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Emerging investigator series: transformation of common antibiotics during water disinfection with chlorine and formation of antibacterially active products†
Nicole L. Kennedy Neth,Clifford M. Carlin,Olya S. Keen
Environmental Science: Water Research & Technology Pub Date : 05/30/2019 00:00:00 , DOI:10.1039/C9EW00182D
Abstract

This study investigated the effect of chlorine disinfection on the following commonly prescribed antibiotics typically present in treated wastewater: ciprofloxacin, trimethoprim, sulfamethoxazole, levofloxacin and ofloxacin. Antibacterially active transformation products formed from all of the fluoroquinolone class antibiotics: ciprofloxacin, levofloxacin and ofloxacin. Trimethoprim and sulfamethoxazole did not form products with detectable antibacterial activity. Experiments were performed in both ultrapure water and wastewater effluent. HPLC/MS was used to propose the structures of the transformation products in samples where antibacterially active products formed. Both chlorinated and non-chlorinated products were observed. The results indicate that antibiotic transformation products with antibacterial properties form in the wastewater chlorination treatment process. These products may be a source of antibiotic resistance in the environment and warrant a further investigation of their role.

Graphical abstract: Emerging investigator series: transformation of common antibiotics during water disinfection with chlorine and formation of antibacterially active products
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