Vol. 43 No. 5 (2026): October
Original Article

Community surveillance of critical antimicrobial resistance genes in urban wastewater from Santiago, Chile

Jorge Olivares Pacheco
Pontificia Universidad Católica de Valparaiso
Diego Lira Velasquez
Pontificia Universidad Católica de Valparaíso
Karina Alvarez-Mondaca
Instituto de Biología, Pontificia Universidad Católica de Valparaíso
Bio
Nicolás Núñez-Pérez
Instituto de Biología, Pontificia Universidad Católica de Valparaíso
Bio
Diego Olivares-Meneses
Innovación Aguas Andinas, Santiago
Bio

Published 2026-10-01

How to Cite

1.
Olivares Pacheco J, Lira Velasquez D, Alvarez-Mondaca K, Núñez-Pérez N, Olivares-Meneses D. Community surveillance of critical antimicrobial resistance genes in urban wastewater from Santiago, Chile. Rev. Chilena. Infectol. [Internet]. 2026 Oct. 1 [cited 2026 Oct. 1];43(5). Available from: https://revinf.cl/index.php/revinf/article/view/2642

Abstract

Background: Antimicrobial resistance is a threat to public health, and wastewater serves as a complementary matrix for its surveillance.

Aim: To assess the frequency and temporal distribution of blaKPC, blaNDM, blaVIM, and mcr-1 in wastewater in Santiago, Chile.

Materials and Methods: 97 weekly samples collected from July 2020 to July 2021 at the La Farfana and Mapocho-Trebal wastewater treatment facilities were analyzed. The genes were detected using PCR. Frequencies were compared using Fisher's exact test, and temporal trends were assessed using the Cochran-Armitage test.

Results: In La Farfana, blaKPC, blaNDM, blaVIM, and mcr-1 were detected in 92%, 62%, 28%, and 34% of cases, respectively; in Mapocho-Trebal, in 96%, 70%, 34%, and 49% of cases. There were no significant differences between the facilities. Only blaNDM showed a significant upward trend over time in both plants.

Conclusion: Wastewater can be used to supplement the monitoring of antimicrobial resistance genes in Chile.