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Chen H, Gao J, Wang Q, Liu Y, Fu X, Guo Y, Wang H, Wang Y, An J. Natural pyrite and ascorbic acid co-enhance periodate activation for inactivation of antibiotic resistant bacteria and inhibition of resistance genes transmission: A green disinfection process dominated by singlet oxygen. JOURNAL OF HAZARDOUS MATERIALS 2024; 477:135217. [PMID: 39038380 DOI: 10.1016/j.jhazmat.2024.135217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Revised: 06/21/2024] [Accepted: 07/14/2024] [Indexed: 07/24/2024]
Abstract
The transmission of antibiotic resistance genes (ARGs) and the propagation of antibiotic resistant bacteria (ARB) threaten public health security and human health, and greener and more efficient disinfection technologies are expected to be discovered for wastewater treatment. In this study, natural pyrite and ascorbic acid (AA) were proposed as environmental-friendly activator and reductant for periodate (PI) activation to inactivate ARB. The disinfection treatment of PI/pyrite/AA system could inactivate 5.62 log ARB within 30 min, and the lower pH and higher PI and natural pyrite dosage could further boost the disinfection efficiency. The 1O2 and SO4•- were demonstrated to be crucial for the inactivation of ARB in PI/pyrite/AA system. The disinfection process destroyed the morphological structure of ARB, inducing oxidative stress and stimulating the antioxidant system. The PI/pyrite/AA system effectively reduced the intracellular and extracellular DNA concentration and ARGs abundance, inhibiting the propagation of ARGs. The presence of AA facilitated the activation of PI with natural pyrite and significantly increased the concentration of Fe2+ in solution. The reusability of natural pyrite, the safety of the disinfection by-products and the inhibition of ARB regeneration indicated the application potential of PI/pyrite/AA system in wastewater disinfection.
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Affiliation(s)
- Hao Chen
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Jingfeng Gao
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China.
| | - Qian Wang
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Ying Liu
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Xiaoyu Fu
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Yi Guo
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Hanyi Wang
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Yuxuan Wang
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
| | - Jiawen An
- National Engineering Laboratory for Advanced Municipal Wastewater Treatment and Reuse Technology, Department of Environmental Engineering, Beijing University of Technology, Beijing 100124, China
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Esmaeili-Khoshmardan M, Dabiri H, Rafiee M, Eslami A, Yazdanbakhsh A, Amereh F, Jahangiri-Rad M, Hashemi A. Dynamics of antimicrobial resistance and susceptibility profile in full-scale hospital wastewater treatment plants. WATER SCIENCE AND TECHNOLOGY : A JOURNAL OF THE INTERNATIONAL ASSOCIATION ON WATER POLLUTION RESEARCH 2024; 90:103-123. [PMID: 39007309 DOI: 10.2166/wst.2024.201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Accepted: 05/14/2024] [Indexed: 07/16/2024]
Abstract
Drug resistance has become a matter of great concern, with many bacteria now resist multiple antibiotics. This study depicts the occurrence of antibiotic-resistant bacteria (ARB) and resistance patterns in five full-scale hospital wastewater treatment plants (WWTPs). Samples of raw influent wastewater, as well as pre- and post-disinfected effluents, were monitored for targeted ARB and resistance genes in September 2022 and February 2023. Shifts in resistance profiles of Escherichia coli, Pseudomonas aeruginosa, and Acinetobacter baumannii antimicrobial-resistant indicators in the treated effluent compared to that in the raw wastewater were also worked out. Ceftazidime (6.78 × 105 CFU/mL) and cefotaxime (6.14 × 105 CFU/mL) resistant species showed the highest concentrations followed by ciprofloxacin (6.29 × 104 CFU/mL), and gentamicin (4.88 × 104 CFU/mL), in raw influent respectively. WWTP-D employing a combination of biological treatment and coagulation/clarification for wastewater decontamination showed promising results for reducing ARB emissions from wastewater. Relationships between treated effluent quality parameters and ARB loadings showed that high BOD5 and nitrate levels were possibly contributing to the persistence and/or selection of ARBs in WWTPs. Furthermore, antimicrobial susceptibility tests of targeted species revealed dynamic shifts in resistance profiles through treatment processes, highlighting the potential for ARB and ARGs in hospital wastewater to persist or amplify during treatment.
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Affiliation(s)
- Maedeh Esmaeili-Khoshmardan
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hossein Dabiri
- Department of Medical Microbiology, Faculty of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - Mohammad Rafiee
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Air Quality and Climate Change Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail:
| | - Akbar Eslami
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ahmadreza Yazdanbakhsh
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Amereh
- Department of Environmental Health Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahsa Jahangiri-Rad
- Water Purification Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Ali Hashemi
- Department of Medical Microbiology, Faculty of Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran
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Li Z, Yang D, Li S, Yang L, Yan W, Xu H. Advances on electrochemical disinfection research: Mechanisms, influencing factors and applications. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 912:169043. [PMID: 38070567 DOI: 10.1016/j.scitotenv.2023.169043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 11/26/2023] [Accepted: 11/30/2023] [Indexed: 12/18/2023]
Abstract
Disinfection, a vital barrier against pathogenic microorganisms, is crucial in halting the spread of waterborne diseases. Electrochemical methods have been extensively researched and implemented for the inactivation of pathogenic microorganisms from water and wastewater, primarily owing to their simplicity, efficiency, and eco-friendliness. This review succinctly outlined the core mechanisms of electrochemical disinfection (ED) and systematically examined the factors influencing its efficacy, including anode materials, system conditions, and target species. Additionally, the practical application of ED in water and wastewater treatment was comprehensively reviewed. Case studies involving various scenarios such as drinking water, hospital wastewater, black water, rainwater, and ballast water provided concrete instances of the expansive utility of ED. Finally, coupling ED with other technologies and the resulting synergies were introduced as pivotal foundations for subsequent engineering advancements.
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Affiliation(s)
- Zhen Li
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China
| | - Duowen Yang
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China
| | - Shanshan Li
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China
| | - Liu Yang
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China
| | - Wei Yan
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China; Research Institute of Xi'an Jiaotong University, Zhejiang, Hangzhou 311200, China
| | - Hao Xu
- Department of Environmental Science and Engineering, Xi'an Jiaotong University, Xi'an 710049, Shaanxi, China; Research Institute of Xi'an Jiaotong University, Zhejiang, Hangzhou 311200, China.
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4
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Wang X, Wang J, Liu S, Dou M, Gao B. Sterilization mechanism and nanotoxicity of visible light-driven defective carbon nitride and UV-excited TiO 2. JOURNAL OF HAZARDOUS MATERIALS 2024; 461:132109. [PMID: 37734307 DOI: 10.1016/j.jhazmat.2023.132109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 07/05/2023] [Accepted: 07/19/2023] [Indexed: 09/23/2023]
Abstract
The sterilization effect of photocatalysis and biotoxicity of nanomaterial catalysts have attracted high attention. In this study, the novel visible-driven defective carbon nitride (VL/DCN) system exhibits non-photoreactivation, non-toxic superior performance compared with traditional ultraviolet radiation (UV) and UV/titanium dioxide (UV/TiO2). The inactivation of antibiotic-resistant bacteria (ARB) by novel VL/DCN still reached 7 log within 4 h, and the reduction rates of aminoglycoside gene strB and tetracycline gene tetA exceeded 0.8 log and 1.2 log, respectively. Further, the sterilization mechanism and nanotoxicity were contrastively and systematically analyzed among above three systems as following. Firstly, in the VL/DCN system, reactive oxygen species (ROSs) generated from photocatalytic process leads to the destruction of cell membranes, resulting in dissolving out of potassium ion (K+), protein and cell membrane ATP content. Thus, resistant bacteria were completely inactivated and photoreactivation disappears. In contrast, the UV only acted on bacterial DNA and existed the light resurrection. The UV/TiO2 strictly dependent on ultraviolet light and can be used in limited scenarios. Secondly, in cell viability analysis by human lung cell line BEAS-2B experiments, the 10% inhibition of cell growth when DCN was 600 mg/L much lower than 28% inhibition of cell growth when TiO2 was only 200 mg/L. The expression of pro-inflammatory cytokines ((Interleukin, IL) -6), IL-8, IL-1β) under the effect of DCN was 1.5-fold, 5.7-fold and 3.7-fold lower than TiO2, respectively. Meanwhile, DCN induced cells to produce less ROSs, malondialdehyde (MDA), and more superoxide dismutase (SOD). Above results demonstrated that DCN has far lower cytotoxicity than TiO2. This study provides theoretical support for the application of photocatalytic sterilization technology and the exploration of the toxicity of nanomaterials.
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Affiliation(s)
- Xiaoyue Wang
- Beijing Key Laboratory of Aqueous Typical Pollutants Control and Water Quality Safeguard, School of Environment, Beijing Jiaotong University, Haidian District, Beijing 100044, China
| | - Jin Wang
- Beijing Key Laboratory of Aqueous Typical Pollutants Control and Water Quality Safeguard, School of Environment, Beijing Jiaotong University, Haidian District, Beijing 100044, China.
| | - Shanjun Liu
- Jinan Environmental Research Academy, Jinan 250102, China
| | - Mengmeng Dou
- Beijing Key Laboratory of Aqueous Typical Pollutants Control and Water Quality Safeguard, School of Environment, Beijing Jiaotong University, Haidian District, Beijing 100044, China
| | - Boru Gao
- China International Engineering Consulting Corporation, Beijing 100048, China
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5
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Vinayagam V, Palani KN, Ganesh S, Rajesh S, Akula VV, Avoodaiappan R, Kushwaha OS, Pugazhendhi A. Recent developments on advanced oxidation processes for degradation of pollutants from wastewater with focus on antibiotics and organic dyes. ENVIRONMENTAL RESEARCH 2024; 240:117500. [PMID: 37914013 DOI: 10.1016/j.envres.2023.117500] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 10/13/2023] [Accepted: 10/23/2023] [Indexed: 11/03/2023]
Abstract
The existence of various pollutants in water environment contributes to global pollution and poses significant threats to humans, wildlife, and other living beings. The emergence of an effective, realistic, cost-effective, and environmentally acceptable technique to treat wastewater generated from different sectors is critical for reducing pollutant accumulation in the environment. The electrochemical advanced oxidation method is a productive technology for treating hazardous effluents because of its potential benefits such as lack of secondary pollutant and high oxidation efficiency. Recent researches on advanced oxidation processes (AOPs) in the period of 2018-2022 are highlighted in this paper. This review emphasizes on recent advances in electro-oxidation (EO), ozone oxidation, sonolysis, radiation, electro-Fenton (EF), photolysis and photocatalysis targeted at treating pharmaceuticals, dyes and pesticides polluted effluents. In the first half of the review, the concept of the AOPs are discussed briefly. Later, the influence of increasing current density, pH, electrode, electrolyte and initial concentration of effluents on degradation are discussed. Lastly, previously reported designs of electrochemical reactors, as well as data on intermediates generated and energy consumption during the electro oxidation and Fenton processes are discussed. According to the literature study, the electro-oxidation technique is more appropriate for organic compounds, whilst the electro-Fenton technique appear to be more appropriate for more complex molecules.
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Affiliation(s)
- Vignesh Vinayagam
- Department of Chemical Engineering, Sri Venkateswara College of Engineering, Chennai, Tamil Nadu, 602117, India
| | | | - Sudha Ganesh
- Department of Chemical Engineering, Sri Venkateswara College of Engineering, Chennai, Tamil Nadu, 602117, India
| | - Siddharth Rajesh
- Department of Chemical Engineering, Sri Venkateswara College of Engineering, Chennai, Tamil Nadu, 602117, India
| | - Vedha Varshini Akula
- Department of Chemical Engineering, Sri Venkateswara College of Engineering, Chennai, Tamil Nadu, 602117, India
| | - Ramapriyan Avoodaiappan
- Department of Chemical Engineering, Sri Venkateswara College of Engineering, Chennai, Tamil Nadu, 602117, India
| | - Omkar Singh Kushwaha
- Department of Chemical Engineering, Indian Institute of Technology Madras, Chennai, Tamil Nadu, 600036, India
| | - Arivalagan Pugazhendhi
- School of Engineering, Lebanese American University, Byblos, Lebanon; Centre for Herbal Pharmacology and Environmental Sustainability, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, 603103, Tamil Nadu, India.
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6
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Azuma T, Usui M, Hayashi T. Inactivation of antibiotic-resistant bacteria in hospital wastewater by ozone-based advanced water treatment processes. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 906:167432. [PMID: 37777130 DOI: 10.1016/j.scitotenv.2023.167432] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 09/14/2023] [Accepted: 09/26/2023] [Indexed: 10/02/2023]
Abstract
The emergence and spread of antimicrobial resistance (AMR) continue on a global scale. The impacts of wastewater on the environment and human health have been identified, and understanding the environmental impacts of hospital wastewater and exploring appropriate forms of treatment are major societal challenges. In the present research, we evaluated the efficacy of ozone (O3)-based advanced wastewater treatment systems (O3, O3/H2O2, O3/UV, and O3/UV/H2O2) for the treatment of antimicrobials, antimicrobial-resistant bacteria (AMRB), and antimicrobial resistance genes (AMRGs) in wastewater from medical facilities. Our results indicated that the O3-based advanced wastewater treatment inactivated multiple antimicrobials (>99.9%) and AMRB after 10-30 min of treatment. Additionally, AMRGs were effectively removed (1.4-6.6 log10) during hospital wastewater treatment. The inactivation and/or removal performances of these pollutants through the O3/UV and O3/UV/H2O2 treatments were significantly (P < 0.05) better than those in the O3 and O3/H2O2 treatments. Altered taxonomic diversity of microorganisms based on 16S rRNA gene sequencing following the O3-based treatment showed that advanced wastewater treatments not only removed viable bacteria but also removed genes constituting microorganisms in the wastewater. Consequently, the objective of this study was to apply advanced wastewater treatments to treat wastewater, mitigate environmental pollution, and alleviate potential threats to environmental and human health associated with AMR. Our findings will contribute to enhancing the effectiveness of advanced wastewater treatment systems through on-site application, not only in wastewater treatment plants (WWTPs) but also in medical facilities. Moreover, our results will help reduce the discharge of AMRB and AMRGs into rivers and maintain the safety of aquatic environments.
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Affiliation(s)
- Takashi Azuma
- Department of Pharmacy, Osaka Medical and Pharmaceutical University, 4-20-1 Nasahara, Takatsuki, Osaka 569-1094, Japan.
| | - Masaru Usui
- Food Microbiology and Food Safety, Department of Health and Environmental Sciences, School of Veterinary Medicine, Rakuno Gakuen University, 582 Midorimachi, Bunkyodai, Ebetsu, Hokkaido 069-8501, Japan
| | - Tetsuya Hayashi
- Department of Pharmacy, Osaka Medical and Pharmaceutical University, 4-20-1 Nasahara, Takatsuki, Osaka 569-1094, Japan; Faculty of Human Development, Department of Food and Nutrition Management Studies, Soai University, 4-4-1 Nankonaka, Osaka Suminoeku, Osaka 559-0033, Japan
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7
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Zuo X, Zhang S, Kong F, Xu Q. Application of electrochemical oxidation for the enhancement of antibiotic resistant bacteria removal in stormwater bioretention cells. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 861:160477. [PMID: 36436643 DOI: 10.1016/j.scitotenv.2022.160477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 11/07/2022] [Accepted: 11/21/2022] [Indexed: 06/16/2023]
Abstract
Recently, increasing attention has been paid to the removal of antibiotic resistant bacteria (ARB) during electrochemical advanced oxidation processes. However, there is still no available literature about the application of electrochemical oxidation (EO) to enhance ARB removal in stormwater bioretention cells. Batch experiments were conducted to investigate target ARB (E. coli K-12 carrying blaTEM, tetR and aphA) removals in bioretention cells with different current densities and ratios of air to water (A/W). ARB removals for bioretention cells with 17.6 μA/m2 of current density and 24:1 of A/W ratio was the largest with 5.28 log reduction, which was obviously higher than the one (3.68 log reduction) in the control (without EO). H2O2 production could be responsible for ARB removals in the used bioretention cells, where H2O2 levels increased at first and then decreased with the increase of current densities and A/W ratios. The evaluation for the application of EO implied that the highest antibiotic resistance (AR) conjugation frequency (3.8 × 10-3) at 3.5 μA/m2 of current density and 48:1 of A/W ratios was 124.5 % of the one in the control, while the largest AR transformation frequencies at 17.6 μA/m2 of current density and 48:1 of A/W ratios was 366.9 % (tetR) and 216.2 % (aphA) of the corresponding in the control, and there were still stable for both dominant microflora and metabolic activities in bioretention cells with electricity and aeration, suggesting that EO could be promising for the enhancement of ARB removals in bioretention cells.
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Affiliation(s)
- XiaoJun Zuo
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing 210044, China.
| | - SongHu Zhang
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing 210044, China
| | - FanXin Kong
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing 210044, China
| | - QiangQiang Xu
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing 210044, China
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8
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Fatimazahra S, Latifa M, Laila S, Monsif K. Review of hospital effluents: special emphasis on characterization, impact, and treatment of pollutants and antibiotic resistance. ENVIRONMENTAL MONITORING AND ASSESSMENT 2023; 195:393. [PMID: 36780024 PMCID: PMC9923651 DOI: 10.1007/s10661-023-11002-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 02/01/2023] [Indexed: 06/18/2023]
Abstract
Health care institutions generate large volumes of liquid effluents from specific activities related to healthcare, analysis, and research. Their direct discharge into the environment has various negative effects on aquatic environments and human health, due to their high organic matter charges and the presence of various emerging contaminants such as disinfectants, drugs, bacteria, viruses, and parasites. Moreover, hospital effluents, by carrying antibiotics, contribute to the development of antibiotic-resistant microorganisms in the environment. This resistance has become a global issue that manifests itself variously in different countries, causing the transmission of different infections. In this respect, an effort is provided to protect water resources by current treatment methods that imply physical-chemical processes such as adsorption and advanced oxidation processes, biological processes such as activated sludge and membrane bioreactors and other hybrid techniques. The purpose of this review is to improve the knowledge on the composition and impact of hospital wastewater on man and the environment, highlighting the different treatment techniques appropriate to this type of disposal before discharge into the environment.
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Affiliation(s)
- Sayerh Fatimazahra
- Process Engineering and Environment Laboratory, Faculty of Science and Technology of Mohammedia, Hassan II University, Casablanca, Morocco
| | - Mouhir Latifa
- Process Engineering and Environment Laboratory, Faculty of Science and Technology of Mohammedia, Hassan II University, Casablanca, Morocco
| | - Saafadi Laila
- Process Engineering and Environment Laboratory, Faculty of Science and Technology of Mohammedia, Hassan II University, Casablanca, Morocco
| | - Khazraji Monsif
- Process Engineering and Environment Laboratory, Faculty of Science and Technology of Mohammedia, Hassan II University, Casablanca, Morocco
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9
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Li H, Dechesne A, He Z, Jensen MM, Song HL, Smets BF. Electrochemical disinfection may increase the spread of antibiotic resistance genes by promoting conjugal plasmid transfer. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 858:159846. [PMID: 36328265 DOI: 10.1016/j.scitotenv.2022.159846] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 10/25/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
Current in the milliampere range can be used for electrochemical inactivation of bacteria. Yet, bacteria-including antibiotic resistant bacteria (ARB) may be subjected to sublethal conditions due to imperfect mixing or energy savings measures during electrochemical disinfection. It is not known whether such sublethal current intensities have the potential to stimulate plasmid transfer from ARB. In this study, conjugal transfer of plasmid pKJK5 was investigated between Pseudomonas putida strains under conditions reflecting electrochemical disinfection. Although the abundance of culturable and membrane-intact donor and recipient cells decreased with applied current (0-60 mA), both transconjugant density and transconjugant frequency increased. Both active chlorine and superoxide radicals were generated electrolytically, and ROS generation was induced. In addition, we detected significant over expression of a core oxidative stress defense gene (ahpCF) with current. Expression of selected conjugation related genes (traE, traI, trbJ, and trbL) also significantly correlated with current intensity. ROS accumulation, SOS response and subsequent derepression of conjugation are therefore the plausible consequence of sublethal current exposure. These findings suggest that sublethal intensities of current can enhance conjugal plasmid transfer, and that it is essential that conditions of electrochemical disinfection (applied voltage, current density, time and mixing) are carefully controlled to avoid conjugal ARG transmission.
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Affiliation(s)
- Hua Li
- College of Urban Construction, Nanjing Tech University, Nanjing 211816, China; Department of Environmental and Resource Engineering, Technical University of Denmark, Kgs Lyngby 2800, Denmark
| | - Arnaud Dechesne
- Department of Environmental and Resource Engineering, Technical University of Denmark, Kgs Lyngby 2800, Denmark.
| | - Zhiming He
- Department of Environmental and Resource Engineering, Technical University of Denmark, Kgs Lyngby 2800, Denmark.
| | - Marlene Mark Jensen
- Department of Environmental and Resource Engineering, Technical University of Denmark, Kgs Lyngby 2800, Denmark.
| | - Hai Liang Song
- School of Environment, Jiangsu Engineering Lab of Water and Soil Eco-remediation, Jiangsu Province Engineering Research Center of Environmental Risk Prevention and Emergency Response Technology, Nanjing Normal University, Wenyuan Road 1, Nanjing 210023, China.
| | - Barth F Smets
- Department of Environmental and Resource Engineering, Technical University of Denmark, Kgs Lyngby 2800, Denmark.
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10
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Yuan Q, Qu S, Li R, Huo ZY, Gao Y, Luo Y. Degradation of antibiotics by electrochemical advanced oxidation processes (EAOPs): Performance, mechanisms, and perspectives. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 856:159092. [PMID: 36174705 DOI: 10.1016/j.scitotenv.2022.159092] [Citation(s) in RCA: 30] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/22/2022] [Accepted: 09/24/2022] [Indexed: 06/16/2023]
Abstract
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.
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Affiliation(s)
- Qingbin Yuan
- State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University, Nanjing 210023, PR China; School of the Environment, Nanjing Tech University, Nanjing 211816, PR China.
| | - Siyao Qu
- School of the Environment, Nanjing Tech University, Nanjing 211816, PR China
| | - Rong Li
- School of the Environment, Nanjing Tech University, Nanjing 211816, PR China
| | - Zheng-Yang Huo
- School of Environment and Natural Resources, Renmin University of China, Beijing 100872, PR China.
| | - Yan Gao
- School of the Environment, Nanjing Tech University, Nanjing 211816, PR China.
| | - Yi Luo
- State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University, Nanjing 210023, PR China
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11
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Tang J, Zheng H, Cai J, Liu J, Wang Y, Deng J. Research progress of electrochemical oxidation and self-action of electric field for medical wastewater treatment. Front Microbiol 2023; 13:1083974. [PMID: 36687586 PMCID: PMC9853389 DOI: 10.3389/fmicb.2022.1083974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 12/14/2022] [Indexed: 01/11/2023] Open
Abstract
A large number of pathogenic microorganisms exist in medical wastewater, which could invade the human body through the water and cause harm to human health. With the global pandemic coronavirus (COVID-19), public health safety become particularly important, and medical wastewater treatment is an important part of it. In particular, electrochemical disinfection technology has been widely studied in medical wastewater treatment due to its greenness, high efficiency, convenient operation, and other advantages. In this paper, the development status of electrochemical disinfection technology in the treatment of medical wastewater is reviewed, and an electrochemical three-stage disinfection system is proposed for the treatment of medical wastewater. Moreover, prospects for the electrochemical treatment of medical wastewater will be presented. It is hoped that this review could provide insight and guidance for the research and application of electrochemical disinfection technology to treat medical wastewater.GRAPHICAL ABSTRACT.
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Affiliation(s)
- Jun Tang
- Department of Neurothoracic Surgery, The Third People's Hospital of Hubei Province Yangluo Campus, Jianghan University, Wuhan, China
| | - Heng Zheng
- Department of Neurothoracic Surgery, The Third People's Hospital of Hubei Province Yangluo Campus, Jianghan University, Wuhan, China
- College of Resources and Environmental Engineering, Wuhan University of Technology, Wuhan, China
| | - Jinzhong Cai
- Department of Interventional Radiology, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China
| | - Jiang Liu
- College of Resources and Environmental Engineering, Wuhan University of Technology, Wuhan, China
| | - Yangyang Wang
- Department of Neurothoracic Surgery, The Third People's Hospital of Hubei Province Yangluo Campus, Jianghan University, Wuhan, China
- College of Resources and Environmental Engineering, Wuhan University of Technology, Wuhan, China
| | - Jun Deng
- College of Chemistry, Chemical Engineering and Life Sciences, Wuhan University of Technology, Wuhan, China
- Department of Emergency, The Third People's Hospital of Hubei Province, Jianghan University, Wuhan, China
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12
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Chen X, Han W, Patel M, Wang Q, Li Q, Zhao S, Jia W. Inactivation of a pathogenic NDM-1-positive Escherichia coli strain and the resistance gene bla NDM-1 by TiO 2/UVA photocatalysis. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 846:157369. [PMID: 35842147 DOI: 10.1016/j.scitotenv.2022.157369] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 06/06/2022] [Accepted: 07/10/2022] [Indexed: 06/15/2023]
Abstract
Proliferation of blaNDM-1 in water and wastewater is particularly concerning because of multidrug-resistance and horizontal transfer of the gene. In the present study, a pathogenic NDM-1-positive Escherichia coli strain (named E. coli NDM-1) and the blaNDM-1 gene were treated with titanium dioxide (TiO2)/ultraviolet A (UVA) photocatalysis. Effects of catalyst dose, UVA intensity, and phosphate on bacteria and intracellular and extracellular blaNDM-1 genes were determined. With increases in TiO2 dose and UVA intensity, the inactivation rate of E. coli NDM-1 increased greatly in saline solution. However, phosphate in water hindered adsorption of bacteria to TiO2 and partly changed the TiO2 photocatalytic pathway, resulting in low degradation efficiency. Although inactivation of E. coli NDM-1 was highly efficient, TiO2/UVA photocatalysis had little effect on removal of the blaNDM-1 gene. During the 2-h photocatalytic experiments, E. coli cells decreased by 4.7-log, while the blaNDM-1 gene decreased by 0.7- ~ 1.5-log. Moreover, the degradation rate of extracellular blaNDM-1 was ~2.7 times higher than that of intracellular genes. Abundance and transformation frequency of residual blaNDM-1 genes remained high, even when bacteria were completely inactivated, indicating potential health risks. Increases in treatment time and UVA irradiation intensity are needed to remove the blaNDM-1 gene to sufficiently low levels.
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Affiliation(s)
- Xi Chen
- School of Chemistry and Materials Science, Jiangsu Normal University, Xuzhou 221116, PR China
| | - Wenxuan Han
- School of Chemistry and Materials Science, Jiangsu Normal University, Xuzhou 221116, PR China
| | - Manisha Patel
- Department of Civil and Environmental Engineering, Rice University, Houston, TX 77005, United States
| | - Qian Wang
- School of Chemistry and Materials Science, Jiangsu Normal University, Xuzhou 221116, PR China
| | - Qilin Li
- Department of Civil and Environmental Engineering, Rice University, Houston, TX 77005, United States
| | - Shuang Zhao
- School of Chemistry and Materials Science, Jiangsu Normal University, Xuzhou 221116, PR China
| | - Wenlin Jia
- School of Chemistry and Materials Science, Jiangsu Normal University, Xuzhou 221116, PR China.
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13
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Zuo X, Cao W, Li Y, Wang T. Antibiotic resistant bacteria inactivation through metal-free electrochemical disinfection with carbon catalysts and its potential risks. CHEMOSPHERE 2022; 305:135496. [PMID: 35764114 DOI: 10.1016/j.chemosphere.2022.135496] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 06/21/2022] [Accepted: 06/23/2022] [Indexed: 06/15/2023]
Abstract
Recently, increasing attention has been paid to the inactivation of antibiotic resistant bacteria (ARB) during the electrochemical disinfection. However, no available information could be found on ARB inactivation in water during metal-free electrochemical disinfection. In this study, polyvinylidene fluoride (PVDF)-based carbon catalyst (PPC) was chosen as working electrode. Batch experiments were conducted to investigate key design for ARB inactivation, effects of water matrix and potential risks after the disinfection under the pre-determined conditions. The disinfection with current density at 2.25 mA/cm2 and Air/Water ratio of 10:1 was optimal with the largest ARB inactivation (5.0 log reduction for 40 min), which was in line with the profile and yield of hydrogen peroxide (H2O2) during the disinfection. Effects of water matrix analysis implied that ARB inactivation efficiencies during the disinfection in acidic solutions were better than the one in alkaline solutions, which could be due to rich CC levels on surface of PPC cathode. After the optimal disinfection, ARB counts increased slightly at the first 2 h and then tended to disappear, and there were no conjugation transfer and little transformation for target antibiotic resistance genes, indicating that potential risks could be blocked after the disinfection for 40 min. Furthermore, intermittent flow was more effective in inactivating ARB compared with continuous flow. These suggested that the application of metal-free electrochemical disinfection with PPC to inactivate ARB in water was feasible and desirable in this study.
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Affiliation(s)
- XiaoJun Zuo
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing, 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing, 210044, China.
| | - WenXing Cao
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing, 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing, 210044, China
| | - Yang Li
- Jiangsu Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing, 210044, China; Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Jiangsu Joint Laboratory of Atmospheric Pollution Control, Nanjing, 210044, China
| | - Tao Wang
- School of Environment Engineering, Wuxi University, Wuxi, 214105, China
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Review of Antimicrobial Resistance in Wastewater in Japan: Current Challenges and Future Perspectives. Antibiotics (Basel) 2022; 11:antibiotics11070849. [PMID: 35884103 PMCID: PMC9312076 DOI: 10.3390/antibiotics11070849] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 06/14/2022] [Accepted: 06/22/2022] [Indexed: 12/18/2022] Open
Abstract
Antimicrobial resistance (AMR) circulates through humans, animals, and the environments, requiring a One Health approach. Recently, urban sewage has increasingly been suggested as a hotspot for AMR even in high-income countries (HICs), where the water sanitation and hygiene infrastructure are well-developed. To understand the current status of AMR in wastewater in a HIC, we reviewed the epidemiological studies on AMR in the sewage environment in Japan from the published literature. Our review showed that a wide variety of clinically important antibiotic-resistant bacteria (ARB), antibiotic resistance genes (ARGs), and antimicrobial residues are present in human wastewater in Japan. Their concentrations are lower than in low- and middle-income countries (LMICs) and are further reduced by sewage treatment plants (STPs) before discharge. Nevertheless, the remaining ARB and ARGs could be an important source of AMR contamination in river water. Furthermore, hospital effluence may be an important reservoir of clinically important ARB. The high concentration of antimicrobial agents commonly prescribed in Japan may contribute to the selection and dissemination of AMR within wastewater. Our review shows the importance of both monitoring for AMR and antimicrobials in human wastewater and efforts to reduce their contamination load in wastewater.
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Bustos E, Sandoval-González A, Martínez-Sánchez C. Detection and Treatment of Persistent Pollutants in Water: General Review of Pharmaceutical Products. ChemElectroChem 2022. [DOI: 10.1002/celc.202200188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Erika Bustos
- Centro de Investigacion y Desarrollo Tecnologico en Electroquimica SC Science Centro de Investigación y Desarrollo Tecnológico en Electroq76703México 76703 Pedro Escobedo MEXICO
| | - Antonia Sandoval-González
- Centro de Investigación y Desarrollo Tecnológico en Electroquímica SC: Centro de Investigacion y Desarrollo Tecnologico en Electroquimica SC Science Parque Tecnológico Querétaro s/nSanfandila 76703 Pedro Escobedo MEXICO
| | - Carolina Martínez-Sánchez
- Centro de Investigación y Desarrollo Tecnológico en Electroquímica SC: Centro de Investigacion y Desarrollo Tecnologico en Electroquimica SC Science Parque Tecnológico Querétaro s/nSanfandila 76703 Pedro Escobedo MEXICO
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Ghordouei Milan E, Mahvi AH, Nabizadeh R, Alimohammadi M. What is the effect on antibiotic resistant genes of chlorine disinfection in drinking water supply systems? A systematic review protocol. ENVIRONMENTAL EVIDENCE 2022. [DOI: 10.1186/s13750-022-00266-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Abstract
Background
Antibiotic-resistant bacteria (ARB) usually enter water sources in different ways, such as via municipal and hospital wastewaters. Because conventional technologies used to treat water inefficient in removing these contaminants (especially antibiotic-resistant genes; ARGs), these contaminants easily enter drinking water distribution networks and pose serious threats to consumers’ health. This study’s main purpose is to systematically investigate the effect of chlorine disinfection on ARGs in drinking water supply systems. This study could play an important role in elucidating the effect of chlorine disinfection on ARGs.
Methods
The systematic review outlining this protocol will be performed according to the Collaboration for Environmental Evidence (CEE) guidelines. The main question is, “what is the effect of chlorine disinfection on ARGs in drinking water supply systems?” For this purpose, the articles will be considered, in which chlorine’s effect on ARGs is investigated. The search includes electronic resources, grey literature, and related websites. Electronic resources include Scopus, PubMed, Embase, Web of Science Core Collection, and Science Direct. After the final search, the obtained articles will be collected in the reference management software (Endnote X8). Upon removing the duplicate articles, the first stage of article screening will be performed based on the title and abstract the articles. In the second stage, the articles obtained from the first screening stage will be screened based on the full text of the articles based on the eligibility criteria. Then, two members of the expert team extract the data. To assess the validity of the articles, bias sources will be determined by an expert team. Biases will be defined according to the criteria designed by Bilotta et al. Finally, a narrative synthesis will be performed for the extracted data; if appropriate data are available, quantitative analysis will also be performed.
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Herraiz-Carboné M, Cotillas S, Lacasa E, Vasileva M, Sainz de Baranda C, Riquelme E, Cañizares P, Sáez C. Disinfection of polymicrobial urines by electrochemical oxidation: Removal of antibiotic-resistant bacteria and genes. JOURNAL OF HAZARDOUS MATERIALS 2022; 426:128028. [PMID: 34923384 DOI: 10.1016/j.jhazmat.2021.128028] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/05/2021] [Accepted: 12/06/2021] [Indexed: 06/14/2023]
Abstract
In this work, data obtained from the University Hospital Complex of Albacete (Spain) were selected as a case study to carry out the disinfection experiments. To do this, different configurations of electrochemical reactors were tested for the disinfection of complex urines. Results showed that 4-6 logs bacterial removal were achieved for every bacterium tested when working with a microfluidic flow-through reactor after 180 min (0.423 Ah dm-3). The MIKROZON® cell reached a total disinfection after 60 min (1.212 Ah dm-3), causing severe damages induced in the cell walls observed in SEM images. The concentration profiles of the electrogenerated disinfectants in solution could explain the differences observed. Additionally, a mean decrease in the ARGs concentration ranked as follows: blaKPC (4.18-logs) > blaTEM (3.96-logs) > ermB (3.23-logs) using the MIKROZON® cell. This electro-ozonizer could be considered as a suitable alternative to reduce the risk of antibiotic resistance spread. Hence, this study provides an insight into different electrochemical reactors for the disinfection of complex hospital urine matrices and contributes to reduce the spread of antibiotic resistance through the elimination of ARGs. A topic of great importance nowadays that needs to be further studied.
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Affiliation(s)
- Miguel Herraiz-Carboné
- Department of Chemical Engineering, Higher Technical School of Industrial Engineering, University of Castilla-La Mancha, Edificio Infante Don Juan Manuel, Campus Universitario s/n, 02071 Albacete, Spain
| | - Salvador Cotillas
- Department of Chemical Engineering and Materials, Faculty of Chemical Sciences, Complutense University of Madrid, Avenida Complutense s/n, 28040 Madrid, Spain.
| | - Engracia Lacasa
- Department of Chemical Engineering, Higher Technical School of Industrial Engineering, University of Castilla-La Mancha, Edificio Infante Don Juan Manuel, Campus Universitario s/n, 02071 Albacete, Spain.
| | - Marina Vasileva
- Department of Chemical Engineering, Higher Technical School of Industrial Engineering, University of Castilla-La Mancha, Edificio Infante Don Juan Manuel, Campus Universitario s/n, 02071 Albacete, Spain
| | - Caridad Sainz de Baranda
- Clinical Parasitology and Microbiology Area, University Hospital Complex of Albacete, C/Hermanos Falcó 37, 02006 Albacete, Spain
| | - Eva Riquelme
- Clinical Parasitology and Microbiology Area, University Hospital Complex of Albacete, C/Hermanos Falcó 37, 02006 Albacete, Spain
| | - Pablo Cañizares
- Department of Chemical Engineering, Faculty of Chemical Sciences and Technologies, University of Castilla-La Mancha, Edificio Enrique Costa Novella, Campus Universitario s/n, 13005 Ciudad Real, Spain
| | - Cristina Sáez
- Department of Chemical Engineering, Faculty of Chemical Sciences and Technologies, University of Castilla-La Mancha, Edificio Enrique Costa Novella, Campus Universitario s/n, 13005 Ciudad Real, Spain
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Recombinant Expression and Antibacterial Properties of BmTXKS2 Venom Peptide in Fusion with GST. Int J Pept Res Ther 2022. [DOI: 10.1007/s10989-022-10374-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Electrochemical Technologies to Decrease the Chemical Risk of Hospital Wastewater and Urine. Molecules 2021; 26:molecules26226813. [PMID: 34833906 PMCID: PMC8621562 DOI: 10.3390/molecules26226813] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 11/01/2021] [Accepted: 11/09/2021] [Indexed: 11/24/2022] Open
Abstract
The inefficiency of conventional biological processes to remove pharmaceutical compounds (PhCs) in wastewater is leading to their accumulation in aquatic environments. These compounds are characterized by high toxicity, high antibiotic activity and low biodegradability, and their presence is causing serious environmental risks. Because much of the PhCs consumed by humans are excreted in the urine, hospital effluents have been considered one of the main routes of entry of PhCs into the environment. In this work, a critical review of the technologies employed for the removal of PhCs in hospital wastewater was carried out. This review provides an overview of the current state of the developed technologies for decreasing the chemical risks associated with the presence of PhCs in hospital wastewater or urine in the last years, including conventional treatments (filtration, adsorption, or biological processes), advanced oxidation processes (AOPs) and electrochemical advanced oxidation processes (EAOPs).
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