Application of bacteriophage cocktails for reducing the bacterial load of nosocomial pathogens in hospital wastewater
Abstract
Background and Objectives: In the third world and developing countries, hospital sewage is mixed with municipal wastewater. The treated effluent contains dangerous bacteria released into the environment and used in the irrigation of agricultural products, and eventually these bacteria may endanger the human health through foods. Antibiotic-resistant bacteria are mostly found in hospital wastewater. In water and wastewater treatment plants, large amounts of toxic and polluting substances are removed and destroyed, but this process does not eliminate bacteria.
Materials and Methods: Wastewater samples from 22 hospitals in Iran were collected and in the meantime specific phages (against drug-resistant pathogenic bacteria) extracted using the bilayer agar technique. Phage amplification was performed by employing a fermenter after phage identification. Amplified phages were added to the primary sedimentation pond using New-Brunwick biofermenter BioFlo/Celligen®115 and the bacterial count was evaluated for the desired bacteria.
Results: Our phage cocktail was able to reduce 99.8%, 99.4%, 99.5%, 99.8%, 99.7%, 99.8%, 99.6% and 99.9% of E. coli, E. faecium, E. faecalis, K. pneumoniae, A. baumannii, P. aeruginosa, S. maltophilia and S. aureus counts respectively.
Conclusion: The application of phage cocktails can remarkably help improve personal hygiene, the environment, and the optimization of surface water.
2. Li Y, Huang S, Qu X. Water pollution prediction in the three Gorges reservoir area and countermeasures for sustainable development of the water environment. Int J Environ Res Public Health 2017; 14: 1307.
3. Al-Gheethi AA, Efaq AN, Bala JD, Norli I, Abdelmonem MO, Kadir MP. Removal of pathogenic bacteria from sewage-treated effluent and biosolids for agricultural purposes. Appl Water Sci 2018; 8: 74-84.
4. Kumari A, Maurya NS, Tiwari B. Hospital wastewater treatment scenario around the globe. Curr Deve Biotechnol Bioeng 2020; 12: 549-570.
5. Aris P, Robatjazi S, Nikkhahi F, Amin Marashi SM. Molecular mechanisms and prevalence of colistin resistance of Klebsiella pneumoniae in the Middle East region: A review over the last 5 years. J Glob Antimicrob Resist 2020; 22: 625-630.
6. Asgharpour F, Mahmoud S, Marashi A, Moulana Z. Molecular detection of class 1, 2 and 3 integrons and some antimicrobial resistance genes in Salmonella Infantis isolates. Iran J Microbiol 2018; 10: 104-110.
7. Kangachar SA, Mojtahedi A. Evaluation of integrons classes 1–3 in extended spectrum beta-lactamases and multi drug resistant Escherichia coli isolates in the north of Iran. Gene Rep 2018; 12: 299-303.
8. Shoja S, Moosavian M, Rostami S, Abbasi F, Tabatabaiefar MA, Peymani A. Characterization of oxacillinase and metallo-β-Lactamas genes and molecular typing of clinical isolates of Acinetobacter baumannii in Ahvaz, south-west of Iran. Jundishapur J Microbiol 2016; 9(5): e32388.
9. Kalantar E, Marashi SM, Pormazaheri H, Mahmoudi E, Hatami S, Barari MA, et al. First experience of Candida non-albicans isolates with high antibiotic resistance pattern caused oropharyngeal candidiasis among cancer patients. J Cancer Res Ther 2015; 11: 388-390.
10. Rezazadeh M, Baghchesaraei H, Peymani A. Plasmid-Mediated Quinolone-Resistance (qnr) genes in clinical isolates of Escherichia coli collected from several hospitals of Qazvin and Zanjan provinces, Iran. Osong Public Health Res Perspect 2016; 7: 307-312.
11. Marashi SM, Nasr Esfahani B, Tavakoli A, Moghim S, Pourshafie MR, Salehi M. Simultaneous detection of integrase and antibiotic resistance genes within SXT constin in Vibrio cholerae O1 El Tor strains isolated from Iran using multiplex-PCR. Iran J Basic Med Sci 2012; 15: 885-889.
12. Tavakoly T, Jamali S, Mojtahedi A, Khan Mirzaei M, Shenagari M. The prevalence of CMY-2, OXA-48 and KPC-2 genes in clinical isolates of Klebsiella spp. Cell Mol Biol (Noisy-le-grand) 2018; 64: 40-44.
13. Vahedi A, Soltan Dallal MM, Douraghi M, Nikkhahi F, Rajabi Z, Yousefi M, et al. Isolation and identification of specific bacteriophage against enteropathogenic Escherichia coli (EPEC) and in vitro and in vivo characterization of bacteriophage. FEMS Microbiol Lett 2018; 365(16): fny136.
14. Xu J, Chau Y, Lee YK. Phage-based electrochemical sensors: A review. Micromachines (Basel) 2019; 10: 855.
15. Dallal MMS, Nikkhahi F, Alimohammadi M, Douraghi M, Rajabi Z, Foroushani AR, et al. Phage therapy as an approach to control Salmonella enterica serotype enteritidis infection in mice. Rev Soc Bras Med Trop 2019; 52: e20190290.
16. Mahon CR, Lehman DC, Manuselis G (2015). Textbook of diagnostic microbiology. 2nd ed. Elsevier, Maryland.
17. Cormier J, Janes M. A double layer plaque assay using spread plate technique for enumeration of bacteriophage MS2. J Virol Methods 2014; 196: 86-92.
18. Golec P, Dąbrowski K, Hejnowicz MS, Gozdek A, Los JM, Wegrzyn G, et al. A reliable method for storage of tailed phages. J Microbiol Methods 2011; 84: 486-489.
19. Withey S, Cartmell E, Avery LM, Stephenson T. Bacteriophages--potential for application in wastewater treatment processes. Sci Total Environ 2005; 339: 1-18.
Files | ||
Issue | Vol 14 No 3 (2022) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijm.v14i3.9782 | |
Keywords | ||
Wastewater; Ponds; Bacteriophages; Environmental pollution; Drug resistance |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |