Tracking antibiotic-resistant bacteria in community and hospital wastewater

Operationalizing wastewater-based surveillance of multidrug-resistant bacteria

NIH-funded research Children's Hosp of Philadelphia · NIH-11457741

This project uses regular wastewater checks to track antibiotic-resistant bacteria in communities and hospitals to help protect patients.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11457741 on NIH RePORTER

What this research studies

From my point of view, researchers will build small model wastewater systems that mimic sewer flow and change conditions like flow speed, pH, and retention time to see how resistant bacteria and resistance genes travel and survive. They will also collect real wastewater and compare the genetic signals they find with hospital clinical detection of multidrug-resistant organisms using DNA sequencing. The team aims to improve methods for measuring resistance in wastewater so results better reflect true community and hospital burdens. If tools are reliable, public-health teams could use them to spot hidden carriers and anticipate outbreaks earlier.

Who could benefit from this research

Good fit: The most relevant people would be patients, staff, and community members in the hospitals and sewer catchment areas where wastewater and clinical samples are collected, especially those with suspected or confirmed antibiotic-resistant infections.

Not a fit: People living outside the studied hospital or sewer areas, or those without exposure to antibiotic-resistant bacteria, may not see direct benefit from this project.

Why it matters

Potential benefit: If successful, routine wastewater checks could give earlier warnings of outbreaks of drug-resistant bacteria and help hospitals and public-health teams prevent infections.

How similar studies have performed: Wastewater monitoring worked well for tracking viruses like SARS-CoV-2 and resistance genes have been detected in sewage, but using wastewater routinely to track multidrug-resistant bacteria is still relatively new.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.