Mitigation of antibiotic resistance in a pilot-scale system treating wastewater from high-speed railway trains

Molecular level removal of antibiotic resistant bacteria and genes: A review of interfacial chemical in advanced oxidation processes

As a kind of novel and persistent environmental pollutants, antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) have been frequently detected in different aquatic environment, posing potential risks to public health and ecosystems, resulting in a biosecurity issue that cannot be ignored. Therefore, in order to control the spread of antibiotic resistance in the environment, advanced oxidation technology (such as Fenton-like, photocatalysis, electrocatalysis) has become an effective weapon for inactivating and eliminating ARB and ARGs. However, in the process of advanced oxidation technology, studying and regulating catalytic active sites at the molecular level and studying the adsorption and surface oxidation reactions between catalysts and ARGs can achieve in-depth exploration of the mechanism of ARGs removal. This review systematically reveals the catalytic sites and related mechanisms of catalytic antagonistic genes in different advanced oxidation processes (AOPs) systems. We also summarize the removal mechanism of ARGs and how to reduce the spread of ARGs in the environment through combining a variety of characterization methods. Importantly, the potential of various catalysts for removing ARGs in practical applications has also been recognized, providing a promising approach for the deep purification of wastewater treatment plants.

Modern knowledge-scape possess petite influence on the factual persistence of resistance determinants (ARGs/MGEs): A map and assessment of discharged wastewater and water bodies

Antibiotic resistance genes (ARGs) and Mobile genetic elements (MGEs) are major global emerging pollutants of the environment and water nexus which various investigators of related studies have reported. Observing ARGs and MGEs in water bodies, wastewater treatment systems, and estuaries is indicative of relevant risk, resistant bacteria/ARGs spread or potential health concern and may result environmental pathogen bloom if appropriate research-based strategies are not implemented to remove these lethal genetic materials. Despite reports and knowledge-based strategies for removal, the challenge yet persists. This study aims to appraise the impact/contribution of related studies and emphasize the necessity for applying combined research-based/practitioners approach in addressing the expanding challenge of ARGs/MGEs in wastewater/waterbodies. The study describes a bibliometric assessment of antibiotic resistance determinants annual scientific publications on the Web of Science, an annual growth rate of related articles, top articles per citations with search topics and content-review analysis to evaluate the methods of removal of ARGs/MGEs. A total of 1301 articles of wastewater treatment systems were retrieved with date range of 1997-2019. A description of the study Annual Growth Rate of 37.82% at R² of 0.7863 was observed with an increasing article publication and a decreasing total citation rate indicating persistent reports of dispersion on ARGs/MGEs studies in the water bodies and environment. Although there abound extensive studies and reports of ARGs and MGEs in water nexus and wastewater release with research based removal strategies, the impact of such reports have not been fully actualized amongst wastewater system practitioners. A lucid drive towards implementing ARGs/MGEs removal strategies from the environment by applying affirmed research-based methods are suggestive.

An emerging unrated mobile reservoir for antibiotic resistant genes: Does transportation matter to the spread

The regional distribution of antibiotic resistance genes has been caused by the use and preference of antibiotics. Not only environmental factors, but also the population movement associated with transportation development might have had a great impact, but yet less is known regarding this issue. This research study has investigated and reported that the high-speed railway train was a possible mobile reservoir of bacteria with antibiotic resistance, based on the occurrence, diversity, and abundance of antibiotic resistant bacteria (ARB), antibiotic resistance genes (ARGs), and mobile gene elements (MGEs) in untreated train wastewater. High-throughput 16S rRNA sequencing analyses have indicated that opportunistic pathogens like Pseudomonas and Enterococcuss were the predominant bacteria in all samples, especially in cultivable multi-antibiotic resistant bacteria. The further isolated Enterococcus faecalis and Enterococcus faecium exhibited multi-antibiotic resistance ability, potentially being an indicator for disinfection proficiency. Positive correlations amongst ARGs and MGEs were observed, such as between intI1 and tetW, tetA, blaTEM, among Tn916/154 and mefA/F, qnrS, implying a broad dissemination of multi-ARGs during transportation. The study findings suggested that the high-speed railway train wastewater encompassed highly abundant antibiotic-resistant pathogens, and the wastewater discharge without effective treatment may pose severe hazards to human health and ecosystem safety.

The balance between treatment efficiency and receptor quality determines wastewater impacts on the dissemination of antibiotic resistance

This study investigated the balance between treatment efficiency and impact caused by urban wastewater treatment plants (UWTPs) on the dissemination of antibiotic resistance. Four full-scale UWTPs (PT1-PT4) and the receiving river were sampled over four campaigns. The 16 S rRNA gene, two mobile genetic elements (MGEs), eight antibiotic resistance genes (ARGs), and culturable bacteria were monitored over different treatment stages and in hospital effluent. The bacterial and antibiotic resistance load was not significantly different in the inflow of the four UWTPs (p > 0.01). Biological treatment promoted ARGs reduction values up to 2.5 log-units/mL, while UV (PT1, PT2) or sand filtration/ozonation (PT3) led to removal values < 0.6 log-units/mL. The final effluent of PT3, with the highest removal rates and significantly lower ARGs abundance, was not significantly different from the receiving water body. Emerging ARGs (e.g., bla_VIM, bla_OXA-48, and bla_KPC) were sporadically detected in the river, although more frequent downstream. Hospital effluent might contribute for the occurrence of some, but not all these ARGs in the river. A major conclusion was that the impact of the UWTPs on the river was not only determined by treatment efficiency and final effluent quality, but also by the background contamination of the river and/or dilution rate.

The Bacterial Urban Resistome: Recent Advances

Cities that are densely populated are reservoirs of antibiotic resistant genes (ARGs). The overall presence of all resistance genes in a specific environment is defined as a resistome. Spatial proximity of surfaces and different hygienic conditions leads to the transfer of antibiotic resistant bacteria (ARB) within urban environments. Built environments, public transportation, green spaces, and citizens’ behaviors all support persistence and transfer of antimicrobial resistances (AMR). Various unique aspects of urban settings that promote spread and resilience of ARGs/ARB are discussed: (i) the role of hospitals and recreational parks as reservoirs; (ii) private and public transportation as carriers of ARGs/ARB; (iii) the role of built environments as a hub for horizontal gene transfer even though they support lower microbial biodiversity than outdoor environments; (iv) the need to employ ecological and evolutionary concepts, such as modeling the fate of a specific ARG/ARB, to gain enhanced health risk assessments. Our understanding and our ability to control the rise of AMR in an urban setting is linked to our knowledge of the network connecting urban reservoirs and the environment.

Effect of ozonation-based disinfection methods on the removal of antibiotic resistant bacteria and resistance genes (ARB/ARGs) in water and wastewater treatment: a systematic review

Antibiotic resistance is considered a universal health threat of the 21st century which its distribution and even development are mainly mediated by water-based media. Disinfection processes with the conventional methods are still the most promising options to combat such crises in aqueous matrices especially wastewater. Knowing that the extent of effectiveness and quality of disinfection is of great importance, this paper aimed to systematically review and discuss ozonation (as one of the main disinfectants with large scale application) effect on removing antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) from aqueous solutions, for which no study has been reported. For this, a comprehensive literature survey was performed within the international databases using appropriate keywords which yielded several studies involving different aspects and the effectiveness extent of ozonation on ARB & ARGs. The results showed that no definite conclusion could be drawn about the superiority of ozone alone or in a hybrid form. Mechanism of action was carefully evaluated and discussed although it is still poorly understood. Evaluation of the studies from denaturation and repairment perspectives showed that regrowth cannot be avoided after ozonation, especially for some ARB & ARGs variants. In addition, the comparison of the effectiveness on ARB & ARGs showed that ozonation is more effective for resistant bacteria than their respective genes. The degradation efficiency was found to be mainly influenced by operational parameters of CT (i.e. ozone dose & contact time), solids, alkalinity, pH, and type of pathogens and genes. Moreover, the correlation between ARB & ARGs removal and stressors (such as antibiotic residuals, heavy metals, aromatic matters, microcystins, opportunistic pathogens, etc.) has been reviewed to give the optimal references for further in-depth studies. The future perspectives have also been reported.

Evaluation of the joint effects of Cu2+, Zn2+ and Mn2+ on completely autotrophic nitrogen-removal over nitrite (CANON) process

The completely autotrophic nitrogen-removal over nitrite (CANON) process has merits in energy saving and consumption reducing, thus being considered as an attractive alternative over the common denitrification technology. In this study, the effects of three common heavy metals (Cu²⁺, Zn²⁺ and Mn²⁺) in wastewater to the CANON process were evaluated comprehensively. A central composite design with response surface methodology was utilized to investigate the joint effect of these three metal ions on the nitrogen removal performance of CANON process. In accordance with the determined optimal dosage in batch tests, four bioreactors were established with different amounts of heavy metal dosage in long-term operation, which determined the optimal concentrations for Cu²⁺, Zn²⁺ and Mn²⁺ to be 0.25, 0.81 and 1.00 mg/L, respectively. However, the optimal dosing level determined in batch tests showed no promotion during long-term experiment. This indicated that the actual concentration of heavy metals in bioreactors during long-term operation could be higher than expectation, leading to the difference between short-term tests and long-term experiment. The distribution of metal ions revealed that Mn²⁺ was mainly absorbed in anammox bacteria cells while Cu²⁺ and Zn²⁺ were mostly identified inside AOB cells. Moreover, the addition of heavy metals consistently showed positive effects for the relative abundance of AOB, while only a low level of dosage could promote the abundance of anammox bacteria. Furthermore, a mathematical model was established to simulate the CANON system considering the impacts of heavy metals, which was calibrated and validated using independent dataset in this study.

Efficient degradation of ciprofloxacin by magnetic γ-Fe2O3-MnO2 with oxygen vacancy in visible-light/peroxymonosulfate system

In this work, the magnetic γ-Fe₂O₃-MnO₂ bifunctional catalyst with oxygen vacancy was synthesized for peroxymonosulfate (PMS) activation under visible light. The activity of γ-Fe₂O₃-MnO₂ was investigated by ciprofloxacin (cipro) degradation. Results showed that 98.3% of cipro (50 μM) was removed within 30 min in visible-light/PMS system mediated by γ-Fe₂O₃-MnO₂ (2:1) with fine-tuned oxygen vacancy. The cipro degradation data fitted well with pseudo-first-order kinetic model with the highest kinetic constant of 0.114 min^-1. Besides, the γ-Fe₂O₃-MnO₂ exhibited stability, recyclability and practicability. High selectivity for cipro degradation was observed with coexisting anions in visible-light/γ-Fe₂O₃-MnO₂/PMS system. Furthermore, the enhanced mechanism of PMS activation under visible light with γ-Fe₂O₃-MnO₂ was proposed. The appropriate oxygen vacancy enhanced the separation of photo-induced carriers and Z scheme heterostructure maintained the highest redox potential. Accordingly, the synergistic effect of photocatalysis and PMS activation enhanced cipro degradation. Free radical and non-radical species including , h⁺, ¹O₂, •OH and co-existed in the coupled system. Impressively, this study provides a handy approach for oxygen vacancy regulation in metallic oxides composite and an easily recycled catalyst with high-activity in coupled oxidation system towards antibiotic degradation.

Application of (V)UV/O3 technology for post-treatment of biologically treated wastewater: A pilot-scale study

For the first time, high energy VUV photons and generation of O₃ by (V)UV lamps were applied together for removal of active pharmaceutical ingredients (APIs) from biologically treated wastewater (BTWW) in pilot-scale. The core of the pilot container unit was a photoreactor assembly consisting of six photoreactors, each containing a low-pressure Hg lamp (UV dose of 1.2 J/cm² and 6.6 J/cm² at 185 nm and 254 nm, respectively). BTWW was irradiated (4.75 min residence time) by (V)UV light in presence of in situ photochemically generated O₃ from coolant air of the lamps. Experiments were conducted at the site of two wastewater treatment plants. Out of seven target APIs (namely carbamazepine, ciprofloxacin, clarithromycin, diclofenac, metoprolol, sitagliptin, and sulfamethoxazole), 80-100% removal was accomplished for five and 40-80% for two compounds. Two degradation products of carbamazepine were detected. Degradation products of other target compounds were not found. The applied O₃ dose was 30-45 μg O₃/mg dissolved organic carbon. Inactivation of up to log-4.8, log-4.5 and log-3.8 could be achieved for total coliform, Escherichia coli and Enterococcus faecalis, respectively. SOS Chromotest indicated no genotoxicity nor acute toxicity. Generation of neither NH₄⁺, NO₂^- nor NO₃^- was observed during post-treatment. Electric energy per order values were calculated for the first time for (V)UV/O₃ treatment in BTWW with a median value of 1.5 kWh/m³. This technology can be proposed for post-treatment of BTWWs of small settlements or livestock farms to degrade micropollutants before water discharge or for production of irrigation water. Further studies are essential in pilot-scale for other applications.

Vessel transport of antibiotic resistance genes across oceans and its implications for ballast water management

The emergence and spread of antibiotic resistance are major threats to ecosystems and human health. Transoceanic channels (e.g., ship ballast water) can transfer harmful aquatic organisms across geographically isolated waters. However, the occurrence of antibiotic resistance genes (ARGs) in ship ballast water and their relationship with microbial communities and environmental factors remain unknown. In this study, ballast water from 28 vessels sailing to Shanghai and Jiangyin (China) were collected, and the ARGs in these water samples were investigated. Considerable levels of ARGs and integrase of the class-I integrons (intI1) were detected in all ballast water samples. sul1 and tetQ were the most and least abundant ARGs in ballast water samples, respectively. The ARGs were strongly correlated with those of the 16S rRNA and intI1 genes. Ballast water exchange can reduce the absolute abundance of some kinds of ARGs while increasing the relative abundance of several ARGs (e.g., mefA, mexF, strB, sul1, and tetQ). Moreover, the bacterial hosts of ARGs were generally different in the unexchanged ballast water (UEBW) and exchanged ballast water (EBW). In particular, Leisingera and unclassified_Erythrobacteraceae were the main ARGs-associated genera in the EBW, while Pseudohongiella, Cycloclasticus, OM43_clade, norank_f_Rhodospirillaceae, and norank_f_Rhodobacteraceae were the dominant ARGs hosts in the UEBW. Overall, ship ballast water is an effective moving carrier for the global transference of ARGs, and its sufficient management is required for mitigating ARGs propagation across oceans.