Submitted:
29 March 2026
Posted:
31 March 2026
You are already at the latest version
Abstract

Keywords:
1. Introduction
2. Materials and Methods
2.1. Study Area
2.2. Sample Collection
2.3. Bacteriological Investigation
2.4. Data Analysis
2.5. Use of Generative AI
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| AMI | amikacin |
| AMR | Antimicrobial Resistance |
| AMP/SAM | ampicillin/sulbactam |
| ARG | Antimicrobial Resistance Gene |
| AST | Antimicrobial Susceptibility Testing |
| AZT | aztreonam |
| B-PEN | benzylpenicillin |
| CFP | cefepime |
| CIP | ciprofloxacin |
| CLIN | clindamycin |
| COL | colistin |
| CZD | ceftazidime |
| ERY | erythromycin |
| FOM | fosfomycin |
| FOX | cefoxitin |
| FUS | fusidic acid |
| GEN | gentamicin |
| GN | Gram-negative |
| GP | Gram-positive |
| HPC | Heterotrophic Plate Count |
| IMI | imipenem |
| JB | Jászberény (study site) |
| JFGY | Jászfelsőszentgyörgy (study site) |
| LEV | levofloxacin |
| LIN | linezolid |
| MAR | Multiple Antibiotic Resistance |
| MDR | Multidrug Resistance |
| MER | meropenem |
| MOX | moxifloxacin |
| OXA | oxacillin |
| PCA | Plate Count Agar |
| PIP | piperacillin |
| RIF | rifampicin |
| SD | Standard Deviation |
| SXT | trimethoprim/sulfamethoxazole |
| TEI | teicoplanin |
| TET | tetracycline |
| TIC/CLA | ticarcillin/clavulanic acid |
| TIGE | tigecycline |
| TOM | tobramycin |
| TRIM | trimethoprim |
| TZP | piperacillin/tazobactam |
| VAN | vancomycin |
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| Land cover subcategories | JB | JFGY |
|---|---|---|
| urban greenery | 10,7% | 4,5% |
| buildings and roads | 13,2% | 3,8% |
| cropland | 51,4% | 67,9% |
| orchard and vineyard | 0,0% | 0,8% |
| complex cultivation | 1,7% | 1,2% |
| grassland | 17,2% | 6,1% |
| wet habitat | 4,8% | 3,6% |
| woodland | 0,7% | 11,9% |
| surface water | 0,4% | 0,1% |
| Site | Sample ID | Sex1 | Isolate ID | Gram type2 | Organism | Profile of decreased susceptibility (MIC) | Tested AM3 | MAR index [CI 95%] |
|---|---|---|---|---|---|---|---|---|
| JB | JB-01 | M | JB_01.1 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB_01.2 | GN | Enterobacter cloacae complex | Colistin (<= 0.5)5 | 14 | 0.071 [0.002-0.339] | |||
| JB | JB-02 | M | JB_02.1 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB_02.2 | GN | Klebsiella oxytoca | Piperacillin (16.0) | 16 | 0.062 [0.002-0.302] | |||
| JB | JB-03 | F | JB_03.1 | GP | Enterobacter cloacae complex | n.i. | n.a. | n.a. |
| JB_03.2 | GN | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB | JB-04 | F | JB_04.2 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB | JB-05 | F | JB_05.1 | GN | Klebsiella spp. (low discr.) | Ampicillin/Sulbactam (16.0), Ticarcillin/Clavulinic acid (<= 8), Piperacillin (8.0) | 15 | 0.200 [0.043-0.481] |
| JB | JB-06 | M | JB_06.1 | GN | Enterobacter cloacae complex | Colistin (<= 0.5)5 | 15 | 0.067 [0.002-0.319] |
| JB_06.2 | GP | Enterococcus raffinosus | none | 1 | 0.000 [0.000-0.975] | |||
| JB | JB-07 | F | JB_07.3 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB_07.1 | GP | Kocuria rhizophila | n.i. | n.a. | n.a. | |||
| JB_07.2 | GN | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB | JB-08 | F | JB_08.1 | GP | Dermacoccaceae (low discr.) | n.i. | n.a. | n.a. |
| JB_08.3 | GP | Enterococcus faecium | n.i. | n.a. | n.a. | |||
| JB | JB-09 | M | JB_09.3 | GP | Staphylococcus gallinarum | Cefoxitin Screen (POS), Benzylpenicillin (>= 0.5), Erythromycin (>= 8), Tetracycline (2.0), Fosfomycin (>= 128), Fusidic Acid (4.0), Rifampicin (1.0)4 | 14 | 0.500 [0.230-0.770] |
| JB_09.1 | GP | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB_09.2 | GP | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB | JB-10 | F | JB_10.0 | GP | Unidentified Organism | n.i. | n.a. | n.a. |
| JB | JB-11 | M | JB_11.1 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB_11.2 | GN | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB | JB-12 | F | JB_12.2 | GP | Rothia kristinae | n.i. | n.a. | n.a. |
| JB_12.0 | GN | Enterobacter cloacae complex | Colistin (<= 0.5)5 | 14 | 0.071 [0.002-0.339] | |||
| JB | JB-13 | F | JB_13.2 | GN | Enterobacter cloacae complex | n.i. | n.a. | n.a. |
| JB | JB-14 | M | JB_14.1 | GP | Staphylococcus (syn. Mammaliicoccus) lentus | Cefoxitin Screen (POS), Benzylpenicillin (>= 0.5), Oxacillin (>= 4), Fosfomycin (>= 128), Rifampicin (>= 32) | 16 | 0.312 [0.110-0.587] |
| JB_14.2 | GP | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JB | JB-15 | M | JB_15.1 | GN | Escherichia coli | none | 15 | 0.000 [0.000-0.218] |
| JB_15.3 | GP | Enterococcus faecium | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] | |||
| JB | JB-16 | M | JB_16.1 | GP | Enterococcus faecalis | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JB_16.2 | GP | Unidentified Organism | n.i. | n.a. | n.a. | |||
| JFGY | JFGY-01 | M | JFGY_01.1 | GP | Staphylococcus (syn. Mammaliicoccus) sciuri | Benzylpenicillin (0.5), Clindamycin (<= 0.25), Fusidic Acid (8.0) | 16 | 0.188 [0.040-0.456] |
| JFGY | JFGY-02 | M | JFGY_02.3 | GP | Kocuria rosea | n.i. | n.a. | n.a. |
| JFGY_02.2 | GN | Sphingomonas paucimobilis | n.i. | n.a. | n.a. | |||
| JFGY_02.1 | GN | Stenotrophomonas maltophilia | n.i. | n.a. | n.a. | |||
| JFGY | JFGY-03 | F | JFGY_03.1 | GN | Aeromonas hydrophila | Ciprofloxacin (1.0) | 3 | 0.333 [0.008-0.906] |
| JFGY_03.2 | GN | Ewingella americana | none | 15 | 0.000 [0.000-0.218] | |||
| JFGY_03.3 | GN | Ac. lwoffii/Ps. spp. (low discr.) | n.i. | n.a. | n.a. | |||
| JFGY_03.4 | GN | Sphingomonas paucimobilis | Amikacin (32.0)4, Gentamicin (8.0)4, Tobramycin (>=16), Ciprofloxacin (>=4) | 4 | 1.000 [0.398-1.000] | |||
| JFGY | JFGY-04 | F | JFGY_04.1 | GN | Serratia liquefaciens group | Colistin (>=16) | 14 | 0.071 [0.002-0.339] |
| JFGY_04.2 | GN | Serratia fonticola | Colistin (<= 0.5)5 | 14 | 0.071 [0.002-0.339] | |||
| JFGY | JFGY-06 | F | JFGY_06.1 | GP | Enterococcus durans | n.i. | n.a. | n.a. |
| JFGY_06.2 | GN | Sphingomonas paucimobilis | Tobramycin (8.0)4 | 4 | 0.250 [0.006-0.806] | |||
| JFGY_06.3 | GP | Enterococcus faecalis | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] | |||
| JFGY | JFGY-07 | M | JFGY_07.1 | GN | Stenotrophomonas maltophilia | n.i. | n.a. | n.a. |
| JFGY_07.2 | GN | Aeromonas salmonicida | n.i. | n.a. | n.a. | |||
| JFGY_07.3 | GN | Serratia fonticola | n.i. | n.a. | n.a. | |||
| JFGY | JFGY-08 | M | JFGY_08.1 | GN | Sphingomonas paucimobilis | none | 4 | 0.000 [0.000-0.602] |
| JFGY_08.4 | GP | Staphylococcus equorum | Erythromycin (>= 8), Clindamycin (<= 0.25), Fosfomycin (>= 128) | 15 | 0.200 [0.043-0.481] | |||
| JFGY | JFGY-09 | M | JFGY_09.1 | GP | Unidentified Organism | n.i. | n.a. | n.a. |
| JFGY_09.2 | GN | Citrobacter braakii | Ampicillin/Sulbactam (1.0) | 15 | 0.067 [0.002-0.339] | |||
| JFGY | JFGY-10 | F | JFGY_10.1 | GN | Acinetobacter lwoffii | Ticarcillin/Clavulinic acid (32.0)4 | 10 | 0.100 [0.003-0.445] |
| JFGY_10.2 | GN | Serratia fonticola | Colistin (>=16) | 14 | 0.071 [0.002-0.339] | |||
| JFGY | JFGY-11 | F | JFGY_11.1 | GN | Pseudomonas fluorescens | Ticarcillin/Clavulinic acid (>=128), Ceftazidime (>=64), Aztreonam (>=64), Meropenem (4.0)4, Amikacin (>=64), Gentamicin (8.0), Tobramycin (>=16), Colistin (>=16) | 8 | 1.000 [0.631-1.000] |
| JFGY | JFGY-12 | M | JFGY_12.0 | GP | Enterococcus durans | none | 8 | 0.000 [0.000-0.369] |
| JFGY | JFGY-13 | F | JFGY_13.1 | GP | Enterococcus faecalis | Trimethoprim/ Sulfamethoxazole (<= 10)4 | 9 | 0.111 [0.003-0.482] |
| JFGY_13.2 | GN | Pseudomonas fluorescens | Ticarcillin/Clavulinic acid (>=128), Aztreonam (>=64), Imipenem (8.0), Meropenem (4.0)4, Gentamicin (<= 1)4 | 8 | 0.625 [0.245-0.915] | |||
| JFGY | JFGY-14 | M | JFGY_14.1 | GN | Acinetobacter baumannii complex | Piperacillin (32.0) | 11 | 0.091 [0.002-0.413] |
| JFGY | JFGY-15 | M | JFGY_15.1 | GN | Enterobacter cloacae complex | Colistin (<= 0.5)5 | 14 | 0.071 [0.002-0.339] |
| JFGY | JFGY-16 | F | JFGY_16.1 | GP | Granulicatella adiacens | n.i. | n.a. | n.a. |
| JFGY_16.2 | GP | Kocuria rosea/rhizophila (low) | n.i. | n.a. | n.a. |
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