G, Rodger; K, Chau; Aranega-Bou, P; A, Roohi; G, Moore; KL, Hopkins; S, Hopkins; ... N, Stoesser; + view all G, Rodger; K, Chau; Aranega-Bou, P; A, Roohi; G, Moore; KL, Hopkins; S, Hopkins; AS, Walker; N, Stoesser; - view fewer (2023) A workflow for the detection of antibiotic residues, measurement of water chemistry and preservation of hospital sink drain samples for metagenomic sequencing. Journal of Hospital Infection 10.1016/j.jhin.2023.11.021. (In press).

	Text Walker_boric_acid_evaluation_paper_v4_JHI-D-23-00876.pdf Access restricted to UCL open access staff until 24 December 2024. Download (227kB)
	Text Walker_boric_acid_evaluation_table_1_JHI-D-23-00876.pdf Access restricted to UCL open access staff until 24 December 2024. Download (148kB)
	Text Walker_boric_evaluation_paper_figures_JHI-D-23-00876.pdf Access restricted to UCL open access staff until 24 December 2024. Download (530kB)
	Text Walker_boric_evaluation_paper_table_2_JHI-D-23-00876.pdf Access restricted to UCL open access staff until 24 December 2024. Download (103kB)

Abstract

Background: Hospital sinks are environmental reservoirs that harbour healthcare-associated (HCA) pathogens. Selective pressures in sink environments, such as antibiotic residues, nutrient waste and hardness ions, may promote antibiotic resistance gene (ARG) exchange between bacteria. However, cheap and accurate sampling methods to characterise these factors are lacking. Aim: To validate a workflow to detect antibiotic residues and evaluate water chemistry using dipsticks. Secondarily, to validate boric acid to preserve the taxonomic and ARG (“resistome”) composition of sink trap samples for metagenomic sequencing. Methods: Antibiotic residue dipsticks were validated against serial dilutions of ampicillin, doxycycline, sulfamethoxazole and ciprofloxacin, and water chemistry dipsticks against serial dilutions of chemical calibration standards. Sink trap aspirates were used for a “real-world” pilot evaluation of dipsticks. To assess boric acid as a preservative of microbial diversity, the impact of incubation with and without boric acid at ∼22°C on metagenomic sequencing outputs was evaluated at Day 2 and Day 5 compared with baseline (Day 0). Findings: The limits of detection for each antibiotic were: 3μg/L (ampicillin), 10μg/L (doxycycline), 20μg/L (sulfamethoxazole) and 8μg/L (ciprofloxacin). The best performing water chemistry dipstick correctly characterised 34/40 (85%) standards in a concentration-dependent manner. One trap sample tested positive for the presence of tetracyclines and sulfonamides. Taxonomic and resistome composition were largely maintained after storage with boric acid at ∼22°C for up to five days. Conclusions: Dipsticks can be used to detect antibiotic residues and characterise water chemistry in sink trap samples. Boric acid was an effective preservative of trap sample composition, representing a low-cost alternative to cold-chain transport.

Download activity - last month

Export as JSONXMLCSV

Download activity - last 12 months

Export as CSVJSONXML

Downloads by country - last 12 months

Export as JSONXMLCSV

Archive Staff Only

View Item