Godič Torkar Karmen, Dražetić Mirjana
a Faculty of Health Sciences , University of Ljubljana , Ljubljana , Slovenia.
b Ministry of Health of Republic of Slovenia, Health Inspectorate of the Republic of Slovenia , Novo mesto , Slovenia.
Int J Environ Health Res. 2017 Aug;27(4):293-305. doi: 10.1080/09603123.2017.1342227. Epub 2017 Jun 20.
The microbiological quality of bathing water and the surfaces of the surrounding pool platforms of two pools was estimated. ESBL- and MBL-producing Gram-negative bacteria isolated from water and surface samples were also studied. The water samples were satisfactory in 31 (86.1 %) out of 36 cases. Pseudomonas aeruginosa as well as Escherichia coli were identified in only 2 (5.5 %) cases. There were no correlations between the HPC and number of enterobacteria in the pool water and those found in the surface samples. Isolated strains were resistant to ticarcillin with clavulanic acid in 52.3 % of cases; all of them were susceptible to ciprofloxacin. The sequences for bla were found in 21.6 % of strains, mostly from the groups bla and bla, whilst the genes for chosen carbapenemases were noted in 15 (17.0 %) of strains. It is necessary to implement new approaches to monitoring resistant bacteria, not only clinical ones but also those found in other public environments.
对两个游泳池的沐浴水及其周围泳池平台表面的微生物质量进行了评估。还对从水和表面样本中分离出的产ESBL和MBL的革兰氏阴性菌进行了研究。36份水样中,有31份(86.1%)质量令人满意。仅在2份(5.5%)水样中鉴定出铜绿假单胞菌和大肠杆菌。泳池水中的HPC和肠杆菌数量与表面样本中的HPC和肠杆菌数量之间没有相关性。在52.3%的病例中,分离出的菌株对含克拉维酸的替卡西林耐药;所有菌株对环丙沙星敏感。在21.6%的菌株中发现了bla序列,主要来自bla和bla组,而在15份(17.0%)菌株中发现了所选碳青霉烯酶的基因。有必要采用新的方法来监测耐药菌,不仅要监测临床耐药菌,还要监测在其他公共环境中发现的耐药菌。