Assessment of antibiotic resistant coliforms from bioaerosol samples collected above a sewage-polluted river in La Paz, Bolivia.

Antimicrobial resistance is a global health risk, and the presence of resistant bacteria in the environment may be an indicative of fecal pollution. The objective of this study has been to assess the antibiotic resistance of airborne coliforms near a highly impacted urban river that may contain high levels of fecal waste. The pilot study has been located within an Andean river basin, the Choqueyapu River basin, which flows through La Paz city in Bolivia. Bioaerosol samples have been collected using liquid impingement and plated on mTEC agar. Coliforms have been detected within 80% of the air samples. The resistance profiles of coliforms present in 20 air samples have been determined by using a modified Kirby-Bauer disk diffusion test against amoxicillin-clavulanic acid, ciprofloxacin, gentamicin, meropenem, sulfamethoxazole-trimethoprim, and tetracycline, antibiotics commonly used to treat gram-negative infection. Broad patterns of antibiotic resistance have been observed throughout the study, with coliforms from at least one sample exhibiting resistance to each of the tested antibiotics. Resistance to sulfamethoxazole and amoxicillin-clavulanic acid has been the most commonly observed, with coliforms in 73% and 60% of samples which helps to demonstrate resistance to these antibiotics, respectively. This study provides insight into the prevalence of airborne, antibiotic resistant coliforms near concentrated fecal waste streams and this highlights an underappreciated hazard and the potential exposure risk in areas where fecal waste may become aerosolized at any given time.