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Antibiotic resistance thwarts the treatment of infectious diseases leading to high rate of mortality worldwide. The heightened
use/misuse of antimicrobials has worsened the situation by selection and dissemination of resistant isolates and in turn
resistance determinants. Extended-spectrum �²-lactamases (ESBLs) turn out to be a helping hand that impedes the treatment
of infections caused by Enterobacteriaceae. Polluted water environments are hotspot for the acquisition and dissemination
of resistance genes where exchange of genetic elements (i.e., plasmids, transposons and integrons) between distant related
bacteria occurs. The present study was performed to access the antibiotic resistance pattern among the inhabitant bacterial
isolates of Delhi stretch of river Yamuna and also to determine the prevalence of ESBL genes among isolates conferring
resistance. Out of 231 isolates obtained from ten different sites receiving domestic and industrial sewage, 118 were resistant to
cefotaxime. 68 isolates positive for ESBL production via PDCT were also found to confer resistance towards other antibiotics
with different mode of action. High level resistance to ertapenem left carbapenems in vein that are widely regarded as the drugs
of choice for treatment of severe infections caused by ESBL producing Enterobacteriaceae. When accessed for ESBL genes these
isolates marked the presence of blaTEM, blaSHV and blaCTX-M individually and in combinations. The identification of highly
resistant ESBLs-producing bacteria in polluted river water raises alarming concern to the increasing resistance that would lead
humanity in a situation worse than pre-antibiotic era, hence, putting forth an urgent need to devise strategies for preventing
emergence and dissemination of resistance.