Waterways Carry Antibiotic
Resistance
By J. Raloff
 |
| Wild birds
harbor and may transmit drug resistance. |
Bacteria that have developed immunity to antibiotic drugs pose a large
and growing threat to the success of modern medicine. Three studies
now find that U.S. rivers have become a major reservoir of such microbes.
Reported at the American Society for Microbiology (ASM) meeting this
week in Chicago, the studies demonstrate that antibiotic resistance
is literally streaming across the nation.
Ronald J. Ash of Washburn University in Topeka, Kan., sampled waterborne
bacteria from 15 U.S. rivers, including the Mississippi, the Ohio, and
the Colorado. He tested the microbes' resistance to ampicillin, a synthetic
penicillin.
At each of the 21 sites examined, ampicillin failed to kill between
5 and 50 percent of the bacteria. Though most of these bacteria are
not types usually linked to disease, Ash notes that any bacterium can
transfer its drug-resistance genes to pathogenic organisms in either
the environment or a host.
Finding antibiotic-resistant bacteria in rivers is hardly novel. "What
has not been appreciated is the extent of contamination," Ash says.
Because he found resistant bacteria both near major cities and in remote
areas, Ash says, "I can't say that I see any patterns." In fact, he
expected the water near New Orleans, at the end of the Mississippi,
to be loaded with resistant bacteria, but they weren't particularly
plentiful there.
Antibiotic resistance is widespread but also unpredictable in the Rio
Grande, finds Keith L. Sternes of Sul Ross State University in Alpine,
Texas. He focused on enterococcus bacteria resistant to vancomycin.
This drug is often a last line of defense against potentially lethal
infections, such as those caused by Staphylococcus aureus bacteria
that have become immune to the penicillin family of drugs (SN: 4/24/99,
p. 268).
Sternes tested water from the Rio Grande River's headwaters in Colorado
down to Presidio, Texas, at intervals of 50 miles or less. Though resistance
was most prevalent downstream of El Pasodetected in up to 30 percent
of the bacteria thereit was not always highest adjacent to big
cities or ranches.
John Bennett of Clarke College in Dubuque, Iowa, found plenty of antibiotic-resistant
bacteriaincluding pathogenic Escherichia coli and Salmonellawhile
testing 95 percent of the permanent streams in rural Dubuque County.
He zeroed in on resistance to tetracycline, a drug widely used for livestock
and people.
In some waters, just 1 percent of the bacteria proved immune to tetracycline.
In others, 30 to 40 percent resisted the drug. Moreover, Bennett found
that greater than 80 percent of the tetracycline-resistant bacteria
examined were also immune to one to six additional antibiotics.
Tainted water probably explains the resistant bacteria in wild Canada
geese living year-round in Chicago's suburbs, says Monica L. Tischler
of Benedictine University in Lisle, Ill. From goose feces, she isolated
179 types of bacteria, many of which showed strong resistance to streptomycin,
erythromycin, vancomycin, tetracycline, and penicillin-family drugs.
Resistance rates ranged from 2 to 100 percent, depending on the microbe
and antibiotic tested.
"The surprise was that we found any resistance," says Tischler. With
little human contact or direct access to farms, these birds "should
have had absolutely no exposure to antibiotics, unless it's through
their environment," she says.
"The most important source of environmental, antibiotic-resistant bacteria
is domestic animals," says Richard Novick of New York University Medical
Center. Farmers often feed livestock low doses of antibiotics to boost
growth (SN: 7/18/98, p. 39). Inevitably, some bacteria in the animals,
in manure-tainted fields, and in local waters evolve to coexist with
the drug. Such resistant bacteria also develop in people taking antibiotics,
he notes.
This resistance, which undermines the effectiveness of drugs, "is a
reflection of our heavy antibiotics use," indeed overuse, says ASM President
Stuart B. Levy of the Center for Adaptation Genetics and Drug Resistance
at Tufts University in Boston. That the resistance has spilled over
into wild animals, such as geese, should "provoke a cry" to use antibiotics
more judiciously, says Levy.