Urban Birds as Antimicrobial Resistance Sentinels: White Storks Showed Higher Multidrug-Resistant Escherichia coli Levels Than Seagulls in Central Spain

SIMPLE SUMMARY: Antimicrobial resistance (AMR) has become a major health challenge of the 21st century. Several studies confirm the potential role of wildlife as sentinel for pathogens surveillance. Moreover, the presence of AMR bacteria in the wildlife can be considered as a good indicator of anthropization level on the ecosystem. The fast increase in AMR worldwide has been enhanced by several factors as globalization and migration. The study of antimicrobial resistance in wild birds is of great importance, as they can travel hundreds of kilometers and disseminate pathogens and AMR across different regions or even continents. The aim of this study was to compare the level of AMR in three bird species: white stork (Ciconia ciconia), lesser black-backed gull (Larus fuscus) and black-headed gull (Chroicocephalus ridibundus). For the analysis, 17 antibiotics from the most representative classes were tested by disk-diffusion method. Results showed 63.2% of seagulls and 31.6% of white storks as carriers of antimicrobial-resistant Escherichia coli, and from all of them, 38.9% were considered multi-drug resistant. Betalactamics, quinolones and tetracyclines were the antibiotic classes with the highest rate of AMR. ABSTRACT: The presence of AMR bacteria in the human–animal–environmental interface is a clear example of the One Health medicine. Several studies evidence the presence of resistant bacteria in wildlife, which can be used as a good indicator of anthropization level on the ecosystem. The fast increase in AMR in the environment in the last decade has been led by several factors as globalization and migration. Migratory birds can travel hundreds of kilometers and disseminate pathogens and AMR through different regions or even continents. The aim of this study was to compare the level of AMR in three migratory bird species: Ciconia ciconia, Larus fuscus and Chroicocephalus ridibundus. For this purpose, commensal Escherichia coli has been considered a useful indicator for AMR studies. After E. coli isolation from individual cloacal swabs, antimicrobial susceptibility tests were performed by the disk-diffusion method, including 17 different antibiotics. A total of 63.2% of gulls had resistant strains, in contrast to 31.6% of white storks. Out of all the resistant strains, 38.9% were considered multi-drug resistant (50% of white storks and 30% of seagulls). The antibiotic classes with the highest rate of AMR were betalactamics, quinolones and tetracyclines, the most commonly used antibiotic in human and veterinary medicine in Spain.