiles were determined using the disk diffusion method, and the association between socio-demographics and awareness was analyzed.</div></div><div><h3>Results</h3><div>The prevalence of <em>E. coli</em> in drinking water was 44 %, with 40 % ESBL, 21 % CRE, and 15 % co-occurrence of ESBL and CRE. Swat had the highest <em>E. coli</em> prevalence in sewerage (78 %) and drinking water (58 %), while Bannu had the highest ESBL levels. Tetracycline resistance was widespread (78 % sewerage and 69 % drinking water). The MAR index showed that 20.5 % of the isolates were resistant to six antibiotics, varying by district. Location influenced the contamination level (<em>p</em> = 0.002). Access to health (OR = 0.497), veterinary services (OR = 0.881), and frequent medical advice (OR = 1.557) lowered <em>E. coli</em> contamination. Education (<em>p</em> = 0.002) and locality (<em>p</em> &lt; 0.001) affected AMR knowledge. Animal area cleaning was significantly correlated with AMR awareness.</div></div><div><h3>Conclusion</h3><div>High <em>E. coli</em> and AMR levels in water pose public health risks because they are driven by poor sanitation, limited water access, and low awareness. Better water management, awareness, and antimicrobial control are essential to mitigate AMR spread.</div></div>","PeriodicalId":52875,"journal":{"name":"Journal of Biosafety and Biosecurity","volume":"7 3","pages":"Pages 140-147"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Biosafety and Biosecurity
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