Degradation and removal methods of antibiotics from aqueous matrices--a review

Global trends in the research and development of medical/pharmaceutical wastewater treatment over the half-century

The COVID-19 pandemic has severely impacted public health and the worldwide economy. The overstretched operation of health systems around the world is accompanied by potential and ongoing environmental threats. At present, comprehensive scientific assessments of research on temporal changes in medical/pharmaceutical wastewater (MPWW), as well as estimations of researcher networks and scientific productivity are lacking. Therefore, we conducted a thorough literature study, using bibliometrics to reproduce research on medical wastewater over nearly half a century. Our primary goal is systematically to map the evolution of keyword clusters over time, and to obtain the structure and credibility of clusters. Our secondary objective was to measure research network performance (country, institution, and author) using CiteSpace and VOSviewer. We extracted 2306 papers published between 1981 and 2022. The co-cited reference network identified 16 clusters with well-structured networks (Q = 0.7716, S = 0.896). The main trends were as follows: 1) Early MPWW research prioritized sources of wastewater, and this cluster was considered to be the mainstream research frontier and direction, representing an important source and priority research area. 2) Mid-term research focused on characteristic contaminants and detection technologies. Particularly during 2000-2010, a period of rapid developments in global medical systems, pharmaceutical compounds (PhCs) in MPWW were recognized as a major threat to human health and the environment. 3) Recent research has focused on novel degradation technologies for PhC-containing MPWW, with high scores for research on biological methods. Wastewater-based epidemiology has emerged as being consistent with or predictive of the number of confirmed COVID-19 cases. Therefore, the application of MPWW in COVID-19 tracing will be of great interest to environmentalists. These results could guide the future direction of funding agencies and research groups.

Repeated fluctuation of Cu2+ concentration during photocatalytic purification of SMZ-Cu2+ combined pollution: Behavior, mechanism and application

Although the effect of Cu²⁺ on antibiotic removal during photocatalytic reaction has been studied in depth, there is less known about the effect of antibiotics on Cu²⁺ removal. In this study, we report for the first time that, during the photocatalytic purification of sulfamerazine (SMZ) and Cu²⁺ combined pollution, Cu²⁺ concentration showed an obvious five-stage fluctuation, which was completely different from the simple promotion or inhibition reported in previous studies. By employing HPLC-MS analysis and density functional theory (DFT) calculation, the repeated fluctuation of Cu²⁺ concentration was found to be closely related to the SMZ degradation process, mainly resulting from solution pH drop and formation of Cu-containing intermediates which acted as sacrificial agents for Cu²⁺ reduction. In addition, compared with the SMZ-free system, the presence of SMZ can greatly enhance the deep removal of Cu²⁺ (minimum Cu²⁺ concentration was only 0.17 mg/L vs. 1.28 mg/L without SMZ), and there was a wide time interval to ensure the efficient recovery of Cu metal. More interestingly, the in-situ obtained Cu-decorated TiO₂ photocatalyst performed well in water splitting, nitrogen fixation and bacterial sterilization. Results of this study confirmed the great potential of photocatalytic technology in purifying antibiotic-heavy metal combined pollution.

Advances of non-thermal plasma discharge technology in degrading recalcitrant wastewater pollutants. A comprehensive review

With development and urbanization, the amount of wastewater generated due to human activities drastically increases yearly, causing water pollution and intensifying the already worsened water crisis. Although convenient, conventional wastewater treatment methods such as activated sludge, stabilization ponds, and adsorption techniques cannot fully eradicate the complex and recalcitrant contaminants leading to toxic byproducts generation. Recent advancements in wastewater treatment techniques, specifically non-thermal plasma technology, have been extensively investigated for the degradation of complex pollutants in wastewater. Non-thermal plasma is an effective alternative for degrading and augmenting the biodegradability of recalcitrant pollutants due to its ability to generate reactive species in situ. This article critically reviews the non-thermal plasma technology, considering the plasma discharge configuration and reactor types. Furthermore, the influence of operational parameters on the efficiency of the plasma systems and the reactive species generated by the system during discharge has gained significant interest and hence been discussed. Also, the application of non-thermal plasma technology for the degradation of pharmaceuticals, pesticides, and dyes and the inactivation of microbial activities are outlined in this review article. Additionally, optimistic applications involving the combination of non-thermal plasma and catalysts and pilot and industrial-scale projects utilizing non-thermal plasma technology have been addressed. Concluding perceptions on the challenges and future perspectives of the non-thermal technology on wastewater treatment are accentuated. Overall, this review outlines a comprehensive understanding of the non-thermal plasma technology for recalcitrant pollutant degradation from a scientific perspective providing detailed instances for reference.

Optimized Green Nanoemulsions to Remove Pharmaceutical Enoxacin from Contaminated Bulk Aqueous Solution

We attempted to develop green nanoemulsions (ENE1-ENE5) using capryol-C90 (C90), lecithin, Tween 80, and N-methyl-2-pyrrolidone (NMP). HSPiP software and experimentally obtained data were used to explore excipients. ENE1-ENE5 nanoemulsions were prepared and evaluated for in vitro characterization parameters. An HSPiP based QSAR (quantitative structure-activity relationship) module established a predictive correlation between the Hansen solubility parameter (HSP) and thermodynamic parameters. A thermodynamic stability study was conducted under stress conditions of temperature (from -21 to 45 °C) and centrifugation. ENE1-ENE5 were investigated for the influence of size, viscosity, composition, and exposure time on emulsification (5-15 min) on %RE (percent removal efficiency). Eventually, the treated water was evaluated for the absence of the drug using electron microscopy and optical emission spectroscopy. HSPiP program predicted excipients and established the relationship between enoxacin (ENO) and excipients in the QSAR module. The stable green nanoemulsions ENE-ENE5 possessed the globular size range of 61-189 nm, polydispersity index (PDI) of 0.1-0.53, viscosity of 87-237 cP, and ζ potential from -22.1 to -30.8 mV. The values of %RE depended upon the composition, globular size, viscosity, and exposure time. ENE5 showed %RE value as 99.5 ± 9.2% at 15 min of exposure time, which may be due to the available maximized adsorption surface. SEM-EDX (scanning electron microscopy-X-ray dispersive energy mode) and inductively coupled plasma-optical emission spectroscopy (ICP-OES) negated the presence of ENO in the treated water. These variables were critical factors for efficient removal of ENO during water treatment process design. Thus, the optimized nanoemulsion can be a promising approach to treat water contaminated with ENO (a potential pharmaceutical antibiotics).

The Application of Hydroxyapatite NPs for Adsorption Antibiotic from Aqueous Solutions: Kinetic, Thermodynamic, and Isotherm Studies

Antibiotic pollution has become a serious concern due to the extensive use of antibiotics, their resistance to removal, and their detrimental effects on aquatic habitats and humans. Hence, developing an efficient antibiotic removal process for aqueous solutions has become vital. Amoxicillin (Amox) is one of the antibiotics that has been efficiently removed from an aqueous solution using hydroxyapatite nanoparticles (HAP NPs). The current study synthesizes and utilizes hydroxyapatite nanoparticles as a cost-effective adsorbent. Adsorbent dose, pH solution, initial Amox concentration, equilibrium time, and temperature are among the factors that have an evident impact on Amox antibiotic adsorption. The (200) mg dose, pH (5), temperature (25) °C, and time (120) min are shown to be the best-optimized values. The nonlinear Langmuir’s isotherm and pseudo-second-order kinetic models with equilibrium capacities of 4.01 mg/g are highly compatible with the experimental adsorption data. The experimental parameters of the thermodynamic analysis show that the Amox antibiotic adsorption onto HAP NPs powder is spontaneous and exothermic.

Adsorptive removal of dichlorophenoxyacetic acid (2,4-D) using novel nanoparticles based on cationic surfactant-coated titania nanoparticles

A novel nanomaterial based on cationic surfactant-coated TiO₂ nanoparticle (CCTN) was systematically fabricated in this work. Synthesized titania nanoparticles were thoroughly characterized by XRD, FT-IR, HR-TEM, TEM-EDX, SEM with EDX mapping, BET, and ζ potential measurements. The adsorption of cationic surfactant, cetyltrimethylammonium bromide (CTAB), on TiO₂ was studied under various pH and ionic strength conditions. Adsorption of CTAB on TiO₂ increased with ionic strength increment in the presence of hemimicelle monolayer structure, indicating that nonelectrostatic and electrostatic forces control CTAB uptake. CTAB adsorption isotherms on TiO₂ were according to a two-step model. Potential application in pesticide removal of 2,4-dichorophenoxy acetic acid (2,4-D) using CCTN was also studied. Optimum parameters for 2,4-D treatment through adsorption technique were pH 5, adsorption time of 120 min, and CCTN dosage of 10 mg·mL^-1. Very low 2,4-D removal efficiency using TiO₂ without CTAB coating was found to be approximately 28.5% whereas the removal efficiency was up to about 90% by using CCTN under optimum conditions, and the maximum adsorption capacity of 12.79 mg·g^-1 was found. Adsorption isotherms of 2,4-D on CCTN were more suitable with the Langmuir model than Freundlich. Adsorption mechanisms of 2,4-D on CCTN were mainly governed by Columbic attraction based on isotherms and surface charge changes.

Fe2O3/diatomite materials as efficient photo-Fenton catalysts for ciprofloxacin removal

In this study, we used Fe₂O₃/diatomite material system toward ciprofloxacin (CIP) photo-Fenton removal in water under visible light (vis) excitation. The characterization of Fe₂O₃/diatomite catalysts was determined by X-ray diffraction patterns, Fourier-transform infrared analysis, inductively coupled plasma mass spectrometry, and scanning electron microscopy. The photo-Fenton catalytic activity of the Fe₂O₃/diatomite was appraised by the removal efficiency of the CIP throughout the effect of the H₂O₂ with various parameters such as initial pH, catalyst amount, and H₂O₂ amount. The results indicate that 0.2 gL^-1 Fe₂O₃/diatomite catalysts achieved the highest performance at approximately 90.03% with a 50 μL H₂O₂ concentration. Furthermore, the Fe₂O₃/diatomite catalysts have high stability, with over 80% CIP removed after five cycles. This study is inspired to develop a potential material for photo-Fenton degradation of antibiotics in wastewater.

A fundamental study on the degradation of paracetamol under single- and dual-frequency ultrasound

The degradation of paracetamol, a widely found emerging pharmaceutical contaminant, was investigated under a wide range of single-frequency and dual-frequency ultrasonic irradiations. For single-frequency ultrasonic irradiation, plate transducers of 22, 98, 200, 300, 400, 500, 760, 850, 1000, and 2000 kHz were employed and for dual-frequency ultrasonic irradiation, the plate transducers were coupled with a 20 kHz ultrasonic horn in opposing configuration. The sonochemical activity was quantified using two dosimetry methods to measure the yield of HO• and H₂O₂ separately, as well as sonochemiluminescence measurement. Moreover, the severity of the bubble collapses as well as the spatial and size distribution of the cavitation bubbles were evaluated via sonoluminescence measurement. The paracetamol degradation rate was maximised at 850 kHz, in both single and dual-frequency ultrasonic irradiation. A synergistic index higher than 1 was observed for all degrading frequencies (200 - 1000 kHz) under dual-frequency ultrasound irradiation, showing the capability of dual-frequency system for enhancing pollutant degradation. A comparison of the results of degradation, dosimetry, and sonoluminescence intensity measurement revealed the stronger dependency of the degradation on the yield of HO• for both single and dual-frequency systems, which confirms degradation by HO• as the main removal mechanism. However, an enhanced degradation for frequencies higher than 500 kHz was observed despite a lower HO• yield, which could be attributed to the improved mass transfer of hydrophilic compounds at higher frequencies. The sonoluminescence intensity measurements showed that applying dual-frequency ultrasonic irradiation for 200 and 400 kHz made the bubbles larger and less uniform in size, with a portion of which not contributing to the yield of reactive oxidant species, whereas for the rest of the frequencies, dual-frequency ultrasound irradiation made the cavitation bubbles smaller and more uniform, resulting in a linear correlation between the overall sonoluminescence intensity and the yield of reactive oxidant species.

How do freshwater microalgae and cyanobacteria respond to antibiotics?

Antibiotic pollution is an emerging environmental challenge. Residual antibiotics from various sources, including municipal and industrial wastewater, sewage discharges, and agricultural runoff, are continuously released into freshwater environments, turning them into reservoirs that contribute to the development and spread of antibiotic resistance. Thus, it is essential to understand the impacts of antibiotic residues on aquatic organisms, especially microalgae and cyanobacteria, due to their crucial roles as primary producers in the ecosystem. This review summarizes the effects of antibiotics on major biological processes in freshwater microalgae and cyanobacteria, including photosynthesis, oxidative stress, and the metabolism of macromolecules. Their adaptive mechanisms to antibiotics exposure, such as biodegradation, bioadsorption, and bioaccumulation, are also discussed. Moreover, this review highlights the important factors affecting the antibiotic removal pathways by these organisms, which will promote the use of microalgae-based technology for the removal of antibiotics. Finally, we offer some perspectives on the opportunities for further studies and applications.

Enzyme-Linked Metal Organic Frameworks for Biocatalytic Degradation of Antibiotics

Metal organic frameworks (MOFs) are multi-dimensional network of crystalline material held together by bonding of metal atoms and organic ligands. Owing to unique structural, chemical, and physical properties, MOFs has been used for enzyme immobilization to be employed in different catalytic process, including catalytic degradation of antibiotics. Immobilization process other than providing large surface provides enzyme with enhanced stability, catalytic activity, reusability, and selectivity. There are various approaches of enzyme immobilization over MOFs including physical adsorption, chemical bonding, diffusion and in situ encapsulation. In situ encapsulation is one the best approach that provides extra stability from unfolding and denaturation in harsh industrial conditions. Presence of antibiotic in environment is highly damaging for human in particular and ecosystem in general. Different methods such as ozonation, oxidation, chlorination and catalysis are available for degradation or removal of antibiotics from environment, however these are associated with several issues. Contrary to these, enzyme immobilized MOFs are novel system to be used in catalytic degradation of antibiotics. Enzyme@MOFs are more stable, reusable and more efficient owing to additional support of MOFs to natural enzymes in well-established process of photocatalysis for degradation of antibiotics aimed at environmental remediation. Prime focus of this review is to present catalytic degradation of antibiotics by enzyme@MOFs while outlining their synthetics approaches, characterization, and mechanism of degradation. Furthermore, this review highlights the significance of enzyme@MOFs system for antibiotics degradation in particular and environmental remediation in general. Current challenges and future perspective of research in this field are also outlined along with concluding comments.

Graphical Abstract

Ofloxacin Degradation over Nanosized Fe3O4 Catalyst viaThermal Activation of Persulfate Ions

In this work, an Fe3O4 catalyst was synthetized in a single step via electrochemical synthesis. The Fe3O4 catalyst was used to evaluate the degradation of Ofloxacin (OFX) using a heterogeneous advanced oxidation process with sodium persulfate (PS). PS activation was successfully achieved via thermal conventional heating directly and subsequently applied for the degradation of OFX. The degradation kinetics were studied under different conditions, such as catalyst and oxidant concentration and temperature. The results show that a higher reaction temperature, catalyst and initial PS dose strongly influence the degradation efficiency. Thermal activation of persulfate was tested at 20, 40 and 60 °C. At 60 °C, the half-time of OFX was 23 times greater than at 20 °C, confirming the activation of persulfate. Mineralization studies also showed that under optimized conditions (20 mM of persulfate, 1 g/L catalyst and 100 mg/L OFX), a 66% reduction in organic matter was observed, in contrast to that obtained at 40 °C and 20 °C, which was null. The reusability, as tested through the fourth reuse cycle, resulted in a 38% reduced degradation efficiency when comparing the first and last cycle. Furthermore, the electrosynthesized catalyst presented similar degradation efficiencies in both real water and MilliQ, mainly because of the Cl2− generation at high Cl− concentrations that takes place in Cl− contaminated water.

Degradation of antibiotics by electrochemical advanced oxidation processes (EAOPs): Performance, mechanisms, and perspectives

Global consumption and discharge of antibiotics have led to the rapid development and spread of bacterial antibiotic resistance. Among treatment strategies, electrochemical advanced oxidation processes (EAOPs) are gaining popularity for treating water/wastewater containing antibiotics due to their high efficiency and easiness of operation. In this review, we summarize various forms of EAOPs that contribute to antibiotic degradation, including common electrochemical oxidation (EO), electrolyte enhanced EO, electro-Fenton (EF) processes, EF-like process, and EAOPs coupling with other processes. Then we assess the performance of various EAOPs in antibiotic degradation and discuss the influence of key factors, including electrode, initial concentration and type of antibiotic, operation conditions, electrolyte, and water quality. We also review mechanisms and degradation pathways of various antibiotics degradation by EAOPs, and address the species and toxicity of intermediates produced during antibiotics treatment. Finally, we highlight challenges and critical research needs to facilitate the application of EAOPs in antibiotic treatment.

Biodegradation of cefalexin by two bacteria strains from sewage sludge

Bioremediation has been used as an environmentally-friendly, energy-saving and efficient method for removing pollutants. However, there have been very few studies focusing on the specific antibiotic-degrading microorganisms in the activated sludge and their degradation mechanism. Two strains of cefalexin-degrading bacteria (Rhizobium sp. (CLX-2) and Klebsiella sp. (CLX-3)) were isolated from the activated sludge in this study. They were capable of rapidly eliminating over 99% of cefalexin at an initial concentration of 10 mg l^-1 within 12 h. The exponential phase of cefalexin degradation happened a little earlier than that of bacterial growth. The first-order kinetic model could elucidate the biodegradation process of cefalexin. The optimized environmental temperature and pH values for rapid biodegradation by these two strains were found to be 30°C and 6.5-7, respectively. Furthermore, two major biodegradation metabolites of CLX-3, 7-amino-3-cephem-4-carboxylic acid and 2-hydroxy-3-phenyl pyrazine were identified using UHPLC-MS and the biodegradation pathway of cefalexin was proposed. Overall, the results showed that Rhizobium sp. (CLX-2) and Klebsiella sp. (CLX-3) could possibly be useful resources for antibiotic pollution remediation.

Exploration of the effect of simultaneous removal of EDCs in the treatment process of different types of wastewater

The SPE-HPLC-MS/MS method was used to investigate the concentration distribution of nine types of estrogens in 18 locations of pollution source along the Jiuzhou River belonging to river systems in Guangdong province and Guangxi Zhuang autonomous region in China, and the estrogenic activity and potential ecological risks were evaluated by calculating the estradiol equivalency (EEQ). The results showed that the calculated estradiol equivalents (cEEQs) of wastewater treatment plants from 17 locations were all higher than 1 ng/L. To further study the removal effect of the treatment process on the estrogens, the pig breeding wastewater from P4 and the municipal wastewater from P13, as well as the black-odorous water, were sampled and surveyed during the entire process. It turned out that estrogens were effectively removed after nitrification activated sludge treatment. Meanwhile, there was a positive correlation between the removal of NH₃-N, total nitrogen (TN) and total phosphorus (TP) and the removal of endocrine disrupting chemicals (EDCs). It is shown in the study the secondary treatment process has achieved a significant effect on the removal of estrogen in both the wet and dry periods and that there has been a positive correlation between the activities of total phosphorus compounds, nitrogen-based compounds and the removal of EDCs.

Investigation of antibiotic-resistant vibrios associated with shrimp (Penaeus vannamei) farms

For the sustainable farming of disease-free and healthy shrimps, antimicrobial use is frequent nowadays in shrimp-cultured system. Considering the serious impact of global antimicrobial resistance (AMR), the present study was focused to investigate the prevalence of antimicrobial-resistant vibrios among infected shrimps (Penaeus vannamei) from two brackish water-cultured farms. Diverse species of vibrios viz. V. alginolyticus, V. parahaemolyticus, V. cholerae, V. mimicus, and V. fluvialis along with Aeromonas hydrophila, A. salmonicida and Shewanella algae were recovered from the shrimps on TCBS medium. Shannon-Wiener diversity index and H' (loge) were 1.506 and 1.69 for the isolates from farm 1 and farm 2, respectively. V. alginolyticus was found to be the most resistant isolate by showing multiple antibiotic resistance (MAR) index of 0.60 followed by V. mimicus (0.54) and V. parahaemolyticus (0.42). Among the 35 antibiotics of 15 different classes tested, tetracyclines, beta-lactams and cephalosporins were found as the most resistant antibiotic classes. All the isolates possessed a MAR index > 0.2 and the majority exhibited minimum inhibitory concentration (MIC) > 256 mcg/ml, thereby indicating the excess exposure of antibiotics in the systems. An enhanced altered resistance phenotype and a significant shift in the MAR index were noticed after plasmid curing. Public health is further concerning because plasmid-borne AMR is evident among the isolates and the studied shrimp samples are significant in the food industry. This baseline information will help the authorities to curb antimicrobial use and pave the way for establishing new alternative strategies by undertaking a multidimensional "One-Health" approach.

Degradation of the Selected Antibiotic in an Aqueous Solution by the Fenton Process: Kinetics, Products and Ecotoxicity

Sulfonamides used in veterinary medicine can be degraded via the Fenton processes. In the premise, the process should also remove the antimicrobial activity of wastewater containing antibiotics. The kinetics of sulfathiazole degradation and identification of the degradation products were investigated in the experiments. In addition, their toxicity against Vibrio fischeri, the MARA^® assay, and unselected microorganisms from a wastewater treatment plant and the river was evaluated. It was found that in the Fenton process, the sulfathiazole degradation was described by the following kinetic equation: r₀ = k C_STZ^{-1 or 0} C_Fe(II)³ C_H2O2^{0 or 1} C_TOC^-2, where r₀ is the initial reaction rate, k is the reaction rate constant, C is the concentration of sulfathiazole, Fe(II) ions, hydrogen peroxide and total organic carbon, respectively. The reaction efficiency and the useful pH range (up to pH 5) could be increased by UVa irradiation of the reaction mixture. Eighteen organic degradation products of sulfathiazole were detected and identified, and a possible degradation mechanism was proposed. An increase in the H₂O₂ dose, to obtain a high degree of mineralization of sulfonamide, resulted in an increase in the ecotoxicity of the post-reaction mixture.

Optimized Mo-doped IrOx anode for efficient degradation of refractory sulfadiazine

Electrochemical advanced oxidation processes (EAOPs) is considered to be an efficacious method to degrade antibiotics. However, the performance of the anode has become the main limiting factor of this technology. In this study, due to the electron-deficient characteristics and the improvement of OER performance of Mo, we chose to use thermal decomposition to incorporate Mo into IrO₂ to prepare anodes with industrial applicability. Under the optimal ratio of Ir to Mo is 7:3, (Ir_0.7Mo_0.3)O_x electrode's particular pore structure can expose more active sites and create a channel for the transportation of electrons, thereby promoting the formation of free radicals and degrading pollutants more efficiently. (Ir_0.7Mo_0.3)O_x electrode also has a higher mass activity (6.332 A g^-1, three times that of the IrO₂ electrode) and a larger electrochemical active area (ECSA, 375.43 cm², seven times that of the IrO₂ electrode). In addition, the optimal conditions of (Ir_0.7Mo_0.3)O_x electrode for degrading sulfadiazine(SDZ) were explored, which achieved a higher removal than traditional electrodes (90% removal within 4 h) when the Ti plate was the substrate. Through the intermediate products of SDZ degradation and related literatures, two possible degradation pathways of SDZ were speculated. This research provides a new type of anode catalyst for the degradation of sulfonamide antibiotics, which is possible for industrial application.

Critical role of tetracycline's self-promotion effects in its visible-light driven photocatalytic degradation over ZnO nanorods

Zinc oxide (ZnO), which is widely applied for ultraviolet-light driven photocatalysis, has no activity in visible-light photocatalytic process due to its large band gap of ∼3.2 eV. Herein, however, we demonstrated the multiple self-promotion effects of tetracycline as band adjuster, photo-sensitizer, and charge transfer promoter for ZnO nanorods, realizing its visible-light photocatalytic degradation with an excellent removal efficiency up to 91.1% within only 2 h. Besides, the influence of complex realistic factors on this unique process was evaluated together with tests with realistic water matrices. Furthermore, the active species and degradation products were identified. Both acute and developmental toxicities were found to be reduced as the degradation proceeds. These results pave the path for the brand-new self-driven visible-light photocatalysis.

Adsorption of Toxic Tetracycline, Thiamphenicol and Sulfamethoxazole by a Granular Activated Carbon (GAC) under Different Conditions

Activated carbon can be applied to the treatment of wastewater loading with different types of pollutants. In this paper, a kind of activated carbon in granular form (GAC) was utilized to eliminate antibiotics from an aqueous solution, in which Tetracycline (TC), Thiamphenicol (THI), and Sulfamethoxazole (SMZ) were selected as the testing pollutants. The specific surface area, total pore volume, and micropore volume of GAC were 1059.011 m²/g, 0.625 cm³/g, and 0.488 cm³/g, respectively. The sorption capacity of GAC towards TC, THI, and SMZ was evaluated based on the adsorption kinetics and isotherm. It was found that the pseudo-second-order kinetic model described the sorption of TC, THI, and SMZ on GAC better than the pseudo-first-order kinetic model. According to the Langmuir isotherm model, the maximum adsorption capacity of GAC towards TC, THI, and SMZ was calculated to be 17.02, 30.40, and 26.77 mg/g, respectively. Thermodynamic parameters of ΔG⁰, ΔS⁰, and ΔH⁰ were obtained, indicating that all the sorptions were spontaneous and exothermic in nature. These results provided a knowledge base on using activated carbon to remove TC, THI, and SMZ from water.

Metagenomic analysis reveals the diversity and distribution of antibiotic resistance genes in thermokarst lakes of the Yellow River Source Area

Thermokarst lakes form as the results of ice-rich permafrost thawing and act as important water resources in cold regions. However, the distributions of antibiotic resistance genes (ARGs) in thermokarst lakes are far less studied. Using metagenomic sequencing approach, we provided the first study to document ARGs in thermokarst lakes of the Yellow River Source Area on the Qinghai-Tibet Plateau (QTP). The results revealed that both sediment and water of the thermokarst lakes harbor diverse ARGs. Multidrug resistance genes were the most diverse, while rifamycin resistance genes were the most abundant with rpoB2 and rpoB genes having the highest proportion. Sediment samples contained more ARGs than water samples, but their composition differed between the two types of samples. However, the composition variations of sediment and water ARGs were closely correlated. The Sorensen dissimilarities of ARGs were controlled by strong turnover processes in sediment samples, and by turnover and nestedness in water samples. High contributions of nestedness were found between sediment and water samples. Moreover, ARGs in water had more significant relationships with environmental variables than that in sediment. Given the role of thermokarst lakes as important water resources in permafrost landscape, as well as intensifying influences of climate change and anthropogenetic activities, thermokarst lakes could bring potential ARG risks, warranting further investigation and evaluation.

Emerging technologies for enhanced removal of residual antibiotics from source-separated urine and wastewaters: A review

Antibiotic residues are of significant concern in the ecosystem because of their capacity to mediate antibiotic resistance development among environmental microbes. This paper reviews recent technologies for the abatement of antibiotics from human urine and wastewaters. Antibiotics are widely distributed in the aquatic environment as a result of the discharge of municipal sewage. Their existence is a cause for worry due to the potential ecological impact (for instance, antibiotic resistance) on bacteria in the background. Numerous contaminants that enter wastewater treatment facilities and the aquatic environment, as a result, go undetected. Sludge can act as a medium for some chemicals to concentrate while being treated as wastewater. The most sewage sludge that has undergone treatment is spread on agricultural land without being properly checked for pollutants. The fate of antibiotic residues in soils is hence poorly understood. The idea of the Separation of urine at the source has recently been propagated as a measure to control the flow of pharmaceutical residues into centralized wastewater treatment plants (WWTPs). With the ever increasing acceptance of urine source separation practices, visibility and awareness on dedicated treatement technologies is needed. Human urine, as well as conventional WWTPs, are point sources of pharmaceutical micropollutants contributing to the ubiquitous detection of pharmaceutical residues in the receiving water bodies. Focused post-treatment of source-separated urine includes distillation and nitrification, ammonia stripping, and adsorption processes. Other reviewed methods include physical and biological treatment methods, advanced oxidation processes, and a host of combination treatment methods. All these are aimed at ensuring minimized risk products are returned to the environment.

Thermally activated persulfate oxidation of ampicillin: Kinetics, transformation products and ecotoxicity

The heat-activated persulfate system showed encouraging results for the destruction of the widely used antibiotic Ampicillin (AMP). AMP removal follows exponential decay, and the observed kinetic constant was enhanced with persulfate (PS) dosage at the range 50-500 mg L^-1 and temperature (40-60 °C), while AMP thermolysis at 60 °C was almost negligible. The apparent activation energy was estimated to 124.7 kJ mol^-1_. Alkaline conditions, water matrix constituents like bicarbonates, humic acid, and real water matrices retarded AMP oxidation. Experiments performed with tert-butanol and methanol as scavengers demonstrated the contribution of sulfate radicals as the dominant reactive species. Seven transformation products (TPs) of AMP have been identified from AMP destruction. An EC₅₀ value equal to 187 mg L^-1 was calculated for 72 h of exposure of the microalgae Chlorella sorokiniana to AMP. According to the ecotoxicity experiments that conducted after treatment of AMP with PS for different reaction times, no important inhibition of microalgae was noticed for contact time of 72 h and 10 d. These results indicate the formation of no toxic AMP by-products for the applied experimental conditions.

Mesoporous BiVO4/TiO2 heterojunction: enhanced photoabsorption and photocatalytic ability through promoted charge transfer

BiVO₄ has been constructed into heterojunctions with TiO₂ to boost the photocatalytic ability under visible illumination. Here, mesoporous BiVO₄/TiO₂ nanocomposites have been fabricated by a facile sol-gel approach utilizing nonionic surfactant and addressed for morphological, optical, structural, and degradation of ciprofloxacin (CIP) in water under visible illumination as an antibiotic pollutant model. The TEM images demonstrated that the TiO₂ NPs are homogenous in terms of shape and size (15 ± 5 nm). The introduction of BiVO₄ into mesoporous TiO₂ could effectively enhance the rapid separation efficiency of the photoinduced carriers and optical absorption. The 3%BiVO₄/TiO₂ photocatalyst possessed the best degradation efficiency (100%) within 60 min which was promoted 20-folds larger than TiO₂ NPs (5%). 3%BiVO₄/TiO₂ nanocomposite exhibited the fastest degradation rate (2.15 × 10^-2 min^-1), which was 40 times faster than bare TiO₂ photocatalyst (0.05 × 10^-2 min^-1). The enhanced photocatalytic ability originated from superior charge separation characteristics and high solar energy absorption in mesopore structures. The recombination rate and mobility of charge carriers were characterized utilizing photoluminescence (PL) and photoelectrochemical measurements. This work highlights the advantages of mesoporous heterojunction BiVO₄/TiO₂ nanocomposites for photocatalytic performances and provides a multilateral route to design an effective wide-spectrum response photocatalyst for the development of comparable materials. The photocatalytic mechanism for degradation CIP over BiVO₄/TiO₂ was discussed in detail..

Electro-Chemical Degradation of Norfloxacin Using a PbO2-NF Anode Prepared by the Electrodeposition of PbO2 onto the Substrate of Nickel Foam

A novel three-dimensional network nickel foam/PbO2 combination electrode (PbO2-NF) with high electrochemical degradation efficiency to norfloxacin was successfully fabricated through the electrodeposition of PbO2 on the substrate of nickel foam. The characterization of an PbO2-NF electrode, including surface morphology, elemental components, electrochemical performance, and stability was performed. In electrochemical oxidation tests, the removal efficiency of norfloxacin (initial concentration for 50 mg/L) on PbO2-NF reached 88.64% within 60 min of electrolysis, whereas that of pure nickel foam was only 30%. In the presence of PbO2-NF, the optimum current density, solution pH, electrode spacing for norfloxacin degradation were 30 mA/cm2, 11, and 3 cm, respectively. The electric energy consumption for 80% norfloxacin was approximately 5 Wh/L. Therefore, these results provide a new anode to improve the removal of norfloxacin in the wastewater with high efficiency and low energy consumption.

rGO-WO3 Heterostructure: Synthesis, Characterization and Utilization as an Efficient Adsorbent for the Removal of Fluoroquinolone Antibiotic Levofloxacin in an Aqueous Phase

Herein, the heterostructure rGO-WO₃ was hydrothermally synthesized and characterized by HRTEM (high-resolution transmission electron microscopy), FESEM (field emission scanning electron microscopy), XRD (X-ray diffraction), FT-IR (Fourier transform infrared spectroscopy), XPS (X-ray photoelectron microscopy), nitrogen physisorption isotherm, Raman, TGA (thermogravimetric analysis) and zeta potential techniques. The HRTEM and FESEM images of the synthesized nanostructure revealed the successful loading of WO₃ nanorods on the surface of rGO nanosheets. The prepared heterostructure was utilized as an efficient adsorbent for the removal of a third-generation fluoroquinolone antibiotic, i.e., levofloxacin (LVX), from water. The adsorption equilibrium data were appropriately described by a Langmuir isotherm model. The prepared rGO-WO₃ heterostructure exhibited a Langmuir adsorption capacity of 73.05 mg/g. The kinetics of LVX adsorption followed a pseudo-second-order kinetic model. The adsorption of LVX onto the rGO-WO₃ heterostructure was spontaneous and exothermic in nature. Electrostatic interactions were found to have played a significant role in the adsorption of LVX onto the rGO-WO₃ heterostructure. Thus, the prepared rGO-WO₃ heterostructure is a highly promising material for the removal of emerging contaminants from aqueous solution.

Removal of antibiotics from milk via ozonation in a vortex reactor

Antibiotics (ABX) residues occur frequently in milk, causing considerable wastage of medicated milk and serious economic losses, and making the issue a burden for the dairy industry. Improper disposal of medicated milk harms dairy production, animal welfare, and the environment. This work studies the use of ozonation in a vortex reactor for removing ceftiofur hydrochloride (CEF), sulfamonomethoxine sodium (SMM), marbofloxacin (MAR) and oxytetracycline (OTC) from milk. In terms of residual concentration, O₃ efficiency and the degradation kinetics of the various O₃-involving processes in the vortex reactor, ABX removal via ozonation is better using stronger vortexing, which induces hydrodynamic cavitation. CEF undergoes the fastest degradation, followed by SMM, MAR, and OTC. High ABX hydrophobicity favors ABX degradation via ozonation, O₃/H₂O₂, and O₃/Na₂S₂O₈. ABX oxidation by ^•OH at the O₃ gas-bubble/milk interface is the principle degradation pathway, except for MAR. ABX degradation follows pseudo-first-order kinetics and is affected by initial ABX concentration, O₃ concentration/flow rate, reaction temperature, and milk components to varying degrees. Under optimal ozonation conditions, ABX residues meet the maximum limits as set by the European Commission and no antimicrobial activity was observed. The decontaminated milk was therefore suggested to be reused as calf food, animal feed, organic fertilizer, etc.

A pencil graphite-based disposable device for electrochemical monitoring of sulfanilamide in honey and water samples

The present paper reports a simple, fast, and inexpensive process of manufacturing a disposable pencil graphite electrode (PGE) from widely available materials, which showed a reproducibility of at least 7.5%. The electrode was compared to the commercial glassy carbon electrode (GCE) and showed superior electroanalytical performance for sulfanilamide (SFA) with approximately 3.9-fold higher current density. Additionally, a displacement of the oxidation peak from approximately 80 mV to more cathodic regions was observed. Therefore, a method based on square wave voltammetry (SWV) was developed for the determination of the antimicrobial SFA in honey and tap water samples using the proposed sensor. The optimized method presented good detectability (LOD = 2.37 μmol L^-1), with excellent precision and accuracy (relative standard deviation < 4.2%) and percent recovery from spiked samples ranging from 92 to 97%. In addition, the sensor did not suffer significant interference from sample matrix components and other commonly evaluated antimicrobials, which demonstrates the potential of these electrodes for implementation in routine analysis and quality control.

Algae-bacteria symbiotic constructed wetlands for antibiotic wastewater purification and biological response

In this work, the removal efficiency and mechanism of various constructed wetlands microcosm systems on antibiotic wastewater, as well as the biological community response of microalgae and microorganisms were explored. Overall, the algal-bacteria symbiosis in conjunction with the gravel matrix had the most comprehensive treatment efficiency for antibiotic wastewater. However, pollutants such as high-concentration antibiotics impaired the biological community and functions. In the systems fed with microorganisms, both abundance and diversity of them were significantly reduced comparing with the initial value. According to the correlation analysis revealed that the pollutants removal rate increased with the addition of the relative abundance of some bacterial genera, while decreased with the addition of relative abundance of other bacterial genera. The presence of gravel matrix could lessen the stressful effect of antibiotics and other pollutants on the growth of microalgae and microorganisms, as well as improved treatment efficiency of antibiotic wastewater. Based on the findings of the study, the combination of gravel matrix and algal-bacteria symbiosis can considerably increase the capacity of constructed wetlands to treat antibiotic wastewater and protect biological community, which is an environmentally friendly way.

A sustainable approach for the removal methods and analytical determination methods of antiviral drugs from water/wastewater: A review

In the last years, antiviral drugs especially used for the treatment of COVID-19 have been considered emerging contaminants because of their continuous occurrence and persistence in water/wastewater even at low concentrations. Furthermore, as compared to antiviral drugs, their metabolites and transformation products of these pharmaceuticals are more persistent in the environment. They have been found in environmental matrices all over the world, demonstrating that conventional treatment technologies are unsuccessful for removing them from water/wastewater. Several approaches for degrading/removing antiviral drugs have been studied to avoid this contamination. In this study, the present level of knowledge on the input sources, occurrence, determination methods and, especially, the degradation and removal methods of antiviral drugs are discussed in water/wastewater. Different removal methods, such as conventional treatment methods (i.e. activated sludge), advanced oxidation processes (AOPs), adsorption, membrane processes, and combined processes, were evaluated. In addition, the antiviral drugs and these metabolites, as well as the transformation products created as a result of treatment, were examined. Future perspectives for removing antiviral drugs, their metabolites, and transformation products were also considered.

Potential of low-cost bio-adsorbents to retain amoxicillin in contaminated water

Sewage sludge as agricultural amendment is the main route of human-medicine antibiotics to enter soils. When reaching environmental compartments, these compounds can cause significant risks to human and ecological health. Specifically, the antibiotic amoxicillin (AMX) is highly used in medicine, and the fact that more than 80% of the total ingested is excreted increases the chances of causing serious environmental and public health problems. As the use of low-cost bio-adsorbents could help to solve these issues, this research focuses on the retention of AMX onto four by-products of the forestry industry (eucalyptus leaf, pine bark, pine needles, and wood ash) and one from food industry (mussel shell). To carry out this study, batch-type tests were performed, where increasing concentrations of the antibiotic (0, 2.5, 5, 10, 20, 30, 40 and 50 μmol L^-1) were added to samples of 0.5 g of each bio-adsorbent. Eucalyptus leaf, pine needle and wood ash showed adsorption scores higher than 80%, while it was up to 39% and 48% for pine bark and mussel shell, respectively. For pine bark, wood ash and mussel shell, adsorption data showed good adjustment to the Freundlich and Linear models, while pine needles and eucalyptus leaf did not fit to any model. There was not desorption when the maximum concentration of AMX (50 μmol L^-1) was added. Overall, eucalyptus leaf, pine needles and wood ash can be considered good bio-adsorbents with high potential to retain AMX, which has significant implications regarding their eventual use to reduce risks of environmental pollution by this antibiotic.

Electrocatalytic performance of oxygen-activated carbon fibre felt anodes mediating degradation mechanism of acetaminophen in aqueous environments

Carbon felts are flexible and scalable, have high specific areas, and are highly conductive materials that fit the requirements for both anodes and cathodes in advanced electrocatalytic processes. Advanced oxidative modification processes (thermal, chemical, and plasma-chemical) were applied to carbon felt anodes to enhance their efficiency towards electro-oxidation. The modification of the porous anodes results in increased kinetics of acetaminophen degradation in aqueous environments. The utilised oxidation techniques deliver single-step, straightforward, eco-friendly, and stable physiochemical reformation of carbon felt surfaces. The modifications caused minor changes in both the specific surface area and total pore volume corresponding with the surface morphology. A pristine carbon felt electrode was capable of decomposing up to 70% of the acetaminophen in a 240 min electrolysis process, while the oxygen-plasma treated electrode achieved a removal yield of 99.9% estimated utilising HPLC-UV-Vis. Here, the electro-induced incineration kinetics of acetaminophen resulted in a rate constant of 1.54 h^-1, with the second-best result of 0.59 h^-1 after oxidation in 30% H₂O₂. The kinetics of acetaminophen removal was synergistically studied by spectroscopic and electrochemical techniques, revealing various reaction pathways attributed to the formation of intermediate compounds such as p-aminophenol and others. The enhancement of the electrochemical oxidation rates towards acetaminophen was attributed to the appearance of surface carbonyl species. Our results indicate that the best-performing plasma-chemical treated CFE follows a heterogeneous mechanism with only approx. 40% removal due to direct electro-oxidation. The degradation mechanism of acetaminophen at the treated carbon felt anodes was proposed based on the detected intermediate products. Estimation of the cost-effectiveness of removal processes, in terms of energy consumption, was also elaborated. Although the study was focussed on acetaminophen, the achieved results could be adapted to also process emerging, hazardous pollutant groups such as anti-inflammatory pharmaceuticals.

Carbon-Based Materials as Effective Adsorbents for the Removal of Pharmaceutical Compounds from Aqueous Solution

Antibiotics are emerging water pollutants that have attracted significant attention from the scientific community. Antibiotics are generally released via hospital effluents, industrial production waste, animal manure, and irrigated agricultural land. Antibiotic residues can harm all living organisms, with the most detrimental consequence being the generation of antibiotic-resistant microorganisms, commonly known as “superbugs.” Antimicrobial resistance is a concern to the healthcare community as it complicates the treatment of infections. Thus, the development of effective and economical technologies to remove antibiotics from the environment is necessary. Adsorption is a promising technology owing to its effectiveness and high operational feasibility, and carbon-based adsorbents are primitive materials that are particularly suited for antibiotic adsorption. Herein, an overview of the current state of antibiotic pollution will be summarised, including the adverse effects of different antibiotics and challenges associated with antibiotic removal. The adsorption behaviours of tetracycline (TC), quinolone, penicillin, and macrolides on carbon-based adsorbents (i.e., activated carbon, carbon nanotubes, and graphene-based materials) are reviewed. The interactions between antibiotics and carbon-based adsorbents, adsorption mechanism, and adsorption behaviour under different conditions are emphasised. In addition, the limitations of adsorption technology are highlighted to direct future research.

Light-driven Au-ZnO nanorod motors for enhanced photocatalytic degradation of tetracycline

The abuse of antibiotics in human medicine and animal husbandry leads to the enrichment of antibiotic residues in aquatic environments, which has been a major problem of environmental pollution over the past decades. Therefore, it is urgent to develop a highly efficient approach to remove antibiotics from aquatic environments. Inspired by the motion characteristics of semiconductor-based micro-/nanomotors, a light-driven Au-ZnO nanomotor system based on vertically aligned ZnO arrays is successfully developed for the enhanced photocatalytic degradation of tetracycline (TC). Under UV light (λ = 365 nm) illumination, these Au-ZnO nanomotors exhibit a high speed in deionized water and TC solution. Due to their efficient motion capability and Au-enhanced charge separation, these light-driven Au-ZnO nanomotors removed almost all TC (40 mg L^-1) within 30 min and displayed stable photocatalytic activity for four cycles without any apparent deactivation. The as-developed motor-based strategy for enhanced antibiotic degradation has excellent potential in environmental governance.

Antiviral drugs against influenza: Treatment methods, environmental risk assessment and analytical determination

Over the past few years, antiviral drugs against influenza are considered emerging contaminants since they cause environmental toxicity even at low concentrations. They have been found in environmental matrices all around the world, showing that conventional treatment methods fail to remove them from water and wastewater. In addition, the metabolites and transformation products of these drugs can be more persistent than original in the environment. Several techniques to degrade/remove antiviral drugs against influenza have been investigated to prevent this contamination. In this study, the characteristics of antiviral drugs against influenza, their measurement by analytical methods, and their removal in both water and wastewater treatment plants (WWTPs) were presented. Different treatment methods, such as traditional procedures (biological processes, filtration, coagulation, flocculation, and sedimentation), advanced oxidation processes (AOPs), adsorption and combined methods, were assessed. Ecotoxicological effects of both the antiviral drug and its metabolites as well as the transformation products formed as a result of treatment were evaluated. In addition, future perspectives for improving the removal of antiviral drugs against influenza, their metabolites and transformation products were further discussed. The research indicated that the main tested techniques in this study were ozonation, photolysis and photocatalysis. Combined methods, particularly those that use renewable energy and waste materials, appear to be the optimum approach for the treatment of effluents containing antiviral drugs against influenza. In light of high concentrations or probable antiviral resistance, this comprehensive assessment suggests that antiviral drug monitoring is required, and some of those substances may cause toxicological effects.

Effects of Tetracycline on Scenedesmus obliquus Microalgae Photosynthetic Processes

Tetracycline (TC) antibiotics can be detected worldwide in the aquatic environment due to their extensive use and low utilization efficiency, and they may affect the physiological processes of non-target organisms. In this study, the acute and sub-acute toxicities of TC on the freshwater microalga Scenedesmus obliquus were investigated with an emphasis on algal photosynthesis and transcription alterations during an 8 d TC exposure. The results showed that the IC₁₀, IC₃₀ and IC₅₀ values were 1.8, 4.1 and 6.9 mg/L, respectively. During sub-acute exposure, the microalgae of the IC₁₀ treatment was able to recover comparable growth to that of the control by day 7, while significantly lower cell densities were observed in the IC₃₀ and IC₅₀ treatments at the end of the exposure. The photosynthetic efficiency F_v/F_M of S. obliquus first decreased as the TC concentration increased and then returned to a level close to that of the control on day 8, accompanied by an increase in photosynthetic activities, including light harvesting, electron transport and energy dissipation. Transcriptomic analysis of the IC₁₀ treatment (1.8 mg/L TC) revealed that 2157 differentially expressed genes were up-regulated and 1629 were down-regulated compared with the control. KEGG and GO enrichments demonstrated that 28 photosynthesis-related genes involving light-harvesting chlorophyll protein complex, photosystem I, photosystem II, photosynthetic electron transport and enzymes were up-regulated, which may be the factor responsible for the enhanced photosynthesis and recovery of the microalgae. Our work may be helpful not only for gaining a better understanding of the environmental risk of TC at concentrations close to the real levels in natural waters, but also for explaining photosynthesis and related gene transcription induced by antibiotics.

Removal of antibiotics from wastewaters by membrane technology: Limitations, successes, and future improvements

Antibiotics and related pharmaceuticals are applied to enhance public health and life quality. A major environmental concern is wastewaters from pharmaceutical industries, which contain significant amounts of antibiotics. Pharmaceutical industries apply conventional processes (biological, filtration, coagulation, flocculation, and sedimentation) for wastewater treatment, but these approaches cannot remove antibiotics completely. Moreover, unmetabolized antibiotics released by humans and animals are dangerous for municipal and effluent wastewater. Besides, antibiotic resistance is another challenge in treatment of wastewater for superbugs. This comprehensive study summarizes different techniques for antibiotic removal with an emphasis on membrane technology in individual and hybrid systems such as chemical, physical, biological, and conditional-based strategies. A combination of membrane processes with advanced oxidation processes (AOPs), adsorption, and biological treatments can be the right solution for perfect removal. Furthermore, this review briefly compares different procedures for antibiotic removal, which can be helpful for further studies with their advantages and drawbacks.

Fate characteristics, exposure risk, and control strategy of typical antibiotics in Chinese sewerage system: A review

In China, the sewerage system plays an essential role in antibiotic removal; however, the fate profiles of antibiotics in sewers are not well understood, and risk identification throughout the sewerage system is inadequate. Based on the extensive detection results for typical groups of antibiotics in the discharge sources, influent and effluent from wastewater treatment plants (WWTPs), and excess sludge, a comprehensive evaluation was conducted to reveal the elimination profiles of the antibiotics, identify the fate characteristics in both sewers and WWTPs, assess the exposure risk levels, and propose a control strategy. The total concentration (based on the median concentrations of the target antibiotics) in aqueous waters was estimated to decrease from 7383.4 ng/L at the discharge source to 886.6 ng/L in the WWTP effluent, among which 69.6% was reduced by sewers and 18.4% was reduced by WWTPs. Antibiotic reduction in sewers was a combined effect of dilution, physiochemical reactions, sorption, biodegradation, and retransformation, and the A2O-MBR + ozonation process in the WWTPs exhibited superior performance in diminishing antibiotics. Notably, accumulated antibiotics in the excess sludge posed a high risk to natural environments (with a risk quotient of approximately 13.0), and the potential risk during combined sewer overflows (CSOs) was undetermined. Thus, enhanced sludge treatment techniques, accurate risk prediction, and proper precautions at CSOs are required to mitigate potential risk. A novel scheme involving an accurate estimation of discharge loads, preliminary treatment of highly concentrated discharge sources, and synergic control in sewers was proposed to eliminate antibiotics at the front end of pipes.

Antibiotic adsorption by natural and modified clay minerals as designer adsorbents for wastewater treatment: A comprehensive review

Increased antibiotic use worldwide has become a major concern because of their health and environmental impacts. Since most antibiotic residues can hardly be removed from wastewater using conventional treatments, alternative methods receive great attention. Adsorption is one of the most efficient and cost-effective treatment methods for antibiotics. Among the adsorbents, clay minerals have garnered increasing attention due to their unique properties including availability, high specific surface area, low cost, cation exchange capacity, and good removal efficiency. This paper reviews the recent progress made in the use of natural and modified clay minerals for the removal of antibiotics from water. First, the sources, occurrence, removal and health effects of the antibiotics commonly encountered in water bodies are described. Antibiotic concentration levels and average removal efficiencies measured in conventional activated sludge treatment systems worldwide are also provided to better address the problem. Second, the review explores the characteristics of clay minerals as adsorbent of antibiotics and the factors affecting the adsorption. The review identifies and discusses the future trends and strategies used to increase the adsorption capacity of clay minerals by modification and combination techniques (intercalation of novel functional groups such as organocations, biopolymers and metal pillared-clay minerals, combination with biochar or thermal activation). The quantitative comparisons of clay minerals' ability for antibiotic removal are given. Some natural clay minerals have good removal potential for antibiotics, with maximum adsorption capacities over 100 mg/g. For most other adsorbents, surface modifications and combination techniques resulted in improved adsorption properties (including higher surface area, enhanced adsorption capacity, increased stability and mechanical strength). Finally, the application of these adsorbents at pilot scale, using real wastewater samples, their reuse, economic analysis and life cycle assessment are other issues that have been considered.