Effect of earthworms in removal and fate of Antibiotic resistant bacteria (ARB) and antibiotic resistant genes (ARG) during clinical laboratory wastewater treatment by vermifiltration

Abstract

The wastewater treatment plants effluent has been implicated in the spread of antibiotic resistant bacteria (ARB) as these environment contains multiple selective pressures that may increase mutation rates, pathogen survivability, and induce gene transfer between bacteria. In lieu of this, the present study explored the dynamics of earthworm-microorganisms interactions on the treatment efficacy of clinical laboratory wastewater treatment by vermifiltration and the effect of earthworms in the fate of removal of pathogens and ARB. The results of the study showed that earthworms and VF associated microbial community had a significant effect on BOD and COD reduction (78-85%), pathogen removal (>99.9 %) and caused a significant shift in the prevalence pattern of ARB. Additionally, molecular profiling of ESBL (blaSHV, blaTEM and blaCTX-M), MRSA (mec-A) and Colistin (mcr-1) gene confirmed the probable mechanisms behind the resistance pattern. The microbial community diversity assists in the formation of biofilm, which helps in the removal of pathogens and results in a paradigm shift in the resistance profile of ARB and ARG, specifically most effective against drugs, targeting cell wall and protein synthesis inhibition like Ampicillin, Ticarcillin, Gentamicin and Chloramphenicol. These findings prove vermifiltration technology as a sustainable and natural treatment technology for clinical laboratory wastewater.