Three pilot-scale two-stage hybrid constructed wetlands were evaluated in order to compare their efficiency for total coliforms (TCol) and Escherichia coli removal and to analyze their performances in two 1-year periods of experimentation. System I consisted of a horizontal flow (HF) constructed wetland (CW) followed by a stabilization pond. System II was also configured with a HF CW as a first stage which was then followed by a vertical flow (VF) CW as a second stage. System III was configured with a VF CW followed by a HF CW. In the first year of evaluation, the HF-VF system was the most effective for TCol removal (p < 0.05) and achieved a reduction of 2.2 log units. With regard to E. coli removal, the HF-VF and VF-HF systems were the most effective (p < 0.05) with average reductions of 3.2 and 3.8 log units, respectively. In the second year, the most effective were those with a VF component for both TCol and E. coli which underwent average reductions of 2.34-2.44 and 3.44-3.74 log units, respectively. The reduction achieved in E. coli densities, in both years, satisfy the World Health Organization guidelines that require a 3-4 log unit pathogen reduction in wastewater treatment systems.