Shampoo in the water supply triggers growth of deadly drug-resistant bugs

<http://www.guardian.co.uk/science/2009/mar/29/detergents-drug-resistant-bacteria>http://www.guardian.co.uk/science/2009/mar/29/detergents-drug-resistant-bacteria
 


Household cleaning products are creating a bacterial timebomb in our 
drains and rivers
    * 
<http://digg.com/environment/Shampoo_in_water_triggers_growth_of_drug_resistant_bacteria>Digg
 
it (236)
    * Robin McKie, science editor
    * The Observer, Sunday 29 March 2009
    * Article history

Fabric softeners, disinfectants, shampoos and other household 
products are spreading drug-resistant bacteria around Britain, 
scientists have warned. Detergents used in factories and mills are 
also increasing the odds that some medicines will no longer be able 
to combat dangerous diseases.

The warning has been made by Birmingham and Warwick university 
scientists, who say disinfectants and other products washed into 
sewers and rivers are triggering the growth of drug-resistant 
microbes. Soil samples from many areas have been found to contain 
high levels of bacteria with antibiotic-resistant genes, the 
scientists have discovered - raising fears that these may have 
already been picked up by humans.

"Every year, the nation produces 1.5m tonnes of sewage sludge and 
most of that is spread on farmland," said Dr William Gaze of Warwick 
University. That sludge contains antibiotic-resistant bacteria whose 
growth is triggered by chemicals in detergents, he explained. "In 
addition, we pump 11bn litres of 
<http://www.guardian.co.uk/environment/water>water from houses and 
factories into our rivers and estuaries every day, and these are also 
spreading resistance."

The study is important because it suggests that the problem of drug 
resistance is not merely the result of the over-prescription of 
antibiotics or poor hygiene standards in hospitals. However, the team 
stressed the emergence of the most deadly superbugs - such as MRSA 
that has caused thousands of deaths in hospitals - is not linked to 
the use of disinfectants.

"Our research shows drug resistance is not confined to hospitals, but 
is out in the community. It is spreading and all the time it is 
eroding our ability to control infections. It is extremely worrying," 
said Professor Liz Wellington, also of Warwick University.

In their study, the scientists looked at quaternary ammonium 
compounds (QACs) that are used in many household cleaning goods. 
Every day, huge volumes of these chemicals are flushed from homes and 
factories into sewers and rivers. In high concentrations, QACs kill 
bacteria. However, in sewage, these chemicals become diluted and 
bacteria have evolved resistance to them.

"That is a natural evolutionary process," said Gaze. "If other 
bacteria are killed, those that are resistant to QACs will survive 
and, without competition, will multiply in vast numbers. However, it 
turns out that the piece of DNA that confers that resistance also 
contains genes that confer resistance to antibiotics. In this way, we 
have created an ideal environment for the emergence of 
antibiotic-resistant bacteria in our drains and sewers. These 
microbes are now being spread round the country in river water and in 
sewage sludge used on farms."

As part of its study, the team - which also includes Professor Peter 
Hawkey of Birmingham University - looked at soil contaminated with 
QACs and sewage sludge in the Midlands, the Cotswolds, Hertfordshire 
and other areas. Using techniques similar to those involved in DNA 
fingerprinting, they then looked for the presence of 
antibiotic-resistant genes - and found these in high concentrations.

"The inference is clear," added Gaze. "We are producing sewage and 
river water that have more and more drug-resistant bacteria in them 
and that these are now poised to enter the food chain."

Wellington added: "Once they are in the land, these bacteria will get 
into the bodies of agricultural workers or people who use the land 
recreationally and will form reservoirs of drug-resistant microbes 
that could pose all sorts of problems. This is going to need a great 
deal of monitoring."

In addition, the team found that antibiotics used to treat farm 
animals - in particular pigs - are also helping to spread drug 
resistance in the soil. In their tests, the team found samples of pig 
slurry that possessed high levels of antibiotic-resistant genes, 
raising fears that strains of resistant bacteria were contaminating 
the land by another route and could enter the food chain.

"We might think of special measures that will help us control or 
localise drug-resistant bacteria in hospitals, but the problem is 
much more widespread than that," added Wellington. "It is now out 
there in the environment."

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