TY - JOUR
T1 - Antibiotic microbial resistance (AMR) removal efficiencies by conventional and advanced wastewater treatment processes
T2 - A review
AU - Hiller, C. X.
AU - Hübner, U.
AU - Fajnorova, S.
AU - Schwartz, T.
AU - Drewes, J. E.
N1 - Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - The World Health Organization (WHO) has identified the spread of antibiotic resistance as one of the major risks to global public health. An important transfer route into the aquatic environment is the urban water cycle. In this paper the occurrence and transport of antibiotic microbial resistance in the urban water cycle are critically reviewed. The presence of antibiotic resistance in low impacted surface water is being discussed to determine background antibiotic resistance levels, which might serve as a reference for treatment targets in the absence of health-based threshold levels. Different biological, physical and disinfection/oxidation processes employed in wastewater treatment and their efficacy regarding their removal of antibiotic resistant bacteria and antibiotic resistance geness (ARGs) were evaluated. A more efficient removal of antibiotic microbial resistance abundances from wastewater effluents can be achieved by advanced treatment processes, including membrane filtration, ozonation, UV-irradiation or chlorination, to levels typically observed in urban surface water or low impacted surface water.
AB - The World Health Organization (WHO) has identified the spread of antibiotic resistance as one of the major risks to global public health. An important transfer route into the aquatic environment is the urban water cycle. In this paper the occurrence and transport of antibiotic microbial resistance in the urban water cycle are critically reviewed. The presence of antibiotic resistance in low impacted surface water is being discussed to determine background antibiotic resistance levels, which might serve as a reference for treatment targets in the absence of health-based threshold levels. Different biological, physical and disinfection/oxidation processes employed in wastewater treatment and their efficacy regarding their removal of antibiotic resistant bacteria and antibiotic resistance geness (ARGs) were evaluated. A more efficient removal of antibiotic microbial resistance abundances from wastewater effluents can be achieved by advanced treatment processes, including membrane filtration, ozonation, UV-irradiation or chlorination, to levels typically observed in urban surface water or low impacted surface water.
KW - Advanced water treatment
KW - Antibiotic resistance genes
KW - Antibiotic resistant bacteria
KW - Background antibiotic microbial resistance
KW - Low impacted surface water
KW - Wastewater treatment
UR - http://www.scopus.com/inward/record.url?scp=85066928986&partnerID=8YFLogxK
U2 - 10.1016/j.scitotenv.2019.05.315
DO - 10.1016/j.scitotenv.2019.05.315
M3 - Review article
C2 - 31195321
AN - SCOPUS:85066928986
SN - 0048-9697
VL - 685
SP - 596
EP - 608
JO - Science of the Total Environment
JF - Science of the Total Environment
ER -
