ResearchArticle
Molecular Detection of Antibiotic-Resistant Genes in
Pseudomonas aeruginosa from Nonclinical Environment: Public
Health Implications in Mthatha, Eastern Cape Province,
South Africa
Mojisola Clara Hosu ,
1
Sandeep Vasaikar ,
1,2
Grace Emily Okuthe ,
3
and Teke Apalata
1,2
1
DivisionofMedicalMicrobiology,DepartmentofLaboratoryMedicineandPathology,FacultyofHealthSciences,
WalterSisuluUniversity,PrivateBag:X1,Mthatha5117,EasternCape,SouthAfrica
2
NationalHealthLaboratoryServices(NHLS),NelsonMandelaAcademicHospital,Mthatha5100,SouthAfrica
3
DepartmentofBiologicalandEnvironmentalSciences,WalterSisuluUniversity,PrivateBag,X1,Mthatha5117,
EasternCape,SouthAfrica
Correspondence should be addressed to Teke Apalata; ruffinapalata@gmail.com
Received 28 June 2020; Revised 25 October 2020; Accepted 26 December 2020; Published 5 January 2021
Academic Editor: Clemencia Chaves Lopez
Copyright © 2021 Mojisola Clara Hosu et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Evaluation of resistant profiles and detection of antimicrobial-resistant genes of bacterial pathogens in the nonclinical milieu is
imperative to assess the probable risk of dissemination of resistant genes in the environment. is paper sought to identify
antibiotic-resistant genes in Pseudomonasaeruginosa from nonclinical sources in Mthatha, Eastern Cape, and evaluate its public
health implications. Samples collected from abattoir wastewater and aquatic environment were processed by membrane filtration
and cultured on CHROMagarTM Pseudomonas medium. Species identification was performed by autoSCAN-4 (Dade Behring
Inc., IL). Molecular characterization of the isolates was confirmed using real-time polymerase chain reaction (rPCR) and selected
isolates were further screened for the possibility of harboring antimicrobial resistance genes. Fifty-one Pseudomonas species were
recovered from abattoir wastewater and surface water samples, out of which thirty-six strains were Pseudomonas aeruginosa
(70.6%). e P. aeruginosa isolates demonstrated resistance to aztreonam (86.1%), ceftazidime (63.9%), piperacillin (58.3%),
cefepime (55.6%), imipenem (50%), piperacillin/tazobactam (47.2%), meropenem (41.7%), and levofloxacin (30.6%). Twenty out
of thirty-six P.aeruginosa displayed multidrug resistance profiles and were classified as multidrug-resistant (MDR) (55.6%). Most
of the bacterial isolates exhibited a high Multiple Antibiotic Resistance (MAR) Index ranging from 0.08 to 0.69 with a mean MAR
index of 0.38. In the rPCR analysis of fifteen P. aeruginosa isolates, 14 isolates (93.3%) were detected harboring bla
SHV
, six isolates
(40%) harbored bla
TEM
, and three isolates (20%) harbored bla
CTX-M,
being the least occurring ESBL. Results of the current study
revealed that P.aeruginosa isolates recovered from nonclinical milieu are resistant to frontline clinically relevant antipseudomonal
drugs. is is concerning as it poses a risk to the environment and constitutes a public health threat. Given the public health
relevance, the paper recommends monitoring of multidrug-resistant pathogens in effluent environments.
1. Introduction
Antimicrobial resistance (AMR) is a public health crisis in
both human and veterinary medicine [1, 2]. e irrational
use of antibiotics in both human medicine and animal
production for growth-promoting purposes, metaphylaxis,
and prophylaxis has fueled the proliferation and spread of
antibiotic-resistant bacteria and resistance genes resulting in
aggravated public health and environmental risks [3–5]. e
threat posed by AMR to human health is particularly
concerning in low- to middle-income countries (LMICs).
is is due to the higher possibility of community-acquired
Hindawi
International Journal of Microbiology
Volume 2021, Article ID 8861074, 9 pages
https://doi.org/10.1155/2021/8861074