Effects of ciprofloxacin and levofloxacin on initial colonization of intestinal microbiota in Bufo gargarizans at embryonic stages

Ciprofloxacin (CIP) and levofloxacin (LEV) are broad-spectrum antibiotics with potent antibacterial activity. Although many studies have shown that antibiotics can lead to gut microbiota disruption, the effects of CIP and LEV on gut microbial colonization at the embryonic stage remain poorly characterized. Here, we evaluated the response of Bufo gargarizans embryos in terms of gut microbiota colonization, growth and developmental stages to CIP and LEV exposure. Embryos treated with 100 μg/L CIP and LEV exhibited significantly reduced diversity and richness of the gut microbiota, as well as altered community structure. Both CIP and LEV treatments resulted in an increase in the pathogenic bacteria Bosea and Aeromonas, and they appeared to be more resistant to CIP than LEV. Additionally, CIP exposure caused reduced total length and delayed the development in B. gargarizans embryos, while LEV increased the total length and promoted embryonic development. The present study revealed the adverse effects of CIP and LEV exposure on host gut microbiota, growth and development during the embryonic stage, and contributed new perspectives to the evaluation of early aquatic ecological risk under CIP and LEV exposure.

Distribution of antibiotic resistance genes and antibiotic residues in drinking water production facilities: Links to bacterial community

There is a rapid spread of antibiotic resistance in the environment. However, the impact of antibiotic resistance in drinking water is relatively underexplored. Thus, this study aimed to quantify antibiotic resistance genes (ARGs) and antibiotic residues in two drinking water production facilities (NW-E and NW-C) in North West Province, South Africa and link these parameters to bacterial communities. Physicochemical and ARG levels were determined using standard procedures. Residues (antibiotics and fluconazole) and ARGs were quantified using ultra-high performance liquid chromatography (UHPLC) chemical analysis and real-time PCR, respectively. Bacterial community compositions were determined by high-throughput 16S rRNA sequencing. Data were analysed using redundancy analysis and pairwise correlation. Although some physicochemical levels were higher in treated than in raw water, drinking water in NW-E and NW-C was safe for human consumption using the South African Water Quality Guideline (SAWQG). ARGs were detected in raw and treated water. In NW-E, the concentrations of ARGs (sul1, intl1, EBC, FOX, ACC and DHA) were higher in treated water than in raw water. Regarding antimicrobial agents, antibiotic and fluconazole concentrations were higher in raw than in treated water. However, in NW-C, trimethoprim concentrations were higher in raw than in treated water. Redundancy analysis showed that bacterial communities were not significantly correlated (Monte Carlo simulations, p-value >0.05) with environmental factors. However, pairwise correlation showed significant differences (p-value <0.05) for Armatimonas, CL500-29 marine group, Clade III, Dickeya and Zymomonas genera with environmental factors. The presence of ARGs and antibiotic residues in the current study indicated that antibiotic resistance is not only a clinical phenomenon but also in environmental settings, particularly in drinking water niches. Consumption of NW-E and NW-C treated water may facilitate the spread of antibiotic resistance among consumers. Thus, regulating and monitoring ARGs and antibiotic residues in drinking water production facilities should be regarded as paramount.

Efficiency of phytoremediation and identification of biotransformation pathways of fluoroquinolones in the aquatic environment

Phytoremediation is a low-cost and sustainable green technology that uses plants to remove organic and inorganic pollutants from aquatic environments. The aim of this study was to investigate the phytoextraction, phytoaccumulation, and phytotransformation of three fluoroquinolones (FQs) (ciprofloxacin [CIP], enrofloxacin [ENF], and levofloxacin [LVF]) by Japanese radish (Raphanus sativus var. longipinnatus) and duckweed (Lemma minor). Determination of FQs and identification of their transformation products (TPs) were performed using ultra-high-performance liquid chromatography coupled with tandem mass spectrometry (UHPLC-MS/MS). Inter-tissue translocation of FQs in Japanese radish tissues depended on their initial concentration in the medium. CIP (IT = 14.4) and ENF (IT = 17.0) accumulated mainly in radish roots, while LVF in leaves (IT = 230.8) at an initial concentration of 10 µg g-1. CIP (2,104 ng g-1) was detected in the highest concentration, followed by ENF (426.3 ng g-1) and LVF (273.3 ng g-1) in the tissues of both plants. FQs' bioaccumulation factors were significantly higher for duckweed (1.490-18.240) than Japanese radish (0.027-0.103). The removal of FQs from water using duckweed was mainly due to their photolysis and hydrolysis than plant sorption. In the screening, analysis detected 29 FQ TPs. The biotransformation pathways of FQs are described in detail, and the factors that influence their formation are indicated.

Detection of Pharmaceutically Active Compounds in Tap Water Samples by Direct Injection HPLC/MS-MS: A Danger Signal in Deficiency in Residue Management

To date, there is an increased risk to public health and the environment due to the presence of pharmaceutically active compounds within drinking water supply and distribution networks. Owing to this, a direct injection-HPLC/MS-MS method was developed for the simultaneous determination of 16 active pharmaceutical compounds in tap water samples: amoxicillin, ampicillin, cephalexin, cefotaxime, cefuroxime, ciprofloxacin, clarithromycin, clindamycin, chloramphenicol, cyproterone, erythromycin, flutamide, spironolactone, sulfamethoxazole, tamoxifen, and trimethoprim. Limits of detection (LOD) ranged from 0.2 to 6.0 µg/L while quantification limits (LOQ) from 0.3 to 20 µg/L. Recovery percentages were between 70 and 125%. Total analysis time was short, with all compounds being resolved in less than 2.1 min. Of the 22 tap water samples collected and analyzed, the highest concentrations corresponded to amoxicillin (147 µg/L) and ciprofloxacin (44 µg/L). The findings could set a precedent for establishing safe levels of these compounds and increasing standards for tap water quality in this region.

A comprehensive review on the fate and impact of antibiotic residues in the environment and public health: A special focus on the developing countries

The widespread application of antibiotics in human and veterinary medicine has led to the pervasive presence of antibiotic residues in the environment, posing a potential hazard to public health. This comprehensive review aims to scrutinize the fate and impact of antibiotic residues, with a particular focus on the context of developing nations. The investigation delves into the diverse pathways facilitating the entry of antibiotics into the environment and meticulously examines their effects on human health. The review delineates the current state of antibiotic residues, evaluates their exposure in developing nations, and elucidates existing removal methodologies. Additionally, it probes into the factors contributing to the endurance and ecotoxicity of antibiotic residues, correlating these aspects with usage rates and associated mortalities in these nations. The study also investigates removal techniques for antibiotic residues, assessing their efficiency in environmental compartments. The concurrent emergence of antibiotic-resistant bacteria, engendered by antibiotic residues, and their adverse ecological threats underscore the necessity for enhanced regulations, vigilant surveillance programs, and the adoption of sustainable alternatives. The review underlines the pivotal role of public education and awareness campaigns in promoting responsible antibiotic use. The synthesis concludes with strategic recommendations, strengthening the imperative for further research encompassing comprehensive monitoring, ecotoxicological effects, alternative strategies, socio-economic considerations, and international collaborations, all aimed at mitigating the detrimental effects of antibiotic residues on human health and the environment. PRACTITIONER POINTS: Antibiotic residues are widely distributed in different environmental compartments. Developing countries use more antibiotics than developed countries. Human and veterinary wastes are one of the most responsible sources of antibiotic pollution. Antibiotics interact with biological systems and trigger pharmacological reactions at low doses. Antibiotics can be removed using modern biological, chemical, and physical-chemical techniques.

The Potential of Wood Vinegar to Replace Antimicrobials Used in Animal Husbandry-A Review

The indiscriminate use of antimicrobials in animal husbandry can result in various types of environmental contamination. Part of the dose of these products is excreted, still active, in the animals' feces and urine. These excreta are widely used as organic fertilizers, which results in contamination with antimicrobial molecules. The impacts can occur in several compartments, such as soil, groundwater, and surface watercourses. Also, contamination by antimicrobials fed or administrated to pigs, chickens, and cattle can reach the meat, milk, and other animal products, which calls into question the sustainability of using these products as part of eco-friendly practices. Therefore, a search for alternative natural products is required to replace the conventional antimicrobials currently used in animal husbandry, aiming to mitigate environmental contamination. We thus carried out a review addressing this issue, highlighting wood vinegar (WV), also known as pyroligneous acid, as an alternative antimicrobial with good potential to replace conventional products. In this regard, many studies have demonstrated that WV is a promising product. WV is a nontoxic additive widely employed in the food industry to impart a smoked flavor to foods. Studies have shown that, depending on the WV concentration, good results can be achieved using it as an antimicrobial against pathogenic bacteria and fungi and a valuable growth promoter for poultry and pigs.

Occurrence of antibiotics and antibiotic-resistant bacteria in the Lebanese polluted Litani River

Antibiotic contamination in polluted rivers is well recognized as an environmental and public health challenge. In this study, the occurrence, distribution, and ecological risk assessment of three commonly used antibiotics (amoxicillin, ciprofloxacin, and azithromycin) were assessed in the Litani River, the most important and highly polluted river in Lebanon. Physicochemical and microbiological water quality parameters including the antibiotic-resistant ones were in parallel determined in the same sites. Water samples from five sites stretching across the river upper basin were analyzed for the antibiotics under study using high-performance liquid chromatography, with both fluorometric and UV detectors post-extraction using a solid-phase method with a hydrophilic-lipophilic balance cartridges. The disc diffusion method and standardized water quality methods were used for antibiotic-resistant bacteria and water quality assessment, respectively. Amoxicillin and ciprofloxacin were found at concentrations of 250 ng/L and 107.2 ng/L, while azithromycin was not detected in any of the sites under study. Varying levels of antibiotic resistance were detected with the isolated Escherichia coli (E. coli) and Pseudomonas aeruginosa (P. aeruginosa) while the total coliforms showed resistance to multiple antibiotics. COD, TP, PO43-, TN, NO3-, NH4 + , E. coli, total coliform, P. aeruginosa, and Cd levels surpassed permissible levels. Correlation analysis with water quality parameters (COD, total phosphate, phosphate, total nitrogen, and cadmium) showed a significant positive correlation with ciprofloxacin (r > 0.5, p value < 0.05). Also, the resistant P. aeruginosa showed a significant positive correlation with cadmium (r > 0.5, p value < 0.05) while the resistant E. coli was positively correlated with total nitrogen, nitrate, and lead levels (r > 0.5, p value < 0.05). The ecological risk assessment revealed that all the tested antibiotics pose low risks (ecological risk quotient RQ < 0.1) except ciprofloxacin, which could pose a medium risk (0.1 < RQ < 1). Future research concerning the long-term assessment of antibiotics' residues and the identification of resistance genes in the river is recommended.

Evaluation of microplastic pollution in a lotic ecosystem and its ecological risk

This study investigates the microplastics (MPs) pollution in Tigris River, assessing spatial and temporal variations in water and sediment. MPs presence was high during both seasons 3429.2 MPs/m3 (dry season) and 3363.2 MPs/m3 (wet season) in water, and 121.2 MPs/kg (wet season) and 123.2 MPs/kg (dry season) in sediment. MPs morphology mostly consisted of fibers and fragments, with sizes below 0.5 mm. Transparent and white were the most common colors, and they were primarily composed of polyethylene (PE) and polypropylene (PP). Ecological risk assessment, using the plastic hazard index (PHI), pollution load index (PLI), and potential ecological risk index (PERI), categorized the risk from danger to extreme danger based on PHI, while PLI and PERI indicated a minor risk. These findings provide initial evidence of microplastics pollution in the Tigris River's water and sediment, emphasizing the need for action by decision-makers to mitigate these risks.

The potential of fungi in the bioremediation of pharmaceutically active compounds: a comprehensive review

The ability of fungal species to produce a wide range of enzymes and metabolites, which act synergistically, makes them valuable tools in bioremediation, especially in the removal of pharmaceutically active compounds (PhACs) from contaminated environments. PhACs are compounds that have been specifically designed to treat or alter animal physiological conditions and they include antibiotics, analgesics, hormones, and steroids. Their detrimental effects on all life forms have become a source of public outcry due their persistent nature and their uncontrolled discharge into various wastewater effluents, hospital effluents, and surface waters. Studies have however shown that fungi have the necessary metabolic machinery to degrade PhACs in complex environments, such as soil and water, in addition they can be utilized in bioreactor systems to remove PhACs. In this regard, this review highlights fungal species with immense potential in the biodegradation of PhACs, their enzymatic arsenal as well as the probable mechanism of biodegradation. The challenges encumbering the real-time application of this promising bioremediative approach are also highlighted, as well as the areas of improvement and future perspective. In all, this paper points researchers to the fact that fungal bioremediation is a promising strategy for addressing the growing issue of pharmaceutical contamination in the environment and can help to mitigate the negative impacts on ecosystems and human health.

Advancements in electrochemical technologies for the removal of fluoroquinolone antibiotics in wastewater: A review

In recent times, the need to make water safer and cleaner through the elimination of recalcitrant pharmaceutical residues has been the aim of many studies. Fluoroquinolone antibiotics such as ciprofloxacin, norfloxacin, enrofloxacin, and levofloxacin are among the commonly detected pharmaceuticals in wastewater. Since the presence of these pharmaceuticals in water bodies poses serious risks to living organisms, it is vital to adopt effective wastewater treatment techniques for their complete removal. Electrochemical technologies such as photoelectrocatalysis, electro-Fenton, electrocoagulation, and electrochemical oxidation have been established as techniques capable of the complete removal of organics including pharmaceuticals from wastewater. Hence, this review presents discussions on the recent progress (literature within 2018-2022) in the applications of common electrochemical processes for the degradation of fluoroquinolone antibiotics from wastewater. The fundamentals of these processes are highlighted while the results obtained using the processes are critically discussed. Furthermore, the inherent advantages and limitations of these processes in the mineralization of fluoroquinolone antibiotics are clearly emphasized. Additionally, appropriate recommendations are made toward improving electrochemical technologies for the complete removal of these pharmaceuticals with minimal energy consumption. Therefore, this review will serve as a bedrock for future researchers concerned with wastewater treatments to make informed decisions in the selection of suitable electrochemical techniques for the removal of pharmaceuticals from wastewater.

A comprehensive review on sustainable clay-based geopolymers for wastewater treatment: circular economy and future outlook

In the present era of significant industrial development, the presence and dispersal of countless water contaminants in water bodies worldwide have rendered them unsuitable for various forms of life. Recently, the awareness of environmental sustainability for wastewater treatment has increased rapidly in quest of meeting the global water demand. Despite numerous conventional adsorbents on deck, exploring low-cost and efficient adsorbents is interesting. Clays and clays-based geopolymers are intensively used as natural, alternative, and promising adsorbents to meet the goals for combating climate change and providing low carbon, heat, and power. In this narrative work, the present review highlights the persistence of some inorganic/organic water pollutants in aquatic bodies. Moreover, it comprehensively summarizes the advancement in the strategies associated with synthesizing clays and their based geopolymers, characterization techniques, and applications in water treatment. Furthermore, the critical challenges, opportunities, and future prospective regarding the circular economy are additionally outlined. This review expounded on the ongoing research studies for leveraging these eco-friendly materials to address water decontamination. The adsorption mechanisms of clays-based geopolymers are successfully presented. Therefore, the present review is believed to deepen insights into wastewater treatment using clays and clays-based geopolymers as a groundbreaking aspect in accord with the waste-to-wealth concept toward broader sustainable development goals.

Predicting bioactivity of antibiotic metabolites by molecular docking and dynamics

Antibiotics enter the environment through waste streams, where they can exert selective pressure for antimicrobial resistance in bacteria. However, many antibiotics are excreted as partly metabolized forms, or can be subject to partial breakdown in wastewater treatment, soil, or through natural processes in the environment. If a metabolite is bioactive, even at sub-lethal levels, and also stable in the environment, then it could provide selection pressure for resistance. (5S)-penicilloic acid of piperacillin has previously been found complexed to the binding pocket of penicillin binding protein 3 (PBP3) of Pseudomonas aeruginosa. Here, we predicted the affinities of all potentially relevant antibiotic metabolites of ten different penicillins to that target protein, using molecular docking and molecular dynamics simulations. Docking predicts that, in addition to penicilloic acid, pseudopenicillin derivatives of these penicillins, as well as 6-aminopenicillanic acid (6APA), could also bind to this target. MD simulations further confirmed that (5R)-pseudopenicillin and 6APA bind the target protein, in addition to (5S)-penicilloic acid. Thus, it is possible that these metabolites are bioactive, and, if stable in the environment, could be contaminants selective for antibiotic resistance. This could have considerable significance for environmental surveillance for antibiotics as a means to reduce antimicrobial resistance, because targeted mass spectrometry could be required for relevant metabolites as well as the native antibiotics.

Determination of the microscopic acid dissociation constant of piperacillin and identification of dissociated molecular forms

For amphoteric ß-lactam antibiotics, the acid dissociation constant (pK a) is a fundamental parameter to characterize physicochemical and biochemical properties of antibiotics and to predict persistence and removal of drugs. pK a of piperacillin (PIP) is determined by potentiometric titration with a glass electrode. Electrospray ionization mass spectrometry (ESI-MS) is creatively applied to verify the reasonable pK a value at every dissociation step. Two microscopic pK a values (3.37 ± 0.06 and 8.96 ± 0.10) are identified and attributed to the direct dissociation of the carboxylic acid functional group and one secondary amide group, respectively. Different from other ß-lactam antibiotics, PIP presents a dissociation pattern where direct dissociation is involved instead of protonation dissociation. Moreover, the degradation tendency of PIP in an alkaline solution may alter the dissociation pattern or dismiss the corresponding pK a of the amphoteric ß-lactam antibiotics. This work offers a reliable determination of the acid dissociation constant of PIP and a clear interpretation of the effect of stability of antibiotics on the dissociation process.

Synthesis of neodymium ferrite incorporated graphitic carbonitride (NdFe2O4@g-C3N4) and its application in the photodegradation of ciprofloxacin and ampicillin in a water system

Purification of antibiotic-contaminated drinking water sources is faced with limitations. Therefore, this study incorporated neodymium ferrite (NdFe2O4) in graphitic carbonitride (g-C3N4) to form NdFe2O4@g-C3N4 as a photocatalyst for removing ciprofloxacin (CIP) and ampicillin (AMP) from aqueous systems. X-ray diffraction (XRD) revealed a crystallite size of 25.15 nm for NdFe2O4 and 28.49 nm for NdFe2O4@g-C3N4. The bandgap is 2.10 and 1.98 eV for NdFe2O4 and NdFe2O4@g-C3N4, respectively. The transmission electron micrograph (TEM) images of NdFe2O4 and NdFe2O4@g-C3N4 gave an average particle size of 14.10 nm and 18.23 nm, respectively. Scanning electron micrograph (SEM) images showed heterogeneous surfaces with irregular-sized particles suggesting agglomeration at the surfaces. NdFe2O4@g-C3N4 (100.00 ± 0.00% for CIP and 96.80 ± 0.80% for AMP) exhibited better photodegradation efficiency towards CIP and AMP than NdFe2O4 (78.45 ± 0.80% for CIP and 68.25 ± 0.60% for AMP) in a process described by pseudo-first-order kinetics. NdFe2O4@g-C3N4 showed a stable regeneration capacity towards degradation of CIP and AMP with a capacity that is above 95% even at the 15th cycle of treatment. The use of NdFe2O4@g-C3N4 in this study revealed its potential as a promising photocatalyst for removing CIP and AMP in water systems.

Adsorptive removal of antibiotic pollutants from wastewater using biomass/biochar-based adsorbents

This study explores adsorptive removal measures to shed light on current water treatment innovations for kinetic/isotherm models and their applications to antibiotic pollutants using a broad range of biomass-based adsorbents. The structure, classifications, sources, distribution, and different techniques for the remediation of antibiotics are discussed. Unlike previous studies, a wide range of adsorbents are covered and adsorption of comprehensive classes of antibiotics onto biomass/biochar-based adsorbents are categorized as β-lactam, fluoroquinolone, sulfonamide, tetracycline, macrolides, chloramphenicol, antiseptic additives, glycosamides, reductase inhibitors, and multiple antibiotic systems. This allows for an assessment of their performance and an understanding of current research breakthroughs in applying various adsorbent materials for antibiotic removal. Distinct from other studies in the field, the theoretical basis of different isotherm and kinetics models and the corresponding experimental insights into their applications to antibiotics are discussed extensively, thereby identifying the associated strengths, limitations, and efficacy of kinetics and isotherms for describing the performances of the adsorbents. In addition, we explore the regeneration of adsorbents and the potential applications of the adsorbents in engineering. Lastly, scholars will be able to grasp the present resources employed and the future necessities for antibiotic wastewater remediation.

An environmentally relevant concentration of antibiotics impairs the immune system of zebrafish (Danio rerio) and increases susceptibility to virus infection

In this work, we analysed the transcriptome and metatranscriptome profiles of zebrafish exposed to an environmental concentration of the two antibiotics most frequently detected in European inland surface water, sulfamethoxazole (SMX) and clarithromycin (CLA). We found that those animals exposed to antibiotics (SMX+CLA) for two weeks showed a higher bacterial load in both the intestine and kidney; however, significant differences in the relative abundance of certain bacterial classes were found only in the intestine, which also showed an altered fungal profile. RNA-Seq analysis revealed that the complement/coagulation system is likely the most altered immune mechanism, although not the only one, in the intestine of fish exposed to antibiotics, with numerous genes inhibited compared to the control fish. On the other hand, the effect of SMX+CLA in the kidney was more modest, and an evident impact on the immune system was not observed. However, infection of both groups with spring viremia of carp virus (SVCV) revealed a completely different response to the virus and an inability of the fish exposed to antibiotics to respond with an increase in the transcription of complement-related genes, a process that was highly activated in the kidney of the untreated zebrafish after SVCV challenge. Together with the higher susceptibility to SVCV of zebrafish treated with SMX+CLA, this suggests that complement system impairment is one of the most important mechanisms involved in antibiotic-mediated immunosuppression. We also observed that zebrafish larvae exposed to SMX+CLA for 7 days showed a lower number of macrophages and neutrophils.

Study of the Effect of Antibiotics in Drinking Water on the Content of Antioxidant Compounds in Red Wines

The presence of antibiotic residues in drinking water may be a source of contamination, which could affect the diffusion of polyphenols into the wine must during the traditional fermentation process. Antibiotic residues such as ivermectin, hydroxychloroquine, ciprofloxacin, and azithromycin on the diffusion of polyphenols and anthocyanins during wine fermentation were studied. Different samples were taken at different periods (0, 48, 96, and 168 h) to analyse the total polyphenols, anthocyanin content, and antioxidant capacity, which were correlated with Peleg's equation to establish the diffusion kinetics of these compounds. The results indicated that the presence of antibiotics reduced between 40 and 50% the diffusion of the total polyphenols and monomeric anthocyanins in red wine. The use of ivermectin showed the highest kinetic parameter k₁ compared with the use of other antibiotics. This suggested that the chemical structure and molecular weight of the antibiotics could play an important role in inhibiting the metabolism of yeasts affecting the ethanol and CO₂ production. Consequently, cell membranes would be impermeable and would not allow the release of polyphenols and anthocyanins. Therefore, it is necessary to establish strategies that allow future water quality control in wine production companies.

Metagenomic-based surveillance systems for antibiotic resistance in non-clinical settings

The success of antibiotics as a therapeutic agent has led to their ineffectiveness. The continuous use and misuse in clinical and non-clinical areas have led to the emergence and spread of antibiotic-resistant bacteria and its genetic determinants. This is a multi-dimensional problem that has now become a global health crisis. Antibiotic resistance research has primarily focused on the clinical healthcare sectors while overlooking the non-clinical sectors. The increasing antibiotic usage in the environment - including animals, plants, soil, and water - are drivers of antibiotic resistance and function as a transmission route for antibiotic resistant pathogens and is a source for resistance genes. These natural compartments are interconnected with each other and humans, allowing the spread of antibiotic resistance via horizontal gene transfer between commensal and pathogenic bacteria. Identifying and understanding genetic exchange within and between natural compartments can provide insight into the transmission, dissemination, and emergence mechanisms. The development of high-throughput DNA sequencing technologies has made antibiotic resistance research more accessible and feasible. In particular, the combination of metagenomics and powerful bioinformatic tools and platforms have facilitated the identification of microbial communities and has allowed access to genomic data by bypassing the need for isolating and culturing microorganisms. This review aimed to reflect on the different sequencing techniques, metagenomic approaches, and bioinformatics tools and pipelines with their respective advantages and limitations for antibiotic resistance research. These approaches can provide insight into resistance mechanisms, the microbial population, emerging pathogens, resistance genes, and their dissemination. This information can influence policies, develop preventative measures and alleviate the burden caused by antibiotic resistance.

Efficient removal of levofloxacin by a magnetic NiFe-LDH/N-MWCNTs nanocomposite: Characterization, response surface methodology, and mechanism

Antibiotic pollutants in water bodies, was studied to remove using an oxidized, nitrogen-doped, and Fe₃O₄ and NiFe-LDH decorated MWCNT (magnetic NiFe-LDH/N-MWCNTs) nanocomposite (NC). The novel, engineered NC was characterized by different techniques of SEM, XRD, TEM, EDX, and XPS and then examined under different main effective parameters of NC dose, levofloxacin (LVX) concentration, pH, time, and temprature. The experimentally obtained data then evaluated using the modeling approaches of RSM, GRNN, and ANFIS. The as prepared adsorbent showed an excellent adsorption performance (removal efficiency = 95.28% and adsorption capacity = 344.83-454.55 mg/g) under the respective values of the mentioned parameters of 0.152 g, 23.01 mg/L, 12.00 min, and 37.5 °C, respectively. The comparison of the models showed that although all of them accurately predicted the removal efficiency, ANFIS presented the best capability with R², RMSE, MSE, MAE, as well as AAD of 0.9998, 0.0082, -0.0004, 0.0069, 0.1322, respectively. The adsorption by the NC followed Freundlich isotherm (R² = 0.9993) and PSO kinetic (>0.998) models, confirming a heterogenous chemisorption process. The thermodynamic parameters showed an endothermic and spontaneous nature for LVX removal by magnetic NiFe-LDH/N-MWCNTs NC. A high-performance efficiency, appropriate reusability (five times without loss of efficiency), as well as easy separation due to magnetic properties, makes the NC to a promising option in removing LVX from water.

Progress in microalgal mediated bioremediation systems for the removal of antibiotics and pharmaceuticals from wastewater

Worldwide demand for antibiotics and pharmaceutical products is continuously increasing for the control of disease and improvement of human health. Poor management and partial metabolism of these compounds result in the pollution of aquatic systems, leading to hazardous effects on flora, fauna, and ecosystems. In the past decade, the importance of microalgae in micropollutant removal has been widely reported. Microalgal systems are advantageous as their cultivation does not require additional nutrients: they can recover resources from wastewater and degrade antibiotics and pharmaceutical pollutants simultaneously. Bioadsorption, degradation, and accumulation are the main mechanisms involved in pollutant removal by microalgae. Integration of microalgae-mediated pollutant removal with other technologies, such as biodiesel, biochemical, and bioelectricity production, can make this technology more economical and efficient. This article summarizes the current scenario of antibiotic and pharmaceutical removal from wastewater using microalgae-mediated technologies.

Photodegradable Antimicrobial Agents: Synthesis and Mechanism of Degradation

As a strategy to inactivate antimicrobial agents after use, we designed a range of ethanolamine derivatives where four of them possessed interesting activity. The ethanolamine moiety facilitates photodecomposition, which in a potential drug will take place after use. Herein, the synthetic preparation of these compounds and the mechanism of photoinactivation are described.

Persistence, environmental hazards, and mitigation of pharmaceutically active residual contaminants from water matrices

Pharmaceutical compounds are designed to elicit a biological reaction in specific organisms. However, they may also elicit a biological response in non-specific organisms when exposed to ambient quantities. Therefore, the potential human health hazards and environmental effects associated with pharmaceutically active compounds presented in aquatic environments are being studied by researchers all over the world. Owing to their broad-spectrum occurrence in various environmental matrices, direct or indirect environmental hazardous impacts, and human-health related consequences, several pharmaceutically active compounds have been categorized as emerging contaminants (ECs) of top concern. ECs are often recalcitrant and resistant to abate from water matrices. In this review, we have examined the classification, occurrence, and environmental hazards of pharmaceutically active compounds. Moreover, because of their toxicity and the inefficiency of wastewater treatment plants to remove pharmaceutical pollutants, novel wastewater remediation technologies are urgently required. Thus, we have also analyzed the recent advances in microbes-assisted bioremediation as a suitable, cost-effective, and eco-friendly alternative for the decontamination of pharmaceutical pollutants. Finally, the most important factors to reach optimal bioremediation are discussed.

Comparing the efficacy of various methods for sulfate radical generation for antibiotics degradation in synthetic wastewater: degradation mechanism, kinetics study, and toxicity assessment

In the present study the aim was to investigate and compare various activation processes for amoxicillin degradation. UV radiation, ultrasound, heat, and hydrogen peroxide were selected as the persulfate activation methods. The effects of various parameters such as pH, persulfate concentration, reaction time, AMX concentration, radical scavengers, and anions were thoroughly investigated. The results showed that AMX degradation was following the pseudo-first order kinetic model. The reaction rate of 0.114 min-1 was calculated for the UV/PS process, which was higher than that of the other investigated processes. The AMX degradation mechanism and pathway investigations revealed that sulfate and hydroxyl radicals were responsible for the degradation of AMX by two degradation pathways of hydroxylation and the opening of the β-lactam ring. Competition kinetic analysis showed that the second-order rate constant of AMX with sulfate radicals was 8.56 × 109 L mol-1 s-1 in the UV/PS process. Cost analysis was conducted for the four investigated processes and it was found that 1.9 $m-3 per order is required in the UV/PS process for the complete destruction of AMX. Finally, cytotoxic assessment of the treated effluent on human embryonic kidney cells showed a considerable reduction in AMX-induced cell cytotoxicity, proving that the investigated process is sufficiently capable of completely destroying AMX molecules to nontoxic compounds. Therefore, it can be concluded that UV radiation is much more effective than other methods for persulfate activation and can be considered as a reliable technique for antibiotic removal.

Delineating the impact of COVID-19 on antimicrobial resistance: An Indian perspective

The COVID-19 pandemic has shattered millions of lives globally and continues to be a challenge to public health due to the emergence of variants of concern. Fear of secondary infections following COVID-19 has led to an escalation in antimicrobial use during the pandemic, while some antimicrobials have been repurposed as treatments for SARS-CoV-2, further driving antimicrobial resistance. India is one of the largest producers and consumers of antimicrobials globally, hence the task of curbing antimicrobial resistance is a huge challenge. Practices like empirical antimicrobial prescription and repurposing of drugs in clinical settings, self-medication and excessive use of antimicrobial hygiene products may have negatively impacted the prevalence of antimicrobial resistance in India. However, the expanded production of antimicrobials and disinfectants during the pandemic in response to increased demand may have had an even greater impact on the threat of antimicrobial resistance through major impacts on the environment. The review provides an outline of the impact COVID-19 can have on antimicrobial resistance in clinical settings and the possible outcomes on the environment. This review calls for the upgrading of existing antimicrobial policies and emphasizes the need for research studies to understand the impact of the pandemic on antimicrobial resistance in India.

A comprehensive review on recent advances toward sequestration of levofloxacin antibiotic from wastewater

Among various classes of antibiotics, fluoroquinolones, especially Levofloxacin, are being administered on a large scale for numerous purposes. Being highly stable to be completely metabolized, residual quantities of Levofloxacin get accumulated into the food chain proving a great global threat for aquatic as well as terrestrial ecosystems. Various removal techniques including both conventional and advanced methods have been reported for this purpose. This review is a novel attempt to make a critical analysis of the recent advances made exclusively toward the sequestration of Levofloxacin from wastewater through an extensive literature survey (2015-2021). Adsorption and advanced oxidation processes especially photocatalytic degradation are the most tested techniques in which assorted nanomaterials play a significant role. Several photocatalysts exhibited up to 100% degradation of LEV which makes photocatalytic degradation the best method among other tested methods. However, the degraded products need to be further monitored in terms of their toxicity. Biological degradation may prove to be the most environment-friendly with the least toxicity, unfortunately, not much research is reported in the field. With these key findings and knowledge gaps, authors suggest the scope of hybrid techniques, which have been experimented on other antibiotics. These can potentially minimize the disadvantages of the individual techniques concurrently improving the efficiency of LEV removal. Besides, techniques like column adsorption, membrane treatment, and ozonation, being least reported, reserve good perspectives for future research. With these implications, the review will certainly serve as a breakthrough for researchers working in this field to aid their future findings.

Environmental and human health risk assessment of mixture of Covid-19 treating pharmaceutical drugs in environmental waters

This study identified ecological and human health risks exposure of COVID-19 pharmaceuticals and their metabolites in environmental waters. Environmental concentrations in aquatic species were predicted using surface water concentrations of pharmaceutical compounds. Predicted No-Effect Concentrations (PNEC) in aquatic organisms (green algae, daphnia, and fish) was estimated using EC₅₀/LC₅₀ values of pharmaceutical compounds taken from USEPA ECOSAR database. PNEC for human health risks was calculated using the acceptable daily intake values of drugs. Ecological PNEC revealed comparatively high values in algae (Chronic toxicity PNEC values, high to low: ribavirin (2.65 × 10⁵ μg/L) to ritonavir (2.3 × 10^-1 μg/L)) than daphnia and fish. Risk quotient (RQ) analysis revealed that algae (Avg. = 2.81 × 10⁴) appeared to be the most sensitive species to pharmaceutical drugs followed by daphnia (Avg.: 1.28 × 10⁴) and fish (Avg.: 1.028 × 10³). Amongst the COVID-19 metabolites, lopinavir metabolites posed major risk to aquatic species. Ritonavir (RQ = 6.55) is the major drug responsible for human health risk through consumption of food (in the form fish) grown in pharmaceutically contaminated waters. Mixture toxicity analysis of drugs revealed that algae are the most vulnerable species amongst the three trophic levels. Maximum allowable concentration level for mixture of pharmaceuticals was found to be 0.53 mg/L.

Synthesis of core-heteroshell structure for ZIF-67/VTM and its efficient activation of peroxymonosulfate in treatment of levofloxacin from an aqueous solution

A core-heteroshell structural magnetic composite of ZIF-67/Vanadium-titanium magnetite (VTM) was successfully synthesized through a feasible solvothermal method and efficiently used in activation of peroxymonosulfate (PMS) for the treatment of levofloxacin (LVF) in an aqueous solution. The catalytic activity of the ZIF-67/VTM composite in LVF degradation was thoroughly evaluated, demonstrating the LVF removal rate could reach up to 93.3% within 60 min at ZIF-67/VTM composite dosage of 100 mg/L, PMS concertation of 75 mg/L, and the natural pH of 6.4. It is quite interesting that the carbon organic skeleton (in the ZIF-67 shell) have accelerated the internal electron transformation rate of the ZIF-67/VTM composite, thus efficiently promoting the O-O band (in PMS) breakage and the redox cycle of cobalt, further favoring the free radicals generation. The quenching experiments and EPR analysis results demonstrated that ·SO₄^- would play a crucial role in the LVF degradation process. Surprisingly, we have found that the introduction of Cl^- (at some certain dosage) would not always decrease the LVF degradation ratio, for a new reactive oxygen species (singlet oxygen) was emerged in this system. What's more, the ZIF-67 (as the wrapping structure) could stabilize the VTM (the inner structure) in changing reaction conditions, prompting a good adaptability at a wider pH range (3-10) for inhibiting the leaching of various metal ions into the aqueous solution. This novel ZIF-67/VTM composite could provide new ideas and routes for the removal of emerging pollutants from an aqueous solution.

Photocatalytic Degradation of Cefixime Trihydrate by Bismuth Ferrite Nanoparticles

The present work was carried out to synthesize bismuth ferrite (BFO) nanoparticles by combustion synthesis, and to evaluate the photocatalytic activity of synthesized bismuth ferrite nanoparticles against cefixime trihydrate. BFO nanoparticles were successfully synthesized using bismuth (III) nitrate and iron (III) nitrate by a combustion synthesis method employing different types of fuels such as maltose, succinic acid, cinnamic acid, and lactose. The effects of the different types of fuels on the morphology and size of the bismuth ferrite nanoparticles were investigated. Characterization of the as-obtained bismuth ferrite nanoparticles was carried out by different techniques such as X-ray diffraction (XRD), scanning electron microscopy (SEM), Energy-Dispersive Spectroscopy (EDS), N₂-sorption analysis, Fourier-transform infrared spectroscopy (FT-IR), and ultraviolet-visible (UV-vis) spectroscopy. Photoluminescence studies were also carried out for the various bismuth ferrite nanoparticles obtained. Degradation of cefixime trihydrate was investigated under sunlight to evaluate the photocatalytic properties of the bismuth ferrite nanoparticles, and it was found that the bismuth ferrite nanoparticles followed first-order degradation kinetics in solar irradiation in the degradation of antibiotic, cefixime trihydrate.

A review on occurrence of emerging pollutants in waters of the MENA region

Little is known about the occurrence of emerging pollutants (EPs) in waters in the Middle East and North Africa (MENA) region despite the extensive use of low-quality water there. Available data dealing with the sources, occurrence and removal of EPs within the MENA region in different categories of water is collected, presented and analyzed in this literature review. According to the collected database, the occurrence and removal efficiency of EPs in the water matrix in the MENA region is available, respectively, for 13 and six countries of the 18 in total; no available data is registered for the rest. Altogether, 290 EPs have been observed in different water matrices across the MENA countries, stemming mainly from industrial effluents, agricultural practices, and discharge or reuse of treated wastewater (TWW). Pharmaceutical compounds figure among the most frequently reported compounds in wastewater, TWW, surface water, and drinking water. Nevertheless, pesticides are the most frequently detected pollutants in groundwater. Worryingly, 57 cases of EPs have been reported in different fresh and drinking waters, exceeding World Health Organization (WHO) and European Commission (EC) thresholds. Overall, pharmaceuticals, organic compounds, and pesticides are the most concerning EP groups. The review revealed the ineffectiveness of treatment processes used in the region to remove EPs. Negative removals of some EPs such as carbamazepine, erythromycin, and sulfamethoxazole were recorded, suggesting their possible accumulation or release during treatment. This underlines the need to set in place and strengthen control measures, treatment procedures, standards, and policies for such pollutants in the region.

Assessment of removal efficiency of pharmaceutical products from wastewater in sewage treatment plants: A case of the sewerage systems Ghana limited, Accra

Pharmaceuticals put the environment at high risk when found in products of wastewater treatment plants, hence need to be removed efficiently. This study quantified selected pharmaceutically active compounds (PhACs) (diclofenac, aspirin, paracetamol, and ibuprofen) in wastewater and evaluated its removal efficiency from wastewater treatment plant (WWTP). Samples were taken from the WWTP of the Sewerage Systems Ghana Limited (SSGL) for 18 consecutive days. Both effluents and influents were tested in the laboratory to determine the concentrations of the various pharmaceutical products. The results reveal diclofenac as the PhAC with the highest concentration in the influent with an average of 121.31 μg/ml. Paracetamol recorded an average of 65.54 μg/ml, then ibuprofen with an average of 19.54 μg/ml. Aspirin was the PhAC with the lowest concentration in the influent with an average of 0.27 μg/ml. Further assessment was also done on the trickling filter (biological filter) which is part of the process plant at the secondary stage to assess how the trickling filter aids in the removal of these selected pharmaceuticals.

The average removal efficiency found were; diclofenac 74%, aspirin 93%, paracetamol 98%, and ibuprofen 99%. The technologies suggested for improvement, particularly for diclofenac, based on comprehensive literature were phototransformation and sorption of diclofenac onto sludge which occurs via absorption and adsorption, that can be adopted by the management of the WWTP at SSGL to help increase the removal efficiency of the selected PhACs. It was also identified that the trickling filter is the stage that substantially aids in the removal of the selected pharmaceuticals due to its special features.

The role of antibiotics and heavy metals on the development, promotion, and dissemination of antimicrobial resistance in drinking water biofilms

Antimicrobial resistance (AMR), as well as the development of biofilms in drinking water distribution systems (DWDSs), have become an increasing concern for public health and management. As bulk water travels from source to tap, it may accumulate contaminants of emerging concern (CECs) such as antibiotics and heavy metals. When these CECs and other selective pressures, such as disinfection, pipe material, temperature, pH, and nutrient availability interact with planktonic cells and, consequently, DWDS biofilms, AMR is promoted. The purpose of this review is to highlight the mechanisms by which AMR develops and is disseminated within DWDS biofilms. First, this review will lay a foundation by describing how DWDS biofilms form, as well as their basic intrinsic and acquired resistance mechanisms. Next, the selective pressures that further induce AMR in DWDS biofilms will be elaborated. Then, the pressures by which antibiotic and heavy metal CECs accumulate in DWDS biofilms, their individual resistance mechanisms, and co-selection are described and discussed. Finally, the known human health risks and current management strategies to mitigate AMR in DWDSs will be presented. Overall, this review provides critical connections between several biotic and abiotic factors that influence and induce AMR in DWDS biofilms. Implications are made regarding the importance of monitoring and managing the development, promotion, and dissemination of AMR in DWDS biofilms.

Can pharmaceutical drugs used to treat Covid-19 infection leads to human health risk? A hypothetical study to identify potential risk

This is the first study to assess human health risks due to the exposure of 'repurposed' pharmaceutical drugs used to treat Covid-19 infection. The study used a six-step approach to determine health risk estimates. For this, consumption of pharmaceuticals under normal circumstances and in Covid-19 infection was compiled to calculate the predicted environmental concentrations (PECs) in river water and in fishes. Risk estimates of pharmaceutical drugs were evaluated for adults as they are most affected by Covid-19 pandemic. Acceptable daily intakes (ADIs) are estimated using the no-observed-adverse-effect-level (NOAEL) or no observable effect level (NOEL) values in rats. The estimated ADI values are then used to calculate predicted no-effect concentrations (PNECs) for three different exposure routes (i) through the accidental ingestion of contaminated surface water during recreational activities only, (ii) through fish consumption only, and (iii) through combined accidental ingestion of contaminated surface water during recreational activities and fish consumption. Higher risk values (hazard quotient, HQ: 337.68, maximum; 11.83, minimum) were obtained for the combined ingestion of contaminated water during recreational activities and fish consumption exposure under the assumptions used in this study indicating possible effects to human health. Amongst the pharmaceutical drugs, ritonavir emerged as main drug, and is expected to pose adverse effects on r human health through fish consumption. Mixture toxicity analysis showed major risk effects of exposure of pharmaceutical drugs (interaction-based hazard index, HI_int: from 295.42 (for lopinavir + ritonavir) to 1.20 for chloroquine + rapamycin) demonstrating possible risks due to the co-existence of pharmaceutical in water. The presence of background contaminants in contaminated water does not show any influence on the observed risk estimates as indicated by low HQ_add values (<1). Regular monitoring of pharmaceutical drugs in aquatic environment needs to be carried out to reduce the adverse effects of pharmaceutical drugs on human health.

Pharmaceutical effluent: a critical link in the interconnected ecosystem promoting antimicrobial resistance

Antimicrobial resistance (AMR) is a complex global health issue and will push twenty-four million people into extreme poverty by 2030, risking the sustainable development goals (SDGs) 2, 3, 6, 9, 12, and 17 if not addressed immediately. Humans, animals, and the environment are the reservoirs that contribute and allow AMR to propagate in interconnected ecosystems. The emergence of antibiotic-resistant bacteria and antibiotic-resistant genes in the water environment has become an important environmental health issue. One of the major influencers from environment sector is the pharmaceutical industry which is growing globally to meet the ever-increasing demand of antibiotics, especially in low- and middle-income countries. The pharmaceutical effluent has a mix of large concentrations of antibiotics and antibiotic resistance genes, and these sites act as hotspots for environmental contamination and the spread of AMR. Inadequate treatment of the effluent and its irresponsible disposal leads to unprecedented antibiotic contamination in the environment and their persistent presence in the environment significantly modulates the bacterial genomes' expression that is responsible for increase and spread of AMR. However, not much interventions are suggested in the National Action Plan developed on AMR by many countries. There are no regulations across the globe till date for the level of antibiotic residues in pharmaceutical effluent for the growing pharmaceutical industry. This review put together the work done showing several detrimental effects of the antimicrobial residues in the pharmaceutical effluent which leads to rise in development of AMR. The environment risk approach and need to have indicators to measure environment risk is a way forward for all countries engage in antibiotic manufacturing. Overall, efforts to address the problem are isolated and fragmented. Policymakers, regulators, manufacturers, researchers, civil society, and the community need to collaborate so that antibiotics are produced sustainably and continue to stay effective in treating bacterial infections.

Occurrence and quantification of prevalent antibiotics in wastewater samples from Rawalpindi and Islamabad, Pakistan

Release of emerging pollutants including antibiotics to the environment is a serious concern for environmentalist as well as policy makers. To explore the presence and real situation analysis, a study was conducted focusing on detection and quantification of selected antibiotics in wastewater channels of Rawalpindi/Islamabad, Pakistan along with development of a simple High-Performance Liquid Chromatography (HPLC) based method. The samples were collected in triplicates from all the main wastewater streams of the study area with potential presence of antibiotics in the wastewater coming from the surrounding industries, hospitals, drug formulation units and residential localities. Optimized method for detection and quantification was established and validated through spiked as well as real samples. The highest concentration was of Ciprofloxacin 332.154 μg mL^-1 followed by Ofloxacin > Ampicillin > Levofloxacin > Sulfamethoxazole. The results showed the presence of antibiotics due to indiscriminate use that could lead to presence of resistant strains and thus ultimately causing the spread of antibiotic resistance.

Levofloxacin Detection Using l-Cysteine Capped MgS Quantum Dots via the Photoinduced Electron Transfer Process

Antibiotics resistance is becoming one of the biggest problems of the 21st century. The prior detection of antibiotics resistance can help human beings in better treatment of diseases. Here, we have used l-Cysteine capped magnesium sulfide quantum dots (L-Cyst-MgS QDs) to detect Levofloxacin antibiotic. L-Cyst-MgS QDs were synthesized using the hydrothermal method. Transmission electron microscopy study showed monodispersed L-Cyst-MgS QDs of 2–4 nm in size. Energy dispersive x-ray photoemission spectroscopy study confirmed the elemental composition of the L-Cyst-MgS QDs without any impurity. UV-vis absorption study showed a peak centered around 340 nm. The photoluminescence study exhibited the maximum peak at 410 nm for 340 nm of excitation wavelength. L-Cyst-MgS QDs were studied with thirteen antibiotics, namely Thiamphenicol, Gentamicin, Erythromycin, Ofloxacin, Ampicillin, Ciprofloxacin, Tetracycline, Chloramphenicol, Florfenicol, Amoxicillin, Moxifloxacin, Norfloxacin, and Levofloxacin. Among these, Levofloxacin showed the most significant change in the peaks’ intensity and was further used for the interaction study. In the interaction study, the peak corresponding to MgS showed a continuous decrease, while the peak corresponding to Levofloxacin showed an increase with the increased concentrations (0–100 μg/ml) of Levofloxacin. Linear behavior was obtained in the range of 1–90 μg/ml. FT-IR study confirmed the interaction of the Levofloxacin with L-Cyst-MgS QDs. The Time-resolved fluorescence spectroscopy showed identical lifetime for both the samples and no spectral overlap confirm the FRET free system. The underlying mechanism is explained based on the electron transfer from the conduction band of the L-Cyst-MgS QDs to the HOMO of Levofloxacin. The limit of detection was found to be 0.21 μg/ml.

Emerging contaminants in the water bodies of the Middle East and North Africa (MENA): A critical review

Many emerging contaminants (ECs) are not currently removed by conventional water treatment methods and consequently, often reach the aquatic environment. In the absence of proper management strategies, ECs can accumulate in water bodies, which poses potential environmental and health risks. This paper critically reviews, for the first time, the reported occurrence and treatment of ECs in the Middle Eastern and North Africa (MENA) region. The paper also provides recommendations to properly manage EC risks. In the MENA region, pharmaceuticals and personal care products (PPCPs) have been detected in surface water, seawater, groundwater, and wastewater treatment plants. A focus on surface water in the published literature suggests that studies are skewed towards worldwide trends, whereas studies on ECs in seawater are of great importance in the study region. The types of PPCPs detected in the MENA region vary, but anti-inflammatories and antibiotics dominate. In comparison, microplastics have mainly been studied in surface waters and seawater with much less focus on drinking water. The majority of microplastics in the region are secondary types resulting from the degradation of larger plastic debris; polyethylene (PE) and polypropylene (PP) fibers are the most frequently detected polymers, which are indicative of local anthropogenic sources. Research progress on ECs varies between countries, having received more attention in Iran and Tunisia. Most MENA countries have now begun monitoring water bodies for ECs; however, studies are still lacking in some countries including Sudan, Djibouti, Syria, Ethiopia, and Bahrain. Based on this review, critical knowledge gaps and research needs are identified. Countries in the MENA region require further research on a broader range of EC types. Overall, water pollution due to the use and release of ECs can be tackled by improving public awareness, public campaigns, government intervention, and advanced monitoring and treatment methods.

Antimicrobials and Antibiotic-Resistant Bacteria: A Risk to the Environment and to Public Health

The release of antibiotics to the environment, and the consequences of the presence of persistent antimicrobial residues in ecosystems, have been the subject of numerous studies in all parts of the world. The overuse and misuse of antibiotics is a common global phenomenon, which substantially increases the levels of antibiotics in the environment and the rates of their spread. Today, it can be said with certainty that the mass production and use of antibiotics for purposes other than medical treatment has an impact on both the environment and human health. This review aims to track the pathways of the environmental distribution of antimicrobials and identify the biological effects of their subinhibitory concentration in different environmental compartments; it also assesses the associated public health risk and government policy interventions needed to ensure the effectiveness of existing antimicrobials. The recent surge in interest in this issue has been driven by the dramatic increase in the number of infections caused by drug-resistant bacteria worldwide. Our study is in line with the global One Health approach.

Adsorptive removal of Ciprofloxacin and Amoxicillin from single and binary aqueous systems using acid-activated carbon from Prosopis juliflora

Adsorptive removal of emerging contaminants like antibiotics from aqueous systems having one or more antibiotics using acid activated carbon have rarely been studied and reported. Current study deals with the adsorptive removal of individual antibiotic species i.e. Ciprofloxacin (CIP) and Amoxicillin (AMX) from single (CIP and AMX) and binary (CIP + AMX) adsorption systems using acid activated carbon prepared from Prosopis juliflora wood (PPJ). Binary adsorption system involved the synergistic and antagonistic influence of one antibiotic over the adsorption of other antibiotic. Physico-chemical alterations of PPJ surface due to acid activation and after adsorption were characterized for any surface modification. Parameters influencing the efficient adsorption of CIP and AMX viz. Initial pH of antibiotic solution, dosage of PPJ, sorbent-sorbate incubation temperature and initial concentration of antibiotic species were optimized. Sorbate-sorbent interaction studies for single system revealed sorbate's monolayer formation over adsorbent's surface and the involvement of chemisorption as verified by Langmuir isotherm model and pseudo-second order model respectively. For single system, Langmuir maximum adsorption capacity of PPJ was 250 mg/g for CIP and 714.29 mg/g for AMX. Meanwhile, competitive Langmuir model was used to investigate adsorption capacity of individual antibiotics in binary system i.e. 370.37 mg/g for CIP and 482.14 mg/g for AMX thus verifying CIP has antagonistic effect on AMX adsorption and AMX has synergistic effect on CIP adsorption on PPJ surface. Recyclability studies verified the PPJ can be used up to 4 cycles and co-existing cationic and anionic salts had minimal effect on the adsorption of antibiotics over PPJ surface. Conclusively PPJ proved efficient in eliminating emerging contaminants like that of antibiotics and thus it can be exploited for other grades of pollutants.

Retrospective analysis of the global antibiotic residues that exceed the predicted no effect concentration for antimicrobial resistance in various environmental matrices

BACKGROUND

Antimicrobial resistance (AMR) is a growing public health concern. Recent research has suggested that interactions between pathogens and antibiotic residues in various environmental matrices promote the development and spread of AMR in the environment. The levels of antibiotic residues in the aquatic environment have been analysed globally. Recently, Predicted No Effect Environmental Concentration (PNEC) values for many antibiotics have been suggested, based on their estimated minimal selective concentrations for selected bacterial species. The PNEC values can serve as a guide on the maximum levels of antibiotic residues in an environmental matrix, below which resistance is unlikely to develop.

AIM

We aimed to determine which of the antibiotics, considered as "priority antibiotics" by the World Health Organisation (WHO), most frequently exceeded their PNEC values in the global aquatic environment.

METHODS

We obtained data from the German Environment Agency pharmaceutical database on means, medians or single values of 12 antibiotic types in five different environmental matrices [municipal wastewater treatment plant effluent, industrial wastewater effluent, hospital wastewater effluent, surface water, and drinking water] across 47 countries. We compared the mean levels of the 12 antibiotics in each environmental matrix to their suggested PNEC values to determine which antibiotic types exceeded PNEC and were most likely to select for resistance. We also determined which environmental matrices and countries had the highest burden of antibiotic residues.

RESULTS

Our study revealed that 7.9% of all analyses of antibiotic residues performed in the environmental matrices globally exceeded PNEC. Ciprofloxacin and clarithromycin had the greatest proportion (>30%) of residues exceeding PNEC. Hospital wastewater and industrial wastewater had the highest burden of antibiotic residues exceeding PNEC. No antibiotics exceeded PNEC in drinking water.

CONCLUSION

While most environmental monitoring studies have focused on municipal wastewater treatment plants, the limited number of studies on hospital wastewater and industrial wastewater revealed that a large number of antibiotic residues coming from these sources exceeded their PNEC values. Our study highlights the importance of implementing on-site treatment systems that aim to destroy antibiotics prior to discharging wastewater to surface waters. Attention needs to be focused on the role that environmental matrices, particularly our wastewater sites, play in promoting antibiotic resistance. Novel treatment technologies need to be developed and implemented to increase the removal efficiencies of treatment plants and from antibiotic manufacturing, and decrease the discharge of antibiotic residues into aquatic environments.

Human health risk assessment of antibiotics in binary mixtures for finished drinking water

The present study developed a new step-wise approach to estimate the potential human health risk of antibiotics in binary mixture for drinking water samples for two different sub-populations. Monte Carlo simulation based uncertainty analysis was performed to reduce uncertainty in risk assessment. Human health risk assessment studies were carried out using the acceptable daily intake (ADIs) for exposures of individual antibiotics considering point of departure (POD) and uncertainty factors (UFs). The estimated ADI values were used to estimate the predicted no effect concentrations (PNECs), at or below which no adverse human health effects are anticipated. Hazard quotient (HQ) in risk assessment was calculated as a ratio of environmental concentrations (ECs) and PNECs (EC/PNEC). The study showed that the average HQs values of individual antibiotics in adult and children were found below the acceptable limit, demonstrating no possible human health risk for both the subgroups. HI_interaction values of antibiotics in binary mixture was calculated using HQ values of antibiotics. The study observed that the estimated HI_interaction values of antibiotics in binary mixture was found to be less than 1 for both the sub populations, indicating no potential adverse effects on human health. Concentration of antibiotics was the primary contributor (>65%) to the overall variance in the uncertainty estimates for HQs of individual antibiotics in drinking water for adult and children. The co-occurrence of antibiotics in binary mixture for drinking water samples doesn't possess any possible risk on human health for the studied population.

Understanding effect of interaction of nanoparticles and antibiotics on bacteria survival under aquatic conditions: Knowns and unknowns

The review provides a comprehensive overview of the available state-of-the-art of nanoparticles (NPs) and antibiotics (ABs) occurrence and their fate in the natural aquatic settings by addressing different research questions and the challenges faced while addressing those questions. Firstly, understand the interaction of NPs and ABs with themselves in addition to other matrix components (presence of natural organic matter, bacteria, biofilms, other anthropogenic pollutants and metals from natural sources). Secondly, summarize the bactericidal activity of NP and AB due to reactive oxygen species (ROS) production. The complete information was gathered from database and analysed as per the conjectured questions under laboratory versus environmental-relevant conditions (1. Fate of NPs and ABs, and 2. Will the presence of NPs and ABs alone and their mixtures influence the ROS concentration and antibacterial activity), and proposed six reactions to describe the fate of NP and AB in natural aquatic settings. However, laboratory-based studies revealed that NP and AB fate largely depend on the ionic strength, organic matter content and pH of the matrix whereas field based information is missing about this. The former was performed at sterile conditions using sophisticated instruments and standard protocol as compared to latter and can't be replicated under natural aquatic settings due to lack of: (i) accurate environmental concentration of NPs and ABs, (ii) knowledge of bacterial type and their concentration, (iii) optimized protocol and tracking systems. The author's recommendation is to verify the proposed reactions experimentally by using the frequently found pairs of NPs and ABs in the natural aquatic settings. Further, ranked them on their decreasing order of toxicity and informed regulatory bodies for further action. Overall research is needed in the suggested directions to reduce uncertainty behind the impacts of NPs and ABs on the aquatic settings and their role in bactericidal activity.