Antimicrobial resistance profile of Escherichia coli in drinking water from one health perspective in low and middle income countries low and middle income countries

This study aimed to estimate the prevalence of antimicrobial resistance profiles of Escherichia coli from drinking water in low-and middle-income countries. Results showed a significant prevalence of antimicrobial resistance, particularly multidrug resistance, with resistance levels against contrimoxazole, amoxicillin, and cefuroxime. The study recommends improving hygiene and sanitation practices and enhancing water and wastewater treatment systems to address this issue, as existing evidence is inconsistence and not comprehensive. The study’s quality appraisal tool and subgroup and sensitivity analysis were also used.