This study investigates extended-spectrum beta-lactamase-producing and carbapenem-resistant Escherichia coli isolates from Sydney's wastewater. These isolates exhibit resistance to critical antibiotics and harbor novel resistance mechanisms. The findings highlight the importance of wastewater-based surveillance in monitoring resistance beyond the clinical setting.
Keywords: Escherichia coli; emerging strain; novel resistance mechanism; wastewater-based surveillance; whole-genome sequencing.
© 2024 The Authors. MicrobiologyOpen published by John Wiley & Sons Ltd.