Hospital Wastewater-Source of Specific Micropollutants, Antibiotic-Resistant Microorganisms, Viruses, and Their Elimination

Municipal wastewaters can generally provide real-time information on drug consumption, the incidence of specific diseases, or establish exposure to certain agents and determine some lifestyle consequences. From this point of view, wastewater-based epidemiology represents a modern diagnostic tool for...

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Main Authors: Tomáš Mackuľak (Author), Klára Cverenkárová (Author), Andrea Vojs Staňová (Author), Miroslav Fehér (Author), Michal Tamáš (Author), Andrea Bútor Škulcová (Author), Miroslav Gál (Author), Monika Naumowicz (Author), Viera Špalková (Author), Lucia Bírošová (Author)
Format: Book
Published: MDPI AG, 2021-09-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Tomáš Mackuľak  |e author 
700 1 0 |a Klára Cverenkárová  |e author 
700 1 0 |a Andrea Vojs Staňová  |e author 
700 1 0 |a Miroslav Fehér  |e author 
700 1 0 |a Michal Tamáš  |e author 
700 1 0 |a Andrea Bútor Škulcová  |e author 
700 1 0 |a Miroslav Gál  |e author 
700 1 0 |a Monika Naumowicz  |e author 
700 1 0 |a Viera Špalková  |e author 
700 1 0 |a Lucia Bírošová  |e author 
245 0 0 |a Hospital Wastewater-Source of Specific Micropollutants, Antibiotic-Resistant Microorganisms, Viruses, and Their Elimination 
260 |b MDPI AG,   |c 2021-09-01T00:00:00Z. 
500 |a 10.3390/antibiotics10091070 
500 |a 2079-6382 
520 |a Municipal wastewaters can generally provide real-time information on drug consumption, the incidence of specific diseases, or establish exposure to certain agents and determine some lifestyle consequences. From this point of view, wastewater-based epidemiology represents a modern diagnostic tool for describing the health status of a certain part of the population in a specific region. Hospital wastewater is a complex mixture of pharmaceuticals, illegal drugs, and their metabolites as well as different susceptible and antibiotic-resistant microorganisms, including viruses. Many studies pointed out that wastewater from healthcare facilities (including hospital wastewater), significantly contributes to higher loads of micropollutants, including bacteria and viruses, in municipal wastewater. In addition, such a mixture can increase the selective pressure on bacteria, thus contributing to the development and dissemination of antimicrobial resistance. Because many pharmaceuticals, drugs, and microorganisms can pass through wastewater treatment plants without any significant change in their structure and toxicity and enter surface waters, treatment technologies need to be improved. This short review summarizes the recent knowledge from studies on micropollutants, pathogens, antibiotic-resistant bacteria, and viruses (including SARS-CoV-2) in wastewater from healthcare facilities. It also proposes several possibilities for improving the wastewater treatment process in terms of efficiency as well as economy. 
546 |a EN 
690 |a hospital wastewater treatment 
690 |a pharmaceuticals 
690 |a antibiotic-resistant microorganisms 
690 |a antimicrobial resistance genes 
690 |a SARS-CoV-2 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Antibiotics, Vol 10, Iss 9, p 1070 (2021) 
787 0 |n https://www.mdpi.com/2079-6382/10/9/1070 
787 0 |n https://doaj.org/toc/2079-6382 
856 4 1 |u https://doaj.org/article/ac3189d9aeea4907b245e3617a8c2227  |z Connect to this object online.