Occurrence and Resistance of Pathogenic Bacteria Along the Tietê River Downstream of São Paulo in Brazil

The load of pathogenic bacteria, their fate and their dangerousness in the Tietê River were assessed along 100 km starting from the city of São Paulo, Brazil. The data were compared with those from two German rivers. High loads of pathogens were found in the Tietê River near the city of São Paulo (Escherichia coli O157:H7, Shigella flexneri, and Shigella boydii), which were absent 30 km downstream of São Paulo. The antibiotic resistances observed in the Tietê river were rather low and decreased after the major input in São Paulo to significantly lower levels about 30 km downstream. While the Brazilian isolates were more susceptible for ampicillin than the German ones, the reverse was observed for gentamycin. For optimal control of infections in humans critical areas where these bacteria survived longer and their elimination mechanisms should be identified as well as the extent and the origin of antibiotic resistance should be determined.