Distribution and Antibiotic Resistance of Escherichia coli on Public Transport Routes in Makassar City: Implications for Resistance Surveillance

Authors

  • M. Ahlil Vadel Tila Universitas Negeri Makassar
  • Sulfikar Universitas Negeri Makassar
  • Nur Alisah Universitas Negeri Makassar
  • Maryono Universitas Negeri Makassar
  • Zuhrah Adminira Ruslan Universitas Negeri Makassar

DOI:

https://doi.org/10.61255/vokatekjpm.v4i1.1222

Keywords:

Antibiotic-resistant E. coli, Diffusion environmental, Kirby-Bauer Disk , Surveillance, Public transportation

Abstract

The resistance of bacteria to antibiotics is a significant challenge in combating infections. Public transportation can be a hotspot for the spread of antibiotic-resistant bacteria.  We surveyed the presence of Escherichia coli (E. coli) resistant to antibiotics on public transport cars, locally named Pete-Pete, serving four routes in Makassar, Indonesia. Swab samples were collected from door handles, walls, and seats, of 12 public transport vehicles (3 per route across 4 routes). Antibiotic resistance was evaluated using the Kirby-Bauer Disk Diffusion method and the EUCAST standard for resistance determination. We found widespread distribution of antibiotic-resistant E. coli at all locations, with variation in resistance patterns between locations. High resistance percentages were found in E. coli samples from two routes bordering other districts. Multi-resistant strains of E. coli to four types of antibiotics were found in samples from one route bordering the Gowa District. Our research indicates the potential for identifying distribution patterns and detecting levels of antibiotic resistance in pathogens through sampling public transportation.

Abstract views: 2 , PDF downloads: 3

Downloads

Download data is not yet available.

References

Aarestrup, F. M., & Woolhouse, M. E. J. (2020). Using sewage for surveillance of antimicrobial resistance. Science, 367(6478), 630–632. https://doi.org/10.1126/science.aba3432

Azizah, F., Artanti, D., Sari, Y. E. S., Arimurti, A. R. R., Iswara, A., Khairunnisa, A., Prastiyanto, M. E., & Geleta, D. (2025). A Cross-Sectional Study of Extended-Spectrum β-Lactamase–Producing Escherichia coli Isolated From Clinical Samples: Single-Center Investigation in Indonesia. International Journal of Microbiology, 2025(1), 3743202. https://doi.org/10.1155/ijm/3743202

Behrens, W., Kolte, B., Junker, V., Frentrup, M., Dolsdorf, C., Börger, M., Jaleta, M., Kabelitz, T., Amon, T., Werner, D., & Nübel, U. (2023). Bacterial genome sequencing tracks the housefly-associated dispersal of fluoroquinolone- and cephalosporin-resistant Escherichia coli from a pig farm. Environmental Microbiology, 25(6), 1174–1185. https://doi.org/10.1111/1462-2920.16352

Bell, B. G., Schellevis, F., Stobberingh, E., Goossens, H., & Pringle, M. (2014). A systematic review and meta-analysis of the effects of antibiotic consumption on antibiotic resistance. BMC Infectious Diseases, 14, 13. https://doi.org/10.1186/1471-2334-14-13

Berendonk, T. U., Manaia, C. M., Merlin, C., Fatta-Kassinos, D., Cytryn, E., Walsh, F., Bürgmann, H., Sørum, H., Norström, M., Pons, M.-N., Kreuzinger, N., Huovinen, P., Stefani, S., Schwartz, T., Kisand, V., Baquero, F., & Martinez, J. L. (2015). Tackling antibiotic resistance: The environmental framework. Nature Reviews. Microbiology, 13(5), 310–317. https://doi.org/10.1038/nrmicro3439

Bertagnolio, S., Suthar, A. B., Tosas, O., & Weezenbeek, K. V. (2023). Antimicrobial resistance: Strengthening surveillance for public health action. PLOS Medicine, 20(7), e1004265. https://doi.org/10.1371/journal.pmed.1004265

Blair, J. M. A., Webber, M. A., Baylay, A. J., Ogbolu, D. O., & Piddock, L. J. V. (2015). Molecular mechanisms of antibiotic resistance. Nature Reviews Microbiology, 13(1), 42–51. https://doi.org/10.1038/nrmicro3380

Cave, R., Cole, J., & Mkrtchyan, H. V. (2021). Surveillance and prevalence of antimicrobial resistant bacteria from public settings within urban built environments: Challenges and opportunities for hygiene and infection control. Environment International, 157, 106836. https://doi.org/10.1016/j.envint.2021.106836

CLSI. (2012). M02-A11: Performance Standards for Antimicrobial Disk Susceptibility Tests; Approved Standard—Eleventh Edition. 76.

Davies, J., & Davies, D. (2010). Origins and Evolution of Antibiotic Resistance. Microbiology and Molecular Biology Reviews : MMBR, 74(3), 417–433. https://doi.org/10.1128/MMBR.00016-10

Donk, C. F. M. van der, Bovenkamp, J. H. B. van de, Brauwer, E. I. G. B. D., Mol, P. D., Feldhoff, K.-H., Kalka-Moll, W. M., Nys, S., Thoelen, I., Trienekens, T. A. M., & Stobberingh, E. E. (2012). Antimicrobial Resistance and Spread of Multi Drug Resistant Escherichia coli Isolates Collected from Nine Urology Services in the Euregion Meuse-Rhine. PLOS ONE, 7(10), e47707. https://doi.org/10.1371/journal.pone.0047707

Eisenberg, J. N. S., Goldstick, J., Cevallos, W., Trueba, G., Levy, K., Scott, J., Percha, B., Segovia, R., Ponce, K., Hubbard, A., Marrs, C., Foxman, B., Smith, D. L., & Trostle, J. (2011). In-roads to the spread of antibiotic resistance: Regional patterns of microbial transmission in northern coastal Ecuador. Journal of The Royal Society Interface, 9(70), 1029–1039.

https://doi.org/10.1098/rsif.2011.0499

EUCAST. (2024). Breakpoint tables for interpretation of MICs and zone diameters. Version 14.0. EUCAST. http://www.eucast.org

Fahmi, G. Z., Airlangga, P. S., & Juniastuti. (2022). Characteristics of ESBL-Infected Intensive Observation Room Patients From 2019-2020 With Microbiology And Resistance Pattern Results. International Journal of Research Publications, 104(1), 1205–1215. https://doi.org/10.47119/IJRP1001041720223569

Goossens, H., Ferech, M., Stichele, R. V., & Elseviers, M. (2005). Outpatient antibiotic use in Europe and association with resistance: A cross-national database study. The Lancet, 365(9459), 579–587. https://doi.org/10.1016/S0140-6736(05)17907-0

Haule, G. P., Hussein, J. M., & Mpenda, F. N. (2024). Occurrence and antimicrobial susceptibility of Enterobacteriaceae from public transport in Dar es Salaam, Tanzania. Baghdad Journal of Biochemistry and Applied Biological Sciences, 5(1), 36–58.

https://doi.org/10.47419/bjbabs.v5i01.265

Hickman, R. A., Leangapichart, T., Lunha, K., Jiwakanon, J., Angkititrakul, S., Magnusson, U., Sunde, M., & Järhult, J. D. (2021). Exploring the Antibiotic Resistance Burden in Livestock, Livestock Handlers and Their Non-Livestock Handling Contacts: A One Health Perspective. Frontiers in Microbiology, 12. https://doi.org/10.3389/fmicb.2021.651461

Hsu, T., Joice, R., Vallarino, J., Abu-Ali, G., Hartmann, E. M., Shafquat, A., DuLong, C., Baranowski, C., Gevers, D., Green, J. L., Morgan, X. C., Spengler, J. D., & Huttenhower, C. (2016). Urban Transit System Microbial Communities Differ by Surface Type and Interaction with Humans and the Environment. mSystems, 1(3), 10.1128/msystems.00018-16.

https://doi.org/10.1128/msystems.00018-16

Iskandar, K., Molinier, L., Hallit, S., Sartelli, M., Hardcastle, T. C., Haque, M., Lugova, H., Dhingra, S., Sharma, P., Islam, S., Mohammed, I., Naina Mohamed, I., Hanna, P. A., Hajj, S. E., Jamaluddin, N. A. H., Salameh, P., & Roques, C. (2021). Surveillance of antimicrobial resistance in low- and middle-income countries: A scattered picture. Antimicrobial Resistance & Infection Control, 10(1), 63. https://doi.org/10.1186/s13756-021-00931-w

Junior, I. W. J., Adnyana, I. M. S., Subawa, I. W., & Putri, V. P. (2019). Pola Kuman dan Uji Kepekaan Antibiotik Pada Pasien Unit Luka Bakar RSUP Sanglah Periode 1 Januari 2016—1 Januari 2017. Intisari Sains Medis, 10(2). https://doi.org/10.15562/ism.v10i2.209

Kang, K., Ni, Y., Li, J., Imamovic, L., Sarkar, C., Kobler, M. D., Heshiki, Y., Zheng, T., Kumari, S., Wong, J. C. Y., Archna, A., Wong, C. W. M., Dingle, C., Denizen, S., Baker, D. M., Sommer, M. O. A., Webster, C. J., & Panagiotou, G. (2018). The Environmental Exposures and Inner- and Intercity Traffic Flows of the Metro System May Contribute to the Skin Microbiome and Resistome. Cell Reports, 24(5), 1190-1202.e5. https://doi.org/10.1016/j.celrep.2018.06.109

Kapoor, G., Saigal, S., & Elongavan, A. (2017). Action and resistance mechanisms of antibiotics: A guide for clinicians. Journal of Anaesthesiology, Clinical Pharmacology, 33(3), 300–305. https://doi.org/10.4103/joacp.JOACP_349_15

Karkman, A., Pärnänen, K., & Larsson, D. G. J. (2019). Fecal pollution can explain antibiotic resistance gene abundances in anthropogenically impacted environments. Nature Communications, 10(1), 80. https://doi.org/10.1038/s41467-018-07992-3

Kurniawathi, N. L. R., Setyojatmiko, I., & Budayanti, N. N. S. (2021). Karakteristik Antibiogram Isolat Escherichia Coli Dan Klebsiella Pneumoniae Dari Ruang Intensive Care Unit Dan Non-Intensive Care Unit Di Rsup Sanglah Selama Tahun 2018-2020. Jurnal Kedokteran, 7(1), 8–17. https://doi.org/10.36679/kedokteran.v7i1.421

Laxminarayan, R., Duse, A., Wattal, C., Zaidi, A. K. M., Wertheim, H. F. L., Sumpradit, N., Vlieghe, E., Hara, G. L., Gould, I. M., Goossens, H., Greko, C., So, A. D., Bigdeli, M., Tomson, G., Woodhouse, W., Ombaka, E., Peralta, A. Q., Qamar, F. N., Mir, F., … Cars, O. (2013). Antibiotic resistance-the need for global solutions. The Lancet. Infectious Diseases, 13(12), 1057–1098. https://doi.org/10.1016/S1473-3099(13)70318-9

Lestari, P. I., Susanti, I., & Rahmawati, H. (2017). Pola Kepekaan Bakteri terhadap Antibiotik di Ruang Rawat Intensif RSPI Prof. Dr. Sulianti Saroso Jakarta. The Indonesian Journal of Infectious Diseases, 1(2), 23–27. https://doi.org/10.32667/ijid.v1i2.9

Ly, Y.-T., Leuko, S., & Moeller, R. (2024). An overview of the bacterial microbiome of public transportation systems—Risks, detection, and countermeasures. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1367324

Magiorakos, A.-P., Srinivasan, A., Carey, R. B., Carmeli, Y., Falagas, M. E., Giske, C. G., Harbarth, S., Hindler, J. F., Kahlmeter, G., Olsson-Liljequist, B., Paterson, D. L., Rice, L. B., Stelling, J., Struelens, M. J., Vatopoulos, A., Weber, J. T., & Monnet, D. L. (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance. Clinical Microbiology and Infection: The Official Publication of the European Society of Clinical Microbiology and Infectious Diseases, 18(3), 268–281. https://doi.org/10.1111/j.1469-0691.2011.03570.x

Manaia, C. M., Rocha, J., Scaccia, N., Marano, R., Radu, E., Biancullo, F., Cerqueira, F., Fortunato, G., Iakovides, I. C., Zammit, I., Kampouris, I., Vaz-Moreira, I., & Nunes, O. C. (2018). Antibiotic resistance in wastewater treatment plants: Tackling the black box. Environment International, 115, 312–324. https://doi.org/10.1016/j.envint.2018.03.044

Maulana, K. Y., Pichpol, D., Farhani, N. R., Widiasih, D. A., Unger, F., Punyapornwithaya, V., & Meeyam, T. (2021). Antimicrobial resistance characteristics of Extended Spectrum Beta Lactamase (ESBL)- producing Escherichia coli from dairy farms in the Sleman district of Yogyakarta province, Indonesia: Https://doi.org/10.12982/VIS.2021.041. Veterinary Integrative Sciences, 19(3), 525–535.

Murray, C. J., Ikuta, K. S., Sharara, F., Swetschinski, L., Aguilar, G. R., Gray, A., Han, C., Bisignano, C., Rao, P., Wool, E., Johnson, S. C., Browne, A. J., Chipeta, M. G., Fell, F., Hackett, S., Haines-Woodhouse, G., Hamadani, B. H. K., Kumaran, E. A. P., McManigal, B., … Naghavi, M. (2022). Global burden of bacterial antimicrobial resistance in 2019: A systematic analysis. The Lancet, 399(10325), 629–655. https://doi.org/10.1016/S0140-6736(21)02724-0

Nasir, Z. A., Campos, L. C., Christie, N., & Colbeck, I. (2016). Airborne biological hazards and urban transport infrastructure: Current challenges and future directions. Environmental Science and Pollution Research International, 23, 15757–15766. https://doi.org/10.1007/s11356-016-7064-8

Normaliska, R., Sudarwanto, M. B., & Latif, H. (2019). Pola Resistensi Antibiotik pada Escherichia coli Penghasil ESBL dari Sampel Lingkungan di RPH-R Kota Bogor. Acta Veterinaria Indonesiana, 7(2), 42–48. https://doi.org/10.29244/avi.7.2.42-48

Olesen, S. W., Barnett, M. L., MacFadden, D. R., Brownstein, J. S., Hernández-Díaz, S., Lipsitch, M., & Grad, Y. H. (2018). The distribution of antibiotic use and its association with antibiotic resistance. eLife, 7, e39435. https://doi.org/10.7554/eLife.39435

Otter, J. A., & French, G. L. (2009). Bacterial contamination on touch surfaces in the public transport system and in public areas of a hospital in London. Letters in Applied Microbiology, 49(6), 803–805. https://doi.org/10.1111/j.1472-765X.2009.02728.x

Peng, Z., Maciel-Guerra, A., Baker, M., Zhang, X., Hu, Y., Wang, W., Rong, J., Zhang, J., Xue, N., Barrow, P., Renney, D., Stekel, D., Williams, P., Liu, L., Chen, J., Li, F., & Dottorini, T. (2022). Whole-genome sequencing and gene sharing network analysis powered by machine learning identifies antibiotic resistance sharing between animals, humans and environment in livestock farming. PLOS Computational Biology, 18(3), e1010018. https://doi.org/10.1371/journal.pcbi.1010018

Pormohammad, A., Nasiri, M. J., & Azimi, T. (2019).

Prevalence of antibiotic resistance in Escherichia coli strains simultaneously isolated from humans, animals, food, and the environment: A systematic review and meta-analysis

. Infection and Drug Resistance, 12, 1181–1197. https://doi.org/10.2147/IDR.S201324

Pruden, A., Larsson, D. G. J., Amézquita, A., Collignon, P., Brandt, K. K., Graham, D. W., Lazorchak, J. M., Suzuki, S., Silley, P., Snape, J. R., Topp, E., Zhang, T., & Zhu, Y.-G. (2013). Management options for reducing the release of antibiotics and antibiotic resistance genes to the environment. Environmental Health Perspectives, 121(8), 878–885. https://doi.org/10.1289/ehp.1206446

Sartelli, M., Barie, P. S., Coccolini, F., Abbas, M., Abbo, L. M., Abdukhalilova, G. K., Abraham, Y., Abubakar, S., Abu-Zidan, F. M., Adebisi, Y. A., Adamou, H., Afandiyeva, G., Agastra, E., Alfouzan, W. A., Al-Hasan, M. N., Ali, S., Ali, S. M., Allaw, F., Allwell-Brown, G., … Worldwide Antimicrobial Resistance National/International Network Group (Warning) Collaborators. (2023). Ten Golden Rules For Optimal Antibiotic Use In Hospital Settings: The Warning Call To Action. World Journal Of Emergency Surgery, 18(1), 50. Https://Doi.Org/10.1186/S13017-023-00518-3

Schnall, J., Rajkhowa, A., Ikuta, K., Rao, P., & Moore, C. E. (2019). Surveillance and monitoring of antimicrobial resistance: Limitations and lessons from the GRAM project. BMC Medicine, 17, 176. https://doi.org/10.1186/s12916-019-1412-8

Su, J.-Q., An, X.-L., Li, B., Chen, Q.-L., Gillings, M. R., Chen, H., Zhang, T., & Zhu, Y.-G. (2017). Metagenomics of urban sewage identifies an extensively shared antibiotic resistome in China. Microbiome, 5(1), 84. https://doi.org/10.1186/s40168-017-0298-y

Sugianli, A. K., Ginting, F., Kusumawati, R. L., Pranggono, E. H., Pasaribu, A. P., Gronthoud, F., Geerlings, S., Parwati, I., De Jong, M. D., Van Leth, F., & Schultsz, C. (2017). Antimicrobial resistance in uropathogens and appropriateness of empirical treatment: A population-based surveillance study in Indonesia. The Journal of Antimicrobial Chemotherapy, 72(5), 1469–1477. https://doi.org/10.1093/jac/dkw578

Sun, J., Liao, X.-P., D’Souza, A. W., Boolchandani, M., Li, S.-H., Cheng, K., Luis Martínez, J., Li, L., Feng, Y.-J., Fang, L.-X., Huang, T., Xia, J., Yu, Y., Zhou, Y.-F., Sun, Y.-X., Deng, X.-B., Zeng, Z.-L., Jiang, H.-X., Fang, B.-H., … Liu, Y.-H. (2020). Environmental remodeling of human gut microbiota and antibiotic resistome in livestock farms. Nature Communications, 11(1), 1427. https://doi.org/10.1038/s41467-020-15222-y

Tsaku, P. A., Ehinmidu, J. O., & Mohammed, S. A. (2017). Antibiotic Susceptibility and Plasmid Profile of Escherichia coli from Door Handles in Two Tertiary Institutions in Nasarawa State, Nigeria | Journal of Advances in Microbiology.

https://journaljamb.com/index.php/JAMB/article/view/161

Van Boeckel, T. P., Brower, C., Gilbert, M., Grenfell, B. T., Levin, S. A., Robinson, T. P., Teillant, A., & Laxminarayan, R. (2015). Global trends in antimicrobial use in food animals. Proceedings of the National Academy of Sciences, 112(18), 5649–5654.

https://doi.org/10.1073/pnas.1503141112

Vargas-Robles, D., Gonzalez-Cedillo, C., Hernandez, A. M., Alcaraz, L. D., & Peimbert, M. (2020). Passenger-surface microbiome interactions in the subway of Mexico City. PLOS ONE, 15(8), e0237272. https://doi.org/10.1371/journal.pone.0237272

WHO Fact Sheet. (2021). Antimicrobial resistance. https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance

Xiang, Q., Chen, Q.-L., Zhu, D., An, X.-L., Yang, X.-R., Su, J.-Q., Qiao, M., & Zhu, Y.-G. (2018). Spatial and temporal distribution of antibiotic resistomes in a peri-urban area is associated significantly with anthropogenic activities. Environmental Pollution, 235, 525–533. https://doi.org/10.1016/j.envpol.2017.12.119

Downloads

Published

2026-06-05

How to Cite

Tila, M. A. V., Sulfikar, Alisah, N., Maryono, & Ruslan, Z. A. (2026). Distribution and Antibiotic Resistance of Escherichia coli on Public Transport Routes in Makassar City: Implications for Resistance Surveillance. Vokatek : Jurnal Pengabdian Masyarakat, 4(1), 58–68. https://doi.org/10.61255/vokatekjpm.v4i1.1222

Issue

Section

Articles