Evaluation of the Effectiveness of the Activated Sludge Process in the Elimination Both ATB-Resistant and ATB-Susceptible E. coli Strains

Water reuse is now becoming a global necessity. However, one of the drawbacks in releasing wastewater into the environment is some persistent pollutants that are not completely removed in wastewater treatment plant. Residual bacteria and antibiotics in the inflowing wastewater can contribute to the antibiotic resistance spread in the aquatic environment. This study determined the effectiveness of activated sludge process for fecal coliform bacteria elimination, and also the Escherichia coli resistance to antimicrobial agents as erythromycin, azithromycin, clarithromycin, ofloxacin, ciprofloxacin, trimethoprim, and metronidazole in treated wastewater. The research was carried out using the membrane filtration technique, and the susceptibility of isolates to antimicrobial agents was tested by the disc diffusion method. The concentrations of fecal coliform bacteria and Escherichia coli differed significantly depending on the seasonal period in which it was carried out. Despite up to 99% reduction in the number of sanitary indicators in biologically treated wastewater, 89% of E. coli isolates resistant to the tested antibiotics was found, while 100% of the isolates were susceptible to metronidazole. Most of the isolates showed resistance to trimethoprim, and the fewest isolates were resistant to ofloxacin, indicating that some strains may react differently to antibiotics.