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Scientific Reports, Published online: 20 August 2026; doi:10.1038/s41598-026-67590-y Building-level wastewater surveillance of antimicrobial resistance in the general, student and hospital-associated…

• Wastewater surveillance tracks AMR in Perugia's general, student, and hospital populations
• Third-generation cephalosporin resistant E. coli prevalence consistent across populations
• Vancomycin-resistant enterococci levels highest in hospital wastewater

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