2020
DOI: 10.1016/j.ijheh.2020.113449
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The investigation of antibiotic residues, antibiotic resistance genes and antibiotic-resistant organisms in a drinking water reservoir system in Germany

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Cited by 67 publications
(28 citation statements)
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“…In 2015, sulfapyridine, sulfamethoxazole, ciprofloxacin, enrofloxacin, levofloxacin, norfloxacin, chloramphenicol, florfenicol, doxycycline, and metronidazole were detected in tap water at concentrations ranging between 0.5 and 21.4 ng/L in rural Shandong province, eastern China [99]. Water from a river system in Germany supplying a drinking water reservoir was found to contain residues of sulfamethoxazole (up to 0.40 µg/L), trimethoprim (up to 0.39 µg/L), and macrolide antibiotics, such as clarithromycin (up to 0.60 µg/L), downstream from two sewage treatment plants [100]. A study of two treatment plants in Bagdad, Iraq, identified ciprofloxacin, levofloxacin, and amoxicillin in raw water and ciprofloxacin and levofloxacin in the finished water [101].…”
Section: Antibiotics Arb and Arg In Water Wastewater And Sewage Smentioning
confidence: 99%
“…In 2015, sulfapyridine, sulfamethoxazole, ciprofloxacin, enrofloxacin, levofloxacin, norfloxacin, chloramphenicol, florfenicol, doxycycline, and metronidazole were detected in tap water at concentrations ranging between 0.5 and 21.4 ng/L in rural Shandong province, eastern China [99]. Water from a river system in Germany supplying a drinking water reservoir was found to contain residues of sulfamethoxazole (up to 0.40 µg/L), trimethoprim (up to 0.39 µg/L), and macrolide antibiotics, such as clarithromycin (up to 0.60 µg/L), downstream from two sewage treatment plants [100]. A study of two treatment plants in Bagdad, Iraq, identified ciprofloxacin, levofloxacin, and amoxicillin in raw water and ciprofloxacin and levofloxacin in the finished water [101].…”
Section: Antibiotics Arb and Arg In Water Wastewater And Sewage Smentioning
confidence: 99%
“…Unfortunately, despite the clinical benefits of antibiotics, some of them are not completely metabolized by humans or animals during consumption, resulting in wide side effects [10,11]. Therefore, discharging antibiotics into the aqueous environments (rivers, groundwater, and lakes) without adequate treatment results in irreparable harm to human health, especially the promotion of antibiotic resistance of pathogenic microorganisms [12,13], among populations who drink it on a regular basis.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, these bacteria are able to spread their genes into water-indigenous microbes, which also contain resistance genes (Baquero et al 2008). They are not completely mitigated during treatment processes in sewage treatment plants; therefore, they can be distributed to the aquatic environment (Michael et al 2013;Rizzo et al 2013;Hembach et al 2019;Voigt et al 2020). Given this spread of ARGs in surface water and insufficient degradation in sewage treatment plants, antibiotic resistance poses a great threat to public health and to ecology (Krzeminski et al 2020;Thakali et al 2020;Voigt et al 2020).…”
Section: Introductionmentioning
confidence: 99%
“…They are not completely mitigated during treatment processes in sewage treatment plants; therefore, they can be distributed to the aquatic environment (Michael et al 2013;Rizzo et al 2013;Hembach et al 2019;Voigt et al 2020). Given this spread of ARGs in surface water and insufficient degradation in sewage treatment plants, antibiotic resistance poses a great threat to public health and to ecology (Krzeminski et al 2020;Thakali et al 2020;Voigt et al 2020). Furthermore, the World Health Organization (WHO), the United Nations (UN), and the European Union consider antimicrobial resistance (AMR) as a global public health threat (World Health Organization 2015; United Nations 2016; Krzeminski et al 2020).…”
Section: Introductionmentioning
confidence: 99%
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