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Cited by 282

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Exposure to and colonisation by antibiotic-resistant E. coli in UK coastal water users: Environmental surveillance, exposure assessment, and epidemiological study (Beach Bum Survey)

Open access
Leonard, Anne F.C., Zhang, Lihong, Balfour, Andrew J., Garside, Ruth, Hawkey, Peter M., Murray, Aimee K., Ukoumunne, Obioha C., Gaze, William H.·2018·Environment International
DOI 10.1016/j.envint.2017.11.003
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Abstract

Background Antibiotic-resistant bacteria (ARB) present a global public health problem. With numbers of community-acquired resistant infections increasing, understanding the mechanisms by which people are exposed to and colonised by ARB can help inform effective strategies to prevent their spread. The role natural environments play in this is poorly understood. This is the first study to combine surveillance of ARB in bathing waters, human exposure estimates and association between exposure and colonisation by ARB in water users. Methods 97 bathing water samples from England and Wales were analysed for the proportion of E. coli harbouring bla CTX-M . These data were used to estimate the likelihood of water users ingesting bla CTX-M -bearing E. coli . Having identified surfers as being at risk of exposure to ARB, a cross-sectional study was conducted. Regular surfers and non-surfers were recruited to assess whether there is an association between surfing and gut colonisation by bla CTX-M- bearing E. coli . Results 11 of 97 bathing waters sampled were found to contain bla CTX-M -bearing E. coli . While the percentage of bla CTX-M -bearing E. coli in bathing waters was low (0.07%), water users are at risk of ingesting these ARB. It is estimated that over 2.5 million water sports sessions occurred in 2015 resulting in the ingestion of at least one bla CTX-M -bearing E. coli . In the epidemiological survey, 9/143 (6.3%) surfers were colonised by bla CTX-M -bearing E. coli , as compared to 2/130 (1.5%) of non-surfers (risk ratio = 4.09, 95% CI 1.02 to 16.4, p = 0.046). Conclusions Surfers are at risk of exposure to and colonisation by clinically important antibiotic-resistant E. coli in coastal waters. Further research must be done on the role natural environments play in the transmission of ARB.

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Metadata

Authors
Leonard, A. F. C., Zhang, L., Balfour, A. J., Garside, R., Hawkey, P. M., Murray, A. K., Ukoumunne, O. C., & Gaze, W. H.
Venue
Environment International
Publisher
Elsevier BV
Published
2018-05
Volume
114
Pages
326-333
ISSN
0160-4120 (ISSN-L)
DOI
10.1016/j.envint.2017.11.003
OpenAlex
W2768892520
Cited by
282
References
27
FWCI
8.90
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Exposure to and colonisation by antibiotic-resistant E. coli in UK coastal water users: Environmental surveillance, exposure assessment, and epidemiological study (Beach Bum Survey). https://app.cochat.ai/papers/10.1016/j.envint.2017.11.003
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Leonard, A. F. C., Zhang, L., Balfour, A. J., Garside, R., Hawkey, P. M., Murray, A. K., Ukoumunne, O. C., & Gaze, W. H. (2018). Exposure to and colonisation by antibiotic-resistant E. coli in UK coastal water users: Environmental surveillance, exposure assessment, and epidemiological study (Beach Bum Survey). Environment International. https://doi.org/10.1016/j.envint.2017.11.003

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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