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Escherichia coli (E. coli) are widely used as indicators of fecal pollution of water. Extended spectrum beta-lactase (ESBL)-producing E. coli are representative of enzymes produced by bacteria to destroy antibiotics and are one way that bacteria develop resistance. Certain groups of people have greater exposure to such resistant bacteria, principally those swimming in fresh or coastal waters e.g. surfers[4].

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Dominique Monnet (invited by Caroline Whalley) 26 Mar 2019 14:49:29
- "Extended-spectrum beta-lactamase" (not "Extended spectrum beta-lactase")
- We have evidence for swimming in coastal waters (Leonard et al. 2015, and several other references). But not sure that we have evidence for swimming in fresh waters. This must be checked.

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