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Volume 31, Number 3—March 2025
Dispatch

Extended-Spectrum β-Lactamase–Producing Enterobacterales in Municipal Wastewater Collections, Switzerland, 2019–2023

Lisandra Aguilar-Bultet1, Elena Gómez-Sanz1, Ana B. García-Martín, Monica Alt Hug, Reto Furger, Lucas Eichenberger, Claudia Bagutti2, and Sarah Tschudin-Sutter2Comments to Author 
Author affiliation: University Hospital Basel, Basel, Switzerland (L. Aguilar-Bultet, E. Gómez-Sanz, Ana B. García-Martín, S. Tschudin-Sutter); State Laboratory Basel-City, Basel (M.A. Hug, R. Furger, L. Eichenberger, C. Bagutti)

Main Article

Table 2

Quantification across 3 years of presumptive extended-spectrum β-lactamase–producing Enterobacterales in municipal wastewater collections, Switzerland, 2019–2023, stratified by source*

Characteristics ESBL E. coli
ESBL KESC
ESBL E. coli + KESC
Mixed Urban Mixed Urban Mixed Urban
2019
Sample size n = 12 n = 51 n = 12 n = 51 n = 12 n = 51
Median CFU/mL (IQR) 90 (36−210) 55 (5−165) 23 (13−94) 5 (0−75) 238 (79−318) 115 (18−273)
Range, CFU/mL 5−455 0−15,480 0−840 0−9,700 5−885 0−15,480
p value
0.654

0.420

0.531
2021
Sample size n = 11 n = 51 n = 11 n = 51 n = 11 n = 51
Median CFU/mL (IQR) 770 (375−1,428) 170 (40−278) 645 (465−870) 130 (40−528) 1,275 (970−2,793) 445 (170−1,058)
Range, CFU/mL 40−4,200 0−18,100 140−3,900 0−11,400 230−8100 0−18,300
p value
0.107

0.179

0.283
2023
Sample size n = 12 n = 51 n = 12 n = 51 n = 12 n = 51
Median CFU/mL (IQR) 515 (296−798) 110 (43−563) 620 (275−1,511) 40 (10−243) 1,130 (956−2,365) 260 (63−1,348)
Range, CFU/mL 85−3,490 0−125,300 15−5,550 0−3,830 155−7,195 5−125,300
p value 0.371
0.025
0.128

*Mixed versus urban by Mann-Whitney U test. Bold text indicates statistically significant value. ESBL, extended-spectrum β-lactamase; IQR, interquartile range; KESC, Klebsiella, Enterobacter, Serratia, and Citrobacter group.

Main Article

1These first authors contributed equally to this article.

2These senior authors contributed equally to this article.

Page created: February 04, 2025
Page updated: February 21, 2025
Page reviewed: February 21, 2025
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