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Environ Monit Assess

DOI 10.1007/s10661-009-1180-6

Antimicrobial resistance of heterotrophic marine bacteria


isolated from seawater and sands of recreational beaches
with different organic pollution levels in southeastern
Brazil: evidences of resistance dissemination
Ana Julia Fernandes Cardoso de Oliveira ·
Paula Thais Ranzani de França · Aline Bartelochi Pinto

Received: 18 May 2009 / Accepted: 9 October 2009


© Springer Science + Business Media B.V. 2009

Abstract Antimicrobial resistance of marine het- The positive correlations obtained between the
erotrophic bacteria to different antimicrobials degree of seawater contamination and frequency
agents were evaluated in seawater, dry and wet and variability of bacterial resistance indicate that
sands from three marine recreational beaches with polluted marine recreational waters and sands are
different pollution levels. In all studied beaches, sources of resistant bacteria contributing thus, to
the greatest frequencies of resistance were found the dissemination of bacterial resistance.
in relation to penicillin. On Gonzaguinha, the
most polluted beach, 72.3% of all isolated strains Keywords Marine heterotrophic bacteria ·
showed simple resistance, whilst 8.33% had mul- Resistance · Seawater · Sand beach ·
tiple resistance. The values found on Ilha Porchat Contamination
beach, were 70.8% and 6.9% for simple and mul-
tiple resistances, respectively. On Guaraú, the less
polluted beach, only 35.3% of isolated strains
had simple resistance. Multiple resistance was not Introduction
observed. While samples from Gonzaguinha and
Ilha Porchat beach showed isolated strains re- Coastal areas are complex formations including
sistant to seven and six different antimicrobial bays, estuaries, beaches and large semi-closed
agents, respectively, samples from Guaraú beach areas, where there is a high concentration of popu-
were resistant only to penicillin and erytromicin. lation development. The relation between popula-
tion increases in coastal regions and changes in the
environment has been known since many years.
However, attention has been given only recently
to environmental impacts on marine ecosystem
and on population health caused by the develop-
ment of these areas.
A. J. Fernandes Cardoso de Oliveira (B) ·
P. T. Ranzani de França · A. B. Pinto Besides the marine microbiota, seawater and
Laboratory of Marine Microbiology, sediments can contain a significant non-
Campus do Litoral Paulista, indigenous microbiota composed by bacteria,
Universidade Estadual Paulista,
virus and protozoan (some of them are patho-
Praça Infante Dom Henrique, s/n, 11330–900,
São Vicente, SP, Brazil gens), that are discharged to the environment
e-mail: ajuliaf@clp.unesp.br in domestic sewage and urban drainage water
Environ Monit Assess

(Austin 1988; Sato et al. 2005; Oliveira et al. Materials and methods
2007; Oliveira and Pinhata 2008). The presence
of such microorganisms in recreational seawater, Study areas
sediments and beach sands affect the quality of
these habitats, leading to high risk of beachgoer’s São Vicente (23◦ 57 S and 46◦ 23 W) and Peruíbe
health due to waterborne and other illness, as (24◦ 19 S and 46◦ 59 W) are located on the Baixada
well as to the high resistance that can be showed Santista (“Santos Lowland”), south coast of São
by these microorganisms to several antimicrobial Paulo State (Fig. 1). The Baixada Santista is so
agents such as antibiotics (Erdem-Kimiran et al. named due to its geography, since it borders the
2007; Goni-Urriza et al. 2000; Irvensen et al. 2004; Serra do Mar (“Sea Highlands”). It occupies an
Meirelles-Pereira et al. 2002; Oliveira and Pinhata area of 2,373 km2 , with 161 km2 of beaches. Due to
2008; Schwartz et al. 2003; Tejedor et al. 2001). the heterogeneity of its beaches and the proximity
The bacterial resistance to antimicrobial agents to urban centres, such as São Paulo city, one of
can be intrinsic, associated to the incapacity of the most important economical activities in São
these agents to reach the sites of action in the Vicente and Peruíbe is tourism.
cell. In addition, it can be extrinsic, related to Peruíbe is located within four conservation
dynamic processes such as changes in antibiotics units: Juréia Itatins (considered by UNESCO as
transport within the cell, molecular modifications Natural Site on World Heritage), Tupiniquins,
or enzymatic production that modify and inac- Cananéia-Iguape-Peruíbe and Serra do Mar. It
tivate the antibiotic (Hermansson et al. 1987; contains 18 beaches, from which six have their
Davies 1994). This resistance can be determined water quality monitored by São Paulo State Com-
by both genes from chromosomes as well as by pany for Environmental Sanitation Technology
extra-chromosome genetic elements (R-plasmid; (CETESB). Since it has a great part of its area
Gomes-Lus 1998; Hirsch et al. 1999). under legal protection and also due to its longer
Besides their resistance to several antimicro- distance to large cities (e.g. São Paulo), Peruíbe is
bials, bacteria can also, through conjugation with still well preserved. Guaraú beach is considered to
bacteria from the same or different species, have the best sanitary quality among all evaluated
acquire resistance factors present in plasmid beaches and its water quality is considered to be
(Huycke et al. 1998; Kühn et al. 2005). There- excellent over 90% of the time, which is attributed
fore, faecal bacteria in domestic sewage with a to its geographical configuration, distance from
high level of antimicrobial resistance can dissem- city downtown and low rates of urban occupation.
inate this resistance to indigenous bacteria. The Domestic sewage is collected and directed to a
frequency and variability of resistant strains of sewage treatment plain, where it is preconditioned
bacteria to different antimicrobial has increased and submitted to the reduction of organic load
in the last time, becoming a great challenge for in stabilisation lagoons. After organic load reduc-
the treatment of infectious diseases, which should tion, effluents are discharged into Preto River,
be carefully considered (Arvanitidou et al. 2001; which runs directly to the sea, in the southern part
Halling-Sorensen et al. 1998). Therefore, this of Peruíbe (CETESB 2006).
study aims to evaluate the resistance of het- Five beaches belong to São Vicente:
erotrophic bacteria to antimicrobial agents, which Itararé, Milionários, Ilha Porchat, Divisa and
were isolated from seawater and sand samples in Gonzaguinha beach. The last ones are the most
three recreational beaches under different levels affected by organic contamination, whilst Ilha
of pollution. In addition, environment potentials Porchat shows the lowest levels of pollution
as sources of dissemination of bacterial resistance (CETESB 2008).
were evaluated based on the relationship between The worse bathing water quality at
quality of marine recreational waters, bacterial Gonzaguinha beach is associated with its
habitat, frequency and type of resistance. geographical configuration and the high inflow of
Environ Monit Assess

BRAZIL

SÃO
PAULO

Fig. 1 Detail of studied areas on Gonzaguinha and Ilha Porchat beaches, located in São Vicente, Baixada Santista (São
Paulo State, Brazil)

organic load brought by the effluents discharged of Santos city (CETESB 2006). After passing by
at Mar Pequeno, São Vicente Channel and a bar screen to remove solid residuals and after
the adjacent hydrographical system, which ulti- chlorination, it is released 4 km away from the
mately reach this beach (CETESB 2006). Since coast, in the central part of Santos Bay. During
Gonzaguinha Beach is located in a sheltered summer, the treatment of domestic sewage is not
area, dispersal of the microorganisms is limited, sufficient, since population in these areas can dra-
allowing bacteria and other microorganisms to matically increase, reaching twice the number of
be accumulated in areas used by beachgoers. On local residents (CETESB 2006). Therefore, there
the other hand, Ilha Porchat Beach is located in is an increase of domestic sewage load, affecting
a less sheltered area, where circulation processes the quality of marine recreational water in the
and the constant renewal of the water facilitate region (Sato et al. 2005; CETESB 2006).
dispersal of the pollutants. These processes Besides the increase of domestic sewage dis-
favour the dispersal of microorganism seaward charge in seawaters, the urban water drainage
and provide better bathing water quality. reaching beaches, litter brought by beachgoers
In São Vicente, there is a sewage treatment and tides as well as the presence of animals on
plant in operation, which is responsible for treat- the beach can also be pointed out as noteworthy
ing the total collected sewage (56.6%). Part of the problems in the region that are intensified during
collected sewage is sent to the submarine outfall the holiday season.
Environ Monit Assess

The sampling beaches (Gonzaguinha, Ilha Water


Porchat and Guaraú) have their water qual-
ity evaluated by Beach Quality Monitoring Pro- To isolate heterotrophic bacteria from seawater
gramme, which is performed by CETESB. The samples, 0.1 ml from each sample were inoculated
programme conforms with the Brazilian legisla- in Marine Agar 2216E plates and incubated at
tion on bathing water quality (CONAMA Reso- 37◦ C during 48 h. Afterwards, some pigmented
lution no. 274/2000). According to the Brazilian and non-pigmented colonies (n = 318), from each
legislation, enterococci density levels higher than agar plate, were selected and pure cultures of het-
100 UFC 100 mL−1 in more than 20% of five erotrophic bacteria were obtained by the streak
consecutive samples in sea water or values higher plate method using the same culture media.
than 400 UFC 100 mL−1 in one sample are used to A previous screening of all the isolated strains,
classify beaches as unsuitable for swimming and based on the colony pigmentation, Gram staining
bathing. and bacterial morphology was done, before sus-
ceptibility testing, to ensure that strains belong-
ing to different genera and/or species of bacteria.
Sample collection Among the colonies isolated, 53.4% were non-
pigmented (gram positive rods and cocci and gram
Seawater and sand samples used for the micro- negative cocci) and 46.6% were pigmented (yel-
biological analyses were collected during autumn low, orange and white gram negative rods).
(in the first week of April 2008) on Ilha Porchat The 318 isolated colonies, both from sand and
and Gonzaguinha beaches, in São Vicente, and water, were transferred and maintained in Marine
on Guaraú beach, Peruíbe (in the second week of Agar 2216E slope until the evaluation.
April 2008).
Water samples were collected in sterile flasks,
maintained under refrigeration and analysed
Statistical analysis
within the next 6 h. Sand samples (0–2 cm) were
collected in two distinct zones of the beach: dry
Correlation between data of contamination and
zone—usually not flooded by seawater, corre-
frequency and variability of bacterial resistance
sponding to the most visited area, and wet zone—
from study sites were calculated using Pearson’s
corresponding to the area influenced by tides.
correlation coefficient (at 5% significance level).
Samples comprised 200 g of sand, collected with
sterile spatula, maintained and transported in ster-
ile bags under refrigeration to the laboratory.
Antimicrobial susceptibility testing

Bacterial isolation Sensibility tests to antimicrobials were performed


using the agar disc diffusion methods from
Sand Kirby-Bauer, applied to Marine Agar 2216E, ac-
cording to the National Committee for Clinical
In the laboratory, sand samples were weighted, Laboratory Standards (NCCLS 2003). Colonies
diluted in sterile distilled water (1:10) and agitated (318) were tested to the following antimicro-
twice in a Kline agitator for about 10 min in bials: amoxicillin (AMO) 30 μg, ampicillin (AMP)
order to wash and extract bacteria from samples 10 μg, ciprofloxacin (CIP) 5 μg, chloramphenicol
(Oliveira and Pinhata 2008). Volumes of 0.1 ml (CLO) 30 μg, erythromycin (ERI) 15 μg, strep-
from sand supernatant were inoculated in Petri tomycin (EST) 10 μg, gentamicin (GEN) 10 μg,
dishes with Marine Agar 2216E culture media penicillin (PEN) 10 UI, rifampicin (RIF) 30 μg
(Difco). and vancomycin (VAN) 30 μg.
Environ Monit Assess

Results All isolated colonies from samples from


Gonzaguinha beach showed susceptibility to
Gonzaguinha beach chloramphenicol, streptomycin and gentamicin
(Table 2).
From 30th March to 27th April 2008,
Gonzaguinha beach was classified as not
recommended for swimming and bathing, Ilha Porchat beach
since it showed enterococci density levels higher
than 100 CFU 100 mL−1 in all samples. Based From 30th March to 27th April 2008, Ilha
on annual data of densities of Enterococcos, Porchat beach had densities lower than 100 CFU
obtained by CETESB during 2008, Gonzaguinha 100 mL−1 in 60% of analysed samples and
beach was classified as having bad water quality thus, was classified as suitable for swimming and
and Ilha Porchat as regular, according to the bathing (CETESB 2008). Based on annual data of
criteria used by the classification of World Health densities of Enterococcos, obtained by CETESB
Organisation. during 2008, Ilha Porchat was classified as regular,
Analysing all isolated colonies from according to the criteria used by the classification
Gonzaguinha beach (n = 144), both from water of World Health Organisation.
and sand samples, 72.3% showed resistance to one Considering all 72 analysed samples (24 for
or two drugs, 8.3% had multiple resistance and each substrate), 70.8% showed resistance to at
19.4% were sensitive to all tested antimicrobials least one drug and 6.9% had multiple resistance
(Table 1). (resistance to two or more antimicrobials). Sus-
Bacteria isolated from water samples (n = 48) ceptibility to all tested antimicrobials was found in
showed 93.8% of resistant strains whilst those 22.3% of all samples (Table 1). Bacteria isolated
isolated from wet (n = 48) and dry sands (n = 48) from water samples showed 75.0% of resistant
showed 83.3% and 64.6% of resistance, respec- strains (n = 18) whilst those isolated from wet and
tively. dry sand showed 91.7% (n = 22) and 66.7% (n =
In water samples, the highest frequency of re- 16) of resistant, respectively.
sistance was related to penicillin (93.8%) and van- Among isolated resistant strains in seawater,
comycin (31.2%), whilst in wet sand, the highest 70.8% were resistant to penicillin, whilst 20.8%
frequencies found were to penicillin (70.8%), ery- showed resistance to amoxicillin and vancomycin,
thromycin (18,8.0%), amoxicillin and vancomycin and 16.7% to erythromycin (Table 3). In samples
(10.4%), rifampicin (8.3%) and ampicillin (4.2%; from wet sand, the highest frequency of resis-
Table 2). Among isolated strains from dry sand, tance was also found to be to penicillin (86.4%).
the greatest frequencies of resistance were ob- In addition 25% of isolated strains showed re-
served to penicillin (58.3%), vancomycin (12.5%) sistance to ciprofloxacin, 20.8% to amoxicillin,
and ciprofloxacin (6.2%; Table 2) and 8.3% to ampicillin. In samples isolated from

Table 1 Percentage of isolated strains resistant to one ceptibilities, on seawater, wet and dry sand samples from
or two antimicrobials (simple resistance), and to at least Gonzaguinha, Ilha Porchat (São Vicente) and Guaraú
three antimicrobials (multiple resistance) and their sus- (Peruíbe) beaches, Brazil
Strains Gonzaguinha (n = 144) Ilha Porchat (n = 72) Guaraú (n = 102)
Number % Number % Number %
One or two antimicrobials 104 72.3 51 70.8 36 35.3
At least three antimicrobials 12 8.3 5 6.9 0 0
Total of resistant 116 80.6 56 77.7 36 35.3
Susceptibilities 28 19.4 16 22.3 66 64.2
Environ Monit Assess

Table 2 Percentage of resistant heterotrophic bacteria iso-


lated from seawater and sand samples from Gonzaguinha bathing (CETESB 2008) in all analysed samples.
beach, in relation to antimicrobials (amoxicillin, ampicillin, In fact, this beach had excellent quality during
chloramphenicol, ciprofloxacin, erythromicin, gentamicin, all the year and was classified as good according
penicillin, rifampicin, streptomycin and vancomycin) to the criteria used by the classification of World
Antimicrobial agent % of resistant strains (n = 116) Health Organisation.
Gonzaguinha beach The frequency of resistant strains isolated from
Water Wet sand Dry sand Guaraú was less than the half of those obtained
(45) (40) (31) for bacteria isolated from Gonzaguinha and Ilha
Amoxicillin 0 10.4 0 Porchat beaches. Regarding all isolated colonies
Ampicillin 0 4.20 0 from Guaraú beach (n = 102), both from water
Chloramphenicol 0 0 0
and sand samples, only 35.8% were resistant to
Ciprofloxacin 0 0 6.2
Erytromicin 0 18.8 0
one or two drugs, and 64.2% were sensitive to all
Gentamicin 0 0 0 tested antimicrobials. There were no strains with
Penicillin 93.8 70.8 58.3 multiple resistance (Table 1).
Rifampicin 0 8.3 0 Bacteria isolated from water samples (n = 34)
Streptomycin 0 0 0 showed 55.9% of resistant strains, whilst those
Vancomycin 31.2 10.4 12.5 isolated from wet and dry sands (n = 34 for each
substrate) showed 32.4% and 17.6% of resistance,
respectively.
dry sand, the frequency of resistance found to In water samples, resistance was found to peni-
penicillin and ciproflaxin was 58.3% and 12.5%, cillin (100.0%) and erythromycin (33.3%), whilst
respectively. Moreover, all colonies were sensitive in wet and dry sands the isolated bacteria were
to chloramphenicol, gentamicin, streptomycin and resistant only to penicillin (100.0%; Table 4). All
rifampicin. colonies isolated from water and sands of Guaraú
beach showed susceptibility to other antimicrobial
agents tested.
Guaraú beach

Guaraú beach, from 30th March to 27th April


2008, was classified as suitable for swimming and

Table 3 Percentage of resistant heterotrophic bacteria iso- Table 4 Percentage of resistant heterotrophic bacteria
lated from seawater and sand samples from Ilha Porchat isolated from seawater and sand samples from Guaraú
beach, in relation to antimicrobials (amoxicillin, ampicillin, beach, in relation to antimicrobials (amoxicillin, ampicillin,
chloramphenicol, ciprofloxacin, erythromicin, gentamicin, chloramphenicol, ciprofloxacin, erythromicin, gentamicin,
penicillin, rifampicin, streptomycin and vancomycin) penicillin, rifampicin, streptomycin and vancomycin)
Antimicrobial agent % of resistant strains (n = 56) Antimicrobial agent % of resistant strains (n = 36)
Ilha Porchat beach Guaraú beach
Water Wet sand Dry sand Water Wet sand Dry sand
(18) (22) (16) (19) (11) (6)
Amoxicillin 20.8 20.8 0 Amoxicillin 0 0 0
Ampicillin 0 8.3 0 Ampicillin 0 0 0
Chloramphenicol 0 0 0 Chloramphenicol 0 0 0
Ciprofloxacin 0 25.0 12.5 Ciprofloxacin 0 0 0
Erytromicin 16.7 0 0 Erytromicin 21.0 18.2 33.3
Gentamicin 0 0 0 Gentamicin 0 0 0
Penicillin 70.8 86.4 58.3 Penicillin 79.0 81.8 66.7
Rifampicin 0 0 0 Rifampicin 0 0 0
Streptomycin 0 0 0 Streptomycin 0 0 0
Vancomycin 20.8 0 0 Vancomycin 0 0 0
Environ Monit Assess

Variability of resistance to antimicrobials ciprofloxacin and vancomycin), as we found in our


study (except for Guaraú Beach), for both bac-
Considering the types of antimicrobial agents to teria sampled in water and in dry and wet sands,
which the isolated strains were resistant, varia- indicates the contamination by domestic effluents
tions of resistance were observed among bacte- in two beaches of São Vicente. In addition, the
ria from Ilha Porchat in comparison to the ones observed bacterial resistance may be a result of
isolated from Gonzaguinha beach and mainly the entrance of non indigenous bacteria in marine
from Guaraú beach (Table 4). On Gonzaguinha ecosystems (Goni-Urriza et al. 2000).
beach, resistant isolated strains of bacteria showed Several studies recently showed that beach
resistance to seven antimicrobials: amoxicillin, sands may act as reservoirs and/or vectors for
ampicillin, ciprofloxacin, erythromycin, penicillin, a variety of bacteria (Alm et al. 2003; Bonilla
rifampicin and vancomycin. On Ilha Porchat et al. 2007; Mendes et al. 1993; Papadakis et al.
beach, resistance to six antimicrobials was ob- 1997; Whitman and Nevers 2003). Sediments gen-
served among isolated colonies of resistant erally contain higher concentrations of bacteria
bacteria: amoxicillin, ampicillin, ciprofloxacin, than water column (Ghinsberg et al. 1994; Oshiro
erythromycin, penicillin and vancomycin. Resis- and Fujioka 1995) due to favourable conditions of
tance to only two antimicrobial agents, penicillin nutrients (Davies et al. 1995; Villar et al. 1999),
and erythromycin was observed for strains iso- shelter against sunlight (Davies-Colley et al. 1999;
lated from Guaraú beach samples. Sinton et al. 1994) and protection against proto-
zoan predation (Davies and Bavor 2000; Pianetti
Statistical analysis et al. 2004).
The results of this study indicate that, in addi-
A positive correlation between the degree of sea- tion to their function as a reservoir and vector of
water contamination and frequency of bacterial several pathogenic microorganisms, beach sands
resistance (r = 0.70) and between the degree of may also accumulate indigenous bacteria resis-
contamination and variability of resistance (r = tant to several antimicrobial agents. According to
0.84) was found for the studied sites. Chandrasekarn et al. (1998) and Tendencia and
De La Pena (2001), high levels of antibiotic resis-
tance in marine bacteria might be a result from
Discussion non-indigenous bacteria with antibiotic-resistant
plasmids entering the seawater.
Beaches constitute a considerable part of coastal Oliveira and Pinhata (2008) also observed the
ecosystems and they are habitats of extreme presence of resistant bacteria from human and
dynamics under great influence of water, land animal origin in the same beaches. They showed
and wind (Brown and McLanchlan 1990). Recre- that Gonzaguinha and Ilha Porchat beaches had
ational beaches located in large urban centres, as high percentages of resistant enterococci in sand
Gonzaguinha and Ilha Porchat beaches, can be and water, showing thus a possible transfer of
under different anthropogenic pressures (Lobova resistance factors among bacteria in these ecosys-
et al. 2002), such as discharge of domestic sewage. tems. Such transfer would thus, contribute to
The anthropogenic impacts on coastal areas the dissemination of resistance to antimicrobials
through inflow of domestic effluents can be eval- agents (Meirelles-Pereira et al. 2002; Irvensen
uated by measuring faecal bacteria levels present et al. 2004; Mudryk 2005; Oliveira and Pinhata
in water and sediments, and more recently, by the 2008). In fact, the transfer of resistance plasmid
occurrence of bacteria resistance to antimicrobial carrier (Marcinek et al. 1998; Blom et al. 2000)
agents. in marine habitats was documented for several
The incidence of high percentages of marine bacterial species (see Bya et al. 1986; Sandaa 1993;
heterotrophic bacteria resistant to antimicro- Smith 1971).
bials used for the treatment of human infec- Sands of Gonzaguinha and Ilha Porchat bea-
tious diseases (mainly to penicillin, amoxicillin, ches showed the highest frequencies of resistance
Environ Monit Assess

in relation to penicillin. However, heterotrophic to the presence of bacterial resistance, principally


bacteria resistant to amoxicillin and ciprofloxacin on sands (Sato et al. 2005). These problems are
could also be observed. According to Gangle intensified during holiday season, mostly because
(2005), since the discovery of penicillin in 1928, of the increase of population during these days
there was a great increase on the resistance pat- and the consequent increase in produced litter and
terns to this antibiotic. In 1930, only 1% of iso- sewage.
lated bacteria strains of hospital samples were Non-point sources of pollution are difficult to
penicillin resistant, whilst in 2005 it increased to identify, such as the case of urban drainage and
90%. The high levels of resistance to penicillin, contamination of beaches by animal faeces, sup-
ampicillin and amoxicillin are of immense concern plying surface waters and sands with faecal bacte-
due to the high variety of pathogenic microorgan- ria (Hagedorn et al. 1999). Nevertheless, in order
isms that show this resistance, such as Enterococ- to effectively manage the risks from contamina-
cus spp., Staphylococcus spp., Streptococcus spp., tion, it is crucial to identify the different sources
Salmonella spp., Vibrio spp. and Escherichia coli of faecal pollution. This is particularly important,
(Gangle 2005). as bacteria from human sources establish a high
The presence of vancomycin-resistant strains risk to public health due to the possible presence
detected in seawater and sand samples on of pathogenic organisms (Carroll et al. 2005). In
Gonzaguinha beach, and in seawater samples on addition, if the faecal source is known, suitable
Ilha Porchat beach are of great apprehension, management actions can be implemented to pre-
since this antimicrobial is used on the treatment vent further contamination to mitigate health risks
of infections caused by Enterococcus spp. and (Harwood et al. 2000).
Staphylococcus spp., known to show multiple re- Considering the multiple bacterial resistance to
sistance to several others antimicrobials (Huycke antimicrobials, the results of this study disagrees
et al. 1998). The occurrence of vancomycin- with Mudryk (2005), who found 20% to 30% of
resistant bacteria is not an isolated case in the heterotrophic bacteria with multiple resistance on
literature. Kühn et al. (2000) already isolated marine sandy beach. The frequencies found for
vancomycin-resistant Enterococcus spp. in super- both studied areas in São Vicente were lower
ficial water in Sweden and Spain. Therefore, fur- and ranged between 5.56% and 8.33%. Although
ther studies are of crucial importance due to the these frequencies cannot be considered high if
possible transfer of bacterial resistance factors to compared to other studies (Arvanitidou et al.
vancomycin. 2001), the presence of such strains should not be
Gonzaguinha and Ilha Porchat beaches underestimated. The continuous contamination of
showed, during the studied period, higher beaches by domestic sewage and the consequent
frequency and variability of resistant strains that addition of resistant strains to several antimicro-
was related to the degree of faecal contamination bials to the ecosystem, together with the capacity
in these environments. Similar results were of bacteria in transferring resistance to each other
obtained by Erdem-Kimiran et al. (2007), who might lead to an increase of the proportion of
found a direct correlation between pollution bacteria with multiple resistance to antimicrobials
and bacterial resistance to antibiotics in Mamara in a short period of time (Miranda and Zemelman
Sea and Black Sea waters. Therefore, the high 2001).
incidence of resistant strains in these habitats Since beach sands can contain great densities of
may be mainly related to the quantity of inflow pathogens with high level of resistance to antimi-
organic effluents and might thus, reflect the crobials and beachgoers tend to stay most of their
high anthropogenic pressure in these marine time on the sand (Mendes et al. 1993; Papadakis
ecosystems. et al. 1997), the long contact with contaminated
The presence of animals and litter on the sands, like from Gonzaguinha and Ilha Porchat,
beaches, such as on the Gonzaguinha and Ilha might be a higher risk to the health of people than
Porchat, as well as the urban drainage, can also the direct contact with seawater (Ghinsberg et al.
be considered as important factors collaborating 1994; Papadakis et al. 1997).
Environ Monit Assess

From both the quantitative and qualitative do Estado de São Paulo: Balneabilidade das praias
point of view, results obtained in this study 2005. São Paulo, Brasil: Companhia de Tecnologia de
Saneamento Ambiental.
demonstrated that marine recreational waters and
CETESB, Companhia de Tecnologia e Saneamento Am-
sands may be sources of bacterial resistance. It biental (2008). Reltório de qualidade das águas
may thus, contribute to further dissemination of litorâneas do Estado de São Paulo: Balneabilidade das
resistance to antimicrobials, possibly in high lev- praias 2007. São Paulo, Brasil: Companhia de
Tecnologia de Saneamento Ambiental.
els, which ultimately may render inefficiently the
Chandrasekarn, S., Venkatesh, B., & Laithakumari, D.
use of some antimicrobials against infections. (1998). Transfer and expression of a multiple antibi-
Further studies about the concentration of an- otic resistance plasmid in marine bacteria. Current Mi-
timicrobial agents and patterns of bacterial resis- crobiology, 37, 347–351.
Davies, J. (1994). Inactivation of antibiotics and the dis-
tance in marine habitats are of crucial importance
semination of resistance genes. Science, 15, 375–
for the future, as well as those about the transfer 382.
of bacterial resistance in these ecosystems. New Davies, C. M., & Bavor, H. J. (2000). The fate of storm
studies should offer factual data to implement water associated bacteria in constructed wetland and
water pollution control pond systems. Journal of Ap-
management control to prevent further spread of
plied Microbiology, 89(2), 349–460.
resistance and mitigate the current health risks. Davies, C. M., Long, J. A. H., Donald, M., & Ashbolt, N. J.
(1995). Survival of fecal microorganism in marine and
freshwater sediments. Applied Environmental Micro-
biology, 61(5), 1888–1896.
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