Antibiotic resistance in hospital wastewater in West Africa: a systematic review and meta-analysis
Antibiotic-resistant bacteria (ARB) are a global concern, increasing morbidity, mortality, and healthcare costs. A systematic review of 23 studies in West Africa found that resistant bacteria were reported in 39% of the studies, while 17 reported ARGs. The most common ARGs were blaTEM (29%), blaOXA- 48 (18%), blaSHV (18%), and mecA (18%). The meta-analysis showed high prevalence rates for resistant bacteria and ARGs in West Africa, emphasizing the need for improved monitoring and treatment of HWW.
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