Households provide a habitat for bacteria originating from humans, animals, foods, contaminated clothes or other sources. Thus, bacteria carrying antibiotic resistance genes (ARGs) might be introduced via household members, animals or the water supply from these habitats into private households and vice versa. Since data on ABR in the domestic environment is limited, this study aimed to determine the abundance and correlation of β-lactamase, mobile colistin resistance and class 1 integron genes and to characterize phenotypic resistant strains in 54 private households in Germany. Additionally, the persistence of antibiotic resistant bacteria to automated dishwashing compared to laundering was assessed. Shower drains, washing machines and dishwashers were sampled and analyzed using quantitative real-time PCR. Resistant strains were isolated, followed by identification and antibiotic susceptibility testing using VITEK 2. The results show a significantly higher relative ARG abundance of 0.2367 ARG copies/16S rDNA copies in shower drains compared to dishwashers (0.1329 ARG copies/16S rDNA copies) and washing machines (0.0006 ARG copies/16S rDNA). blaCMY-2, blaACT/MIR and blaOXA-48 were the most prevalent ARG and intI1 occurred in 96.3% of the households while no mcr genes were detected. Several β-lactamase genes co-occurred and resistance of bacterial isolates correlated positively with genotypic resistance, with carbapenemase genes dominating across isolates. Antibiotic resistant bacteria were significantly reduced during automated dishwashing as well as laundering tests and did not differ from susceptible strains. Overall, the domestic environment might represent a potential reservoir of β-lactamase genes and β-lactam resistant bacteria with shower drains as the dominant source of ABR.
Importance The abundance of antibiotic resistant bacteria and ARGs is steadily increasing and has been comprehensively analyzed in natural environments, animals, foods or wastewater treatment plants. In this respect, β-lactams and colistin are of particular interest due to the emergence of multidrug-resistant gram-negative bacteria. Despite of the connection of private households to these environments, only few studies focused on the domestic environment so far. Therefore, the present study further investigated the occurrence of ARGs and antibiotic resistant bacteria in shower drains, washing machines and dishwashers. The analysis of the domestic environment as a potential reservoir of resistant bacteria is crucial to determine whether households contribute to the spread of ABR or might be a habitat where resistant bacteria from the natural environment, humans, food or water are selected due to the use of detergents, antimicrobial products and antibiotics. Furthermore, ABR could limit treatment options of infections arising in the domestic environment.