飲料水が細菌の主要感染経路であることを特定(Household drinking water identified as key pathway for bacterial transmission)

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2025-05-05 カリフォルニア大学バークレー校 (UCB)

カリフォルニア大学バークレー校の研究チームは、発展途上国における家庭内の飲料水が大腸菌(E. coli)を含む病原性および薬剤耐性菌の主要な感染経路であることを明らかにしました。研究では、ケニア・ナイロビの都市部にある2つの家庭で、人間や動物の糞便、貯蔵水、土壌などのサンプルを収集し、新たに開発した高効率な菌株追跡手法「PIC-seq」を用いて分析しました。その結果、家庭内で人間と動物の間よりも、人間と貯蔵飲料水との間で菌株の共有が多く見られ、特に高リスクの薬剤耐性遺伝子を持つE. coliが確認されました。この研究は、動物からの感染経路に加え、家庭内の環境、特に貯蔵飲料水が病原菌の伝播において重要な役割を果たすことを示しており、衛生インフラの改善が公衆衛生の向上に不可欠であることを強調しています。

<関連情報>

汚染された飲料水は、都市のインフォーマルな居住地の家庭内で大腸菌の株共有を促進する Contaminated drinking water facilitates Escherichia coli strain-sharing within households in urban informal settlements

Daehyun D. Kim,Jenna M. Swarthout,Colin J. Worby,Benard Chieng,John Mboya,Ashlee M. Earl,Sammy M. Njenga & Amy J. Pickering
Nature Microbiology  Published:01 May 2025
DOI:https://doi.org/10.1038/s41564-025-01986-w

飲料水が細菌の主要感染経路であることを特定(Household drinking water identified as key pathway for bacterial transmission)

Abstract

Identifying bacterial transmission pathways is crucial to inform strategies that limit the spread of pathogenic and antibiotic-resistant bacteria. Here we assessed Escherichia coli strain-sharing and overlap of antibiotic resistance genes (ARGs) across humans, poultry, canines, soil, and drinking water within and between households in urban informal settlements in Nairobi, Kenya. We collected 321 samples from 50 households with half having access to chlorinated water. We performed Pooling Isolated Colonies-seq, which sequences pools of up to five E. coli colonies per sample to capture strain diversity. Pooling Isolated Colonies-seq captured 1,516 colonies and identified 154 strain-sharing events, overcoming limitations of single-isolate sequencing and metagenomics. Within households, strain-sharing rates and resistome similarities across sample types were strongly correlated, suggesting clonal transmission of ARGs. E. coli isolated from the environment carried clinically relevant ARGs. Strain-sharing was rare between animals and humans but frequent between humans and drinking water. E. coli-contaminated stored drinking water was associated with higher human–human strain-sharing within households. These results suggest that contaminated drinking water facilitates human to human strain-sharing, and water treatment can disrupt transmission.

1102水質管理
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