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      High heterotrophic counts in potable water and antimicrobial resistance among indicator organisms in two peri-urban communities of Karachi, Pakistan

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          Abstract

          Objective

          Fecal contamination of potable water leads to unsafe water supply. Although many urban areas of large metropolitan cities receive safe water, peri-urban areas are often not monitored by public health authorities and water supply and quality remain unknown. We assessed microbiological quality and rates of antimicrobial resistance in viable indicator bacteria in two peri-urban communities of Karachi, Pakistan. Water samples were collected over 5 months (October 2015 to February 2016) from these peri-urban communities and samples were processed for microbiological quality as per Standing Committee of Analysts, United Kingdom and World Health Organization guidelines and criteria for drinking water.

          Results

          Both communities received unimproved water. Potable water samples collected from 100 households showed that 96% of samples were unsafe for consumption. Extended spectrum beta lactamases production was found in 29.2% of fecal indicator organisms (coliforms). Use of unimproved water sources and unsafe potable water quality in peri-urban Karachi deserve immediate attention and upgrade. The study is instrumental in attracting the attention of authorities to the state of water resources in peri-urban communities in Karachi with a view to influence improvement of services and effects on human health.

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          Most cited references13

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          Tackling antibiotic resistance: the environmental framework.

          Antibiotic resistance is a threat to human and animal health worldwide, and key measures are required to reduce the risks posed by antibiotic resistance genes that occur in the environment. These measures include the identification of critical points of control, the development of reliable surveillance and risk assessment procedures, and the implementation of technological solutions that can prevent environmental contamination with antibiotic resistant bacteria and genes. In this Opinion article, we discuss the main knowledge gaps, the future research needs and the policy and management options that should be prioritized to tackle antibiotic resistance in the environment.
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            PRESSURE: The PoliTechnics of Water Supply in Mumbai

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              Heterotrophic plate count bacteria--what is their significance in drinking water?

              While the literature documents the universal occurrence of heterotrophic plate count (HPC) bacteria in soils, foods, air, and all sources of water, there is a lingering question as to whether this group of organisms may signal an increased health risk when elevated populations are present in drinking water. This paper reviews the relevant literature on HPC bacteria in drinking water, the lack of clinical evidence that elevated populations or specific genera within the HPC flora pose an increased health risk to any segment of the population, and the appropriate uses of HPC data as a tool to monitor drinking water quality changes following treatment. It finds no evidence to support health-based regulations of HPC concentrations. Copyright 2003 Elsevier B.V.
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                Author and article information

                Contributors
                sadia.shakoor@aku.edu
                imran.haq@aku.edu
                saimamukhtiar@hotmail.com
                israr.ahmed@aku.edu
                farzeen.hirani@aku.edu
                shazia.sultana@aku.edu
                rumina.hasan@aku.edu
                Journal
                BMC Res Notes
                BMC Res Notes
                BMC Research Notes
                BioMed Central (London )
                1756-0500
                4 June 2018
                4 June 2018
                2018
                : 11
                : 350
                Affiliations
                [1 ]ISNI 0000 0001 0633 6224, GRID grid.7147.5, Pathology & Laboratory Medicine, , Aga Khan University, ; Karachi, Pakistan
                [2 ]ISNI 0000 0001 0633 6224, GRID grid.7147.5, Pediatrics & Child Health, , Aga Khan University, ; Karachi, Pakistan
                Author information
                http://orcid.org/0000-0003-1301-5239
                Article
                3461
                10.1186/s13104-018-3461-z
                5987454
                29866160
                d3ada769-c793-44de-bc95-cb345dc654ea
                © The Author(s) 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 1 March 2018
                : 31 May 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100004413, International Foundation for Science;
                Award ID: W/5710-1
                Award Recipient :
                Categories
                Research Note
                Custom metadata
                © The Author(s) 2018

                Medicine
                potable water,household,heterotrophic plate count,peri-urban,antimicrobial resistance
                Medicine
                potable water, household, heterotrophic plate count, peri-urban, antimicrobial resistance

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