Community surveillance of critical antimicrobial resistance genes in urban wastewater from Santiago, Chile
Published 2026-10-01
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Copyright (c) 2026 Jorge Olivares Pacheco, Diego Lira Velasquez, Dra. Alvarez-Mondaca, Dr. Núñez-Pérez, Dr. Olivares-Meneses

This work is licensed under a Creative Commons Attribution 4.0 International License.
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.