Pharmaceuticals in Wastewater Treatment Plants: A Systematic Review on the Substances of Greatest Concern Responsible for the Development of Antimicrobial Resistance

Textile wastewater treatment by heterogeneous catalytic ozonation using microcellulose loaded ZIF 67 catalyst

The textile industry, being a significant consumer of fresh water, generates large amounts of wastewater, leading to serious environmental problems. The high levels of pollutants present in textile wastewater pose a significant risk to the environment and disrupt the ecosystem. As a result, it is essential to implement effective treatment steps to mitigate these harmful effects. This research focuses on the performance of a novel catalyst, namely microcrystalline cellulose zeolitic imidazolate frameworks (MCC@ZIF-67), in a heterogeneous catalytic ozonation process (HCOP) for the treatment of real textile effluent. The textile wastewater was characterized by a chemical oxygen demand (COD) of 490 mg/L, a 5 days biochemical oxygen demand (BOD5) of 206 mg/L, a total dissolved solids (TDS) concentration of 3500 mg/L, and intense red color. The study investigated the influence of several parameters like ozone dose, pH, catalyst dosage, and treatment time. The experimental results showed a 79.01 % decolourization, 72.40 % COD removal, and 66.51 % BOD5 removal after 30 min of treatment at optimum conditions of pH 9, ozone concentration 0.4 mg/min, and MCC@ZIF 67 dose of 50 mg/L. The comparison with control tests revealed the beneficial synergistic effects of HCOP with a process efficiency in the order of HCOP(O3/MCC@ZIF-67) > O3 > MCC@ZIF-67. Scavenging tests allowed to better support the explanation of possible degradation mechanisms. This study demonstrates the potential of MCC@ZIF-67 in the HCOP process for the effective treatment of textile effluent and, depending on the characteristics of textile wastewater and standards for effluent disposal, may serve either as standalone process, a pre-treatment for subsequent biological process or tertiary treatment.

Pharmaceutical waste management through microbial bioremediation

Pharmaceuticals play a significant role in enhancing the quality of life. However, pharmaceutical products (PPs) manufacturing presents challenges, particularly in terms of waste generated, posing a risk to the ecosystem. Existing physical and chemical remediation methods are expensive and are not directly applicable for pharmaceutical remediation. Bioremediation using various microbial consortia has the potential to become a cost-effective solution when applied optimally. This review highlights the various pharmaceutical products, their occurrence in the environment, and their associated health risks. Further, various microorganisms employed in the bioremediation process and the techniques utilized to degrade diverse categories of pharmaceutical pollutants are discussed. Finally, the review highlights the limitations of using bioremediation for treating pharmaceutical waste and discusses alternative sustainable green pharmacy approaches to reduce the impact of pharmaceutical contaminants on the environment.

Removal of antibiotics and their impact on growth, nutrient uptake, and biomass productivity in semi-continuous cultivation of Auxenochlorella protothecoides

The prevalence of antibiotics in wastewater poses risks to human and animal health, contributing to antimicrobial resistance. Although various antibiotic removal methods exist, microalgae-based technology presents a cost-effective and eco-friendly alternative; however, limited research on its long-term integration in semi-continuous wastewater treatment trials hinders our understanding of its potential effectiveness. This investigation explored the antibiotic removal capabilities of the microalga Auxenochlorella protothecoides in photobioreactors with synthetic wastewater under semi-continuous conditions over one month. Additionally, the study assessed the impact of seven commonly used antibiotics (ciprofloxacin, clarithromycin, erythromycin, metronidazole, ofloxacin, sulfamethoxazole, and trimethoprim) on the microalgal system regarding growth, nutrient removal, and biomass productivity. The microalga effectively removed antibiotics, achieving maximum removal efficiencies ranging from 45.8% to 70.1% over 3-4 days of exposure. Remarkably, antibiotics stimulated algal growth, resulting in an 11.0% increase in biomass. Nutrient removal also improved significantly; ammonium removal rose from 78.0% to 86.4%, and phosphate removal increased from 85.1% to 90.3%. Furthermore, the biomass composition showed notable enhancements, with increases in pigments (12.9%), lipids (20.6%), proteins (45.8%), and carbohydrates (50.6%). These findings highlight the potential applicability of A. protothecoides as a valuable addition to conventional wastewater treatment plants. The study emphasises the importance of considering antibiotic presence in microalgae-based wastewater treatment technologies, as these compounds can have a stimulatory effect that enhances both growth and nutrient removal efficiency. Overall, this research contributes to the development of more effective strategies for managing antibiotic pollution in wastewater.

Antibiotic resistance in urban soils: Dynamics and mitigation strategies

Antibiotic resistance (AR) is a critical global health issue with significant clinical and economic implications. AR occurs when microorganisms develop mechanisms to withstand the effects of antibiotics, reducing treatment efficacy and increasing the risk of mortality and healthcare costs. While the connection between antibiotic use in clinical and agricultural settings and the emergence of AR is well-established, the role of urban soils as reservoirs and spreaders of AR is underexplored. This review examines the complex dynamics of AR in urban soils, highlighting the various sources of antibiotics, including domestic wastewater, industrial effluents, urban agricultural practices, but also microplastics and domestic animal excrements. The selective pressure exerted by these anthropogenic sources promotes the proliferation of antibiotic-resistant bacteria, particularly through horizontal gene transfer, which facilitates the transmission of resistance genes among soil microorganisms in urban environments. About that, the presence of antibiotics in urban soils poses a significant threat to public health by potentially transferring resistance genes to human pathogens through multiple pathways, including direct contact, food consumption, and water ingestion. Furthermore, AR in urban soils disrupts microbial community dynamics, impacting soil fertility, plant growth, and overall environmental quality. Therefore, this review aims to address gaps in understanding AR in urban soils, offering insights into its implications for human health and ecosystem integrity. By identifying these gaps and suggesting evidence-based strategies, this review proposes valid and sustainable solutions to mitigate and counteract the spread of AR in urban environments.

From challenge to opportunity: Revolutionizing the monitoring of emerging contaminants in water with advanced sensors

Emerging contaminants in water represent long-term and unpredictable threats to both environmental and human health due to their persistence and bioaccumulation. Current research predominantly focuses on their removal rather than sustained monitoring. This review comprehensively investigates advanced sensor technologies for detecting these contaminants in water, critically evaluating biosensors, optical sensors, electrochemical sensors, and nanomaterial sensors. Elucidating the operational principles, performance metrics such as detection thresholds, and the pros and cons of their practical applications, the review addresses a significant research gap in environmental monitoring. Moreover, it enhances understanding of sensor effectiveness, which in turn guides researchers in selecting the right sensor types for various environmental scenarios. Furthermore, by emphasizing the integration of nanotechnology and the standardization of evaluation protocols, it promotes the development of robust, deployable sensing solutions. Ultimately, this leads to the proposal of a strategic framework aimed at significantly improving the detection capabilities of emerging contaminants and supporting the preservation of environmental health.

Microalgal-based carbon encapsulated iron nanoparticles for the removal of pharmaceutical compounds from wastewater

This study evaluates the effectiveness of microalgal-based carbon-encapsulated iron nanoparticles (ME-nFe) in the removal of pharmaceutical compounds (PhACs) from water solutions and real municipal effluent at a laboratory scale. The investigated PhACs were chosen to represent different classes of synthetic drugs: antibiotics, anti-inflammatory drugs, antihypertensives, antiepileptics, neuroprotectors, and antidepressants. The adsorbent material was produced through hydrothermal carbonization (225 °C for 3 h), using microalgae grown on wastewater as the carbon source. ME-nFe showed heterogeneity in terms of porosity (with both abundance of macro and mesopores), a total pore volume of 0.65 mL g-1, a specific surface area of 117 m2 g-1 and a total iron content of 40%. Laboratory scale adsorption tests (1 g L-1 of nanoparticles with 2 min contact time) showed high removal for the most hydrophobic compounds. Removal efficiencies were high (over 98%) for Irbesartan, Ofloxacin and Diclofenac, promising (over 65-80%) for Clarithromycin, Fluoxetine, Lamotrigine and Metoprolol, but low for Gabapentin-Lactam and Propyphenazone (<20%). Electrostatic interactions between the drugs and the surface of the nanoparticles may account for the observed data, although additional removal mechanisms cannot be ruled out.

A comprehensive assessment of water quality in Fayoum depression, Egypt: identifying contaminants, antibiotic pollution, and adsorption treatability study for remediation

This study aimed to assess the current water quality status across various regions within the Fayoum depression by examining water canals, drains, and potential contaminants impacting public health and the local ecosystem. Additionally, an adsorption treatability investigation was conducted on various antibiotics identified during the assessment. Fifteen sampling points were selected across the Fayoum depression, covering surface water bodies and agricultural drainage systems during both winter and summer seasons. Physico-chemical, microbiological, and antibiotic analyses were performed on collected water samples. The water quality parameters investigated included pH, electrical conductivity, total dissolved solids (TDS), total coliforms, fecal coliforms, and concentrations of antibiotics such as ciprofloxacin and tetracycline. The findings revealed significant variations in water quality parameters among different water sources, categorizing them into three types: irrigation canals, polluted canals, and drains. High contamination levels were observed in certain water canals and drains due to untreated sewage and agricultural drainage discharge. Notably, elevated TDS levels (exceeding 1200 mg/L), microbial indicators count (with total coliforms reaching up to 2.3 × 106 CFU/100 mL), and antibiotics (with concentrations of ciprofloxacin and tetracycline exceeding 4.6 µg/L) were detected. To mitigate antibiotic contamination, a Phyto-adsorption treatability study using magnetite nanoparticles prepared with Phragmites australis plant extract demonstrated promising results, achieving complete removal of high antibiotic concentrations with an adsorption capacity of up to 67 mg/g. This study provides updated insights into water quality in the Fayoum depression and proposes a novel approach for addressing antibiotic contamination, potentially safeguarding human and environmental health.

Adsorptive removal of anticarcinogen pazopanib from aqueous solutions using activated carbon: isotherm, kinetic and thermodynamic studies

Pazopanib, which is dangerous for aquatic environments due to its toxic and bioaccumulation potential, has been detected at different concentrations in oncology hospital wastewater, sewage, and surface waters. This study aimed to remove pazopanib from wastewater by activated carbon adsorption technique. The effect of the main variables such as initial concentration, pH of pazopanib solution, adsorbent dose, contact time of the phases, and temperature on the adsorption process was evaluated and the optimum adsorption conditions were determined. The experimental data were applied to Langmuir, Freundlich, Temkin, and Dubinin-Radushkevich adsorption isotherm models to describe the adsorption behavior. The experimental data were applied to pseudo-first-order, pseudo-second-order, and intra-particle diffusion kinetic models to describe the adsorption kinetics. Isotherms were established in the 20-50 °C temperature range to study the adsorption equilibrium. According to the results, the highest removal efficiency of pazopanib (95.87%) was obtained at initial concentration (100 mg L-1), adsorbent dose (0.30 g L-1), temperature (20 °C), contact time (120 min) and pH (7.0). The adsorption kinetics was well described by the pseudo-second-order kinetic model (R2 = 0.9998) and the adsorption isotherm by the Langmuir model (R2 = 0.9999). In thermodynamic studies, the negative values of standard enthalpy (ΔH°), standard free enthalpy (ΔG°), and free entropy (ΔS°) indicate that the adsorption process is spontaneous and favorable, i.e. the disorder is reduced. These results indicate that the developed adsorption process can be efficiently and spontaneously applied for the removal of pazopanib from aqueous solutions.

Characterization of novel solar based nitrogen doped titanium dioxide photocatalytic membrane for wastewater treatment

The increasing presence of microbial and emerging organic contaminants pose detrimental effects on the environment and ecosystem such as diseases, pandemics and toxicity. Most of these synthetic pollutants are biorecalcitrant and therefore persist in the environment. Conventional water treatment methods are not effective thereby necessitating the development of advanced techniques such as photocatalysis and membrane processes. In this study, visible light-driven photocatalytic membrane was synthesized through the immobilization of nitrogen-doped nanoparticles onto the polyvinylidene fluoride (PVDF) membrane and performance evaluated with E.coli microbial contaminant removal. Characterization was done using Fourier transform infrared spectra, X-ray diffraction (XRD), water contact angle, Scanning Electron Microscopy-Energy Dispersive X-ray (SEM-EDX). The Nitrogen-doping of titanium dioxide red-shifted the light absorption to a visible range of 440 nm from 400 nm. Nitrogen dopant was detected at 1420 cm-1and 1170 cm-1 for nitrogen doped nanoparticles and 1346-1417 cm-1 for nitrogen doped titanium dioxide PVDF membrane. SEM-EDX confirmed presences of nitrogen in nitrogen doped titanium dioxide nanoparticles on membrane surface with nitrogen elemental composition of 0.01 % wt. The water contact angle reduced by 81.39o from 120.14o to 38.75o because of PVA immobilization of nitrogen-doped titanium dioxide and glutaraldehyde crosslinking. Nitrogen doping resulted in visible light active photocatalytic membranes with better hydrophilicity and fouling resistance. 8.42 E.coli log removal and a relative flux of 0.35 was obtained within 75 min. The developed photocatalytic membrane enables the use of sunlight hence a less costly method for decontamination of wastewater.

Hospital wastewater (HWW) treatment in low- and middle-income countries: A systematic review of microbial treatment efficacy

BACKGROUND

Proper treatment of hospital wastewater (HWW) is crucial to minimize the long-term effects on human health and aquatic ecosystems. However, the majority of HWW generated in low and middle-income countries (LMICs), is discharged without adequate treatment. This systematic review aims to fill the knowledge gap in LMICs by examining the efficacy of HWW treatment and the types of technologies used.

METHODS

Studies included in the review offered valuable insights into the current state of HWW management in LMICs. Between 2000 and 2022, only 36 research studies focused on hospital-based wastewater treatment within LMICs. Data were extracted on wastewater treatment technologies in hospitals or healthcare settings in LMICs. Data on sampling techniques, effectiveness, microorganisms and risk of bias of included studies were recorded.

RESULTS

A total of 36 articles met the eligibility criteria: mentioned about 1) hospitals 2) wastewater treatment 3) LMICs and 4) treatment efficacy. Twenty-two studies were conducted in Asia (22/36), 17 were conducted in countries with high Human Development Index. Constructed wetland, and activated sludge process were the most common technologies used in LMICs. A few studies utilized membrane bioreactors and ozone/UV treatment. Fourteen studies reported the concentration reduction to assess the microbial efficacy of the treatment process, 29/36 studies did not meet the national standards for effluent discharge. Reporting on sampling methods, wastewater treatment processes and efficacy of HWW treatment were at high risk of bias. Extreme heterogeneity in study methods and outcomes reporting precluded meta-analysis.

CONCLUSIONS

The existing evidence indicates inadequate microbial treatment in low- and middle-income country hospitals, with this systematic review emphasizing the need for improvement in healthcare waste management. It underscores the importance of long-term studies using innovative treatment methods to better understand waste removal in LMIC hospitals and calls for further research to develop context-specific healthcare waste treatment approaches in these regions.

Removal efficiencies of seven frequently detected antibiotics and related physiological responses in three microalgae species

The main objective of this study is to investigate the effect of mixtures of seven widely used human antibiotics (ciprofloxacin, clarithromycin, erythromycin, metronidazole, ofloxacin, sulfamethoxazole, and trimethoprim) on the growth, pH, pigment production, and antibiotics removal of three microalgal species (Auxenochlorella protothecoides, Tetradesmus obliquus, and Chlamydomonas acidophila). Batch assays were conducted with media with antibiotic mixtures at 10, 50, and 100 μg L-1 for each antibiotic. The three microalgae species effectively removed the antibiotics without any growth inhibition, even when exposed to the highest antibiotic concentrations. Biosorption was reported as the primary mechanism for ciprofloxacin, clarithromycin, metronidazole, and ofloxacin, with up to 70% removal, especially in A. protothecoides and C. acidophila. A. protothecoides, a species never investigated for antibiotic removal, was the only microalgae exhibiting bioaccumulation and biodegradation of specific antibiotics, including sulfamethoxazole. Furthermore, in media with the highest antibiotic concentration, all three species exhibited increased chlorophyll (up to 37%) and carotenoid (up to 32%) production, accompanied by a pH decrease of 3 units. Generally, in the present study, it has been observed that physiological responses and the removal of antibiotics by microalgae are interlinked and contingent on the antibiotic levels and types.

Hydroxylated transformation products of pharmaceutical active compounds: Generation from processes used in wastewater treatment plants and its environmental monitoring

Pharmaceutical active compounds (PhACs) are organic pollutants detected in wastewater and aquatic environments worldwide in concentrations ranging from ng L-1 to μg L-1. Wastewater effluents containing PhACs residues is discharged in municipal sewage and, subsequently collected in municipal wastewater treatment plants (WWTPs) where are not entirely removed. Thus, PhACs and its transformation products (TPs) are discharged into water bodies. In the current work, the transformation of PhACs under treatments used in municipal WWTPs such as biological, photolysis, chlorination, and ozonation processes was reviewed. Data set of the major transformation pathways were obtained of studies that performed the PhACs removal and TPs monitoring during batch-scale experiments using gas and liquid chromatography coupled with tandem mass spectrometry (GC/LC-MS/MS). Several transformation pathways as dealkylation, hydroxylation, oxidation, acetylation, aromatic ring opening, chlorination, dehalogenation, photo-substitution, and ozone attack reactions were identified during the transformation of PhACs. Especially, hydroxylation reaction was identified as transformation pathway in all the processes. During the elucidation of hydroxylated TPs several isobaric compounds as monohydroxylated and dihydroxylated were identified. However, hydroxylated TPs monitoring in wastewater and aquatic environments is a topic scarcely studied due to that has no environmental significance, lack of available analytic standars of hydroxylated TPs and lack of analytic methods for their identification. Thus, screening strategy for environmental monitoring of hydroxylated TPs was proposed through target and suspect screening using GC/LC-MS/MS systems. In the next years, more studies on the hydroxylated TPs monitoring are necessary for its detection in WWTPs effluents as well as studies on their environmental effects in aquatic environments.

Riverine mycobiome dynamics: From South African tributaries to laboratory bioreactors

Riverine fungi have the capacity for both pathogenicity, pertinent for countries with elevated immunosuppressed individuals, and bioremediation potential. The purpose was (i) to screen for the presence of clinically relevant riverine fungi and associations with anthropogenic influence, and (ii) the acclimatisation of environmental communities toward potential bioremediation application. Communities were harvested from polluted rivers in Stellenbosch, South Africa, and mycobiomes characterised by high-throughput amplicon sequencing. The remainder of the biomass was inoculated into continuous bioreactors with filtered river water or sterile minimal medium. Seven weeks later, the mycobiomes were re-sequenced. At least nine clinically relevant species were detected, including agents of mycoses belonging to the genus Candida. The occurrence of genera that harbour opportunisticstrains was significantly higher (P = 0.04) at more polluted sites. Moreover, positive correlations occured between some genera and pollution indices, demonstrating the potential of fungi for addition to water quality indicators. Despite biomass increase, almost all pathogens were undetectable after seven weeks, demonstrating less resilience in conditions mimicking rivers. Thus, when screening riverine biomes for bioremediation potential, ambient reactors select against human pathogens. This indicates a transient introduction of allochthonous opportunistic species into rivers due to insufficient sanitation, and the potential of bioremediation strategies that selects for environmental rather than pathogenic traits.

Enhancing the selective ciprofloxacin adsorption in urine matrices through the metal-doping of carbon sorbents

Pharmaceuticals excreted after administration can pollute water sources given their ineffective removal in conventional wastewater treatment plant. Among the techniques used during tertiary wastewater treatment, adsorption is an effective and cost-efficient method for removing antibiotics. This study aimed to investigate the adsorption of ciprofloxacin (CIP) on metal-doped granular activated carbon (GAC) and evaluate the impact of urine on CIP adsorption for pristine, pre-oxidized, and metal-doped GAC. The results showed that the uptake of CIP by iron (Fe)-doped GAC was higher than Ag-doped, pre-oxidized, and pristine GAC in single-solute isotherms (DI water). This higher uptake was attributed to the presence of Fe content (1.2%) on the carbon surface, which can strongly interact with zwitterionic CIP at a neutral pH. However, when synthetic human urine was introduced, the adsorption of CIP was negatively affected due to pore blockage and competition for available sorption sites on the GAC. Among the four types of GACs tested, the lowest reduction in CIP uptake in the urine solution was observed for Fe-doped GAC followed (%17) by pre-oxidized (64%), Ag-doped (%69), and pristine F400 (76%) carbon. These results suggested that the complexation between CIP and Fe-doped GAC in urine was stronger due to its higher functionalization compared to Ag-doped, pre-oxidized, and pristine GAC. As the equilibrium concentration of CIP increased, the competition between CIP and urine decreased on the surface of Fe-doped carbon, owing to the limited competition from urine for the available active sorption sites.

Preparation of Chitosan-Modified Bentonite and Its Adsorption Performance on Tetracycline

In this study, chitosan-modified bentonite was synthesized using the coprecipitation method. When the Na₂CO₃ content was 4% (weight of soil) and the mass ratio of chitosan to bentonite was 1:5, the adsorption performance of the chitosan/bentonite composite was best. The adsorbent was characterized by scanning electron microscopy, X-ray diffraction, Fourier transform infrared spectroscopy, and Brunauer-Emmett-Teller measurement. Various characterization results demonstrate that chitosan successfully entered the bentonite interlayer and increased layer spacing but did not modify bentonite's laminar mesoporous structure, and the -CH₃ and -CH₂ groups of chitosan appeared on chitosan-modified bentonite. Tetracycline was used as the target pollutant in the static adsorption experiment. The adsorption capacity was 19.32 mg/g under optimal conditions. The adsorption process was more consistent with the Freundlich model and the pseudo-second-order kinetic model, indicating that it was a nonmonolayer chemisorption process. The adsorption process is a spontaneous, endothermic, entropy-increasing process, according to thermodynamic characteristics.

Combined use of strictly anaerobic MBBR and aerobic MBR for municipal wastewater treatment and removal of pharmaceuticals

An integrated lab-scale wastewater treatment system consisting of an anaerobic Moving Bed Biofilm Reactor (AnMBBR) and an aerobic Membrane Bioreactor (AeMBR) in series was used to study the removal and fate of pharmaceuticals during wastewater treatment. Continuous-flow experiments were conducted applying different temperatures to the AnMBBR (Phase A: 35 °C; Phase B: 20 °C), while batch experiments were performed for calculating sorption and biotransformation kinetics. The total removal of major pollutants and target pharmaceuticals was not affected by the temperature of the AnMBBR. In Phase A, the average removal of dissolved chemical oxygen demand (COD), biological oxygen demand (BOD), and ammonium nitrogen (NH₄-N) was 86%, 91% and 96% while in Phase B, 91%, 96% and 96%, respectively. Removal efficiencies ranging between 65% and 100% were observed for metronidazole (MTZ), trimethoprim (TMP), sulfamethoxazole (SMX), and valsartan (VAL), while slight (<30%) or no removal was observed for carbamazepine (CBZ) and diclofenac (DCF), respectively. Application of a mass balance model showed that the predominant mechanism for the removal of pharmaceuticals was biotransformation, while the role of sorption was of minor importance. The AeMBR was critical for VAL, SMX and TMP biodegradation; the elimination of MTZ was strongly enhanced by the AnMBBR. In both bioreactors, Bacteroidetes was the dominant phylum in both bioreactors over time. In the AnMBBR, Cloacibacterium and Bacteroides had a higher abundance in the biocarriers compared to the suspended biomass.

Occurrence and prevalence of antimicrobial resistance in urban karst groundwater systems based on targeted resistome analysis

Antimicrobial resistance (AMR) is a global crisis threatening human, animal, and environmental health. The natural environment, specifically water resources, has been recognized as a reservoir and dissemination pathway for AMR; however, urban karst aquifer systems have been overlooked. This is a concern as these aquifer systems provide drinking water to about 10 % of the global population; yet, the urban influence on the resistome in these vulnerable aquifers is sparingly explored. This study used high-throughput qPCR to determine the occurrence and relative abundance of antimicrobial resistant genes (ARG) in a developing urban karst groundwater system in Bowling Green, KY. Ten sites throughout the city were sampled weekly and analyzed for 85 ARGs, as well as seven microbial source tracking (MST) genes for human and animal sources, providing a spatiotemporal understanding of the resistome in urban karst groundwater. To further understand ARGs in this environment, potential drivers (landuse, karst feature type, season, source of fecal pollution) were considered in relation to the resistome relative abundance. The MST markers highlighted a prominent human influence to the resistome in this karst setting. The concentration of targeted genes varied between the sample weeks, but all targeted ARGs were prevalent throughout the aquifer regardless of karst feature type or season, with high concentrations captured for sulfonamide (sul1), quaternary ammonium compound (qacE), and aminoglycoside (strB) antimicrobial classes. Higher prevalence and relative abundance were detected during the summer and fall seasons, as well as at the spring features. Linear discriminant analysis suggested that karst feature type had higher influence on ARGs in the aquifer compared to season and the source of fecal pollution had the least influence. These findings can contribute to the development of effective management and mitigation strategies for AMR.

Hierarchically-structured laccase@Ni3(PO4)2 hybrid nanoflowers for antibiotic degradation: Application in real wastewater effluent and toxicity evaluation

Laccase@Ni₃(PO₄)₂ hybrid nanoflowers (HNFs) were prepared by the anisotropic growth of biomineralized nickel phosphate. The immobilization yield was 77.5 ± 3.6 %, and the immobilized enzyme retained 50 % of its initial activity after 18 reusability cycles. The immobilized and free enzymes lost 80 % of their activity after 18 and 6 h incubation in municipal wastewater effluent (MWWE), respectively. The increase in α-helix content (8 %) following immobilization led to a more rigid enzyme structure, potentially contributing to its improved stability. The removal of ciprofloxacin from MWWE by laccase@Ni₃(PO₄)₂·HNFs/p-coumaric acid oxidation system was optimized using a Box-Behnken design. Under the optimized conditions [initial laccase activity (0.05 U mL^-1), the concentration of p-coumaric acid (2.9 mM), and treatment time (4.9 h)], the biocatalyst removed 90 % of ciprofloxacin (10 mg L^-1) from MWWE. The toxicity of ciprofloxacin against some G⁺ and G^- bacteria was reduced by 35-70 %, depending on their strain. The EC₅₀ of ciprofloxacin for the alga Raphidocelis subcapitata reduced from 3.08 to 1.07 mg L^-1 (p-value <0.05) after the bioremoval. Also, the acute and chronic toxicity of identified biodegradation products was lower than ciprofloxacin at three trophic levels, as predicted by ECOSAR software.

Anticancer drugs in wastewater and natural environments: A review on their occurrence, environmental persistence, treatment, and ecological risks

The consumption of anticancer drugs (also known as chemotherapy drugs or antineoplastic drugs) has augmented over the last decades due to increased cancer incidence. Although there is an increasing concern about the presence of pharmaceutical compounds in natural environments and urban/domestic wastewater, anticancer drugs used in chemotherapy and anticancer medication have received less attention. In this review, the occurrence, environmental persistence, and known and potential ecological impacts of anticancer drugs is discussed. This review shows that these compounds are being increasingly detected in effluents of hospitals, influents and effluents of wastewater treatment plants, river surface water and sediments, groundwater, and even drinking water. Anticancer drugs can impact aquatic organisms such as algae, crustaceans, rotifers, and fish and may promote changes in soil and water microbial communities that may alter ecosystem functioning. Our knowledge of technologies for the removal of anticancer drugs is still limited, and these drugs can be dispersed in nature in a diffuse way in an uncontrolled manner. For this reason, an improved understanding of the presence, persistence, and ecological impacts of anticancer drugs in wastewater and natural environments is needed to help design management strategies, protect aquatic microorganisms, and mitigate potential ecological impacts.

Uptake of different pharmaceuticals in soil and mycorrhizal artichokes from wastewater

The irrigation with treated wastewater is among the main anthropogenic sources for the release of pharmaceuticals (PhACs) into the soils and their translocation into crops, with possible toxic and adverse effects on humans. The arbuscular mycorrhizal fungi (AMF) can be employed for the reduction of organic soil pollutants, even if their efficiency depends on the mycorrhizal fungi, the plant colonized, and the type and concentration of the contaminant. This study aimed to evaluate the uptake of PhACs from wastewaters of different qualities used for the irrigation of mycorrhizal artichoke plants, the presence in their edible parts and the role of the arbuscular mycorrhizal fungi. The research was carried out on artichoke plants not inoculated and inoculated with two different AMF and irrigated with treated wastewater (TW), groundwater (GW) or GW spiked with different and selected PhACs (SGW). The inocula were a crude inoculum of Septoglomus viscosum (MSE) and a commercial inoculum of Glomus intraradices and Glomus mosseae (MSY). The results of the present study showed that carbamazepine and fluconazole were found in the artichoke only with SGW irrigation. The mycorrhizal plants showed a reduction of the pharmaceutical's uptake, and within the AMF, MSE was more effective in preventing their absorption and translocation.

Review of Antimicrobial Resistance in Wastewater in Japan: Current Challenges and Future Perspectives

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.

Occurrence and Effects of Antimicrobials Drugs in Aquatic Ecosystems

Currently, thanks to the development of sensitive analytical techniques, the presence of different emerging pollutants in aquatic ecosystems has been evidenced; however, most of them have not been submitted to any regulation so far. Among emerging contaminants, antimicrobials have received particular attention in recent decades, mainly due to the concerning development of antibiotic resistance observed in bacteria, but little is known about the toxicological and ecological impact that antimicrobials can have on aquatic ecosystems. Their high consumption in human and veterinary medicine, food-producing animals and aquaculture, as well as persistence and poor absorption have caused antimicrobials to be discharged into receiving waters, with or without prior treatment, where they have been detected at ng-mg L−1 levels with the potential to cause effects on the various organisms living within aquatic systems. This review presents the current knowledge on the occurrence of antimicrobials in aquatic ecosystems, emphasizing their occurrence in different environmental matrixes and the effects on aquatic organisms (cyanobacteria, microalgae, invertebrates and vertebrates).