The occurrence of antimicrobial substances in toilet, sink and shower drainpipes of clinical units: A neglected source of antibiotic residues.

Anti-Infective Agents / analysis Bathroom Equipment Environmental Monitoring Equipment and Supplies, Hospital Germany Hospitals Housing Wastewater / analysis Water Pollutants, Chemical / analysis
Antibiotic residues Antibiotic selection pressure Biofilm Clinical wastewater LC-MS/MS

Journal

International journal of hygiene and environmental health
ISSN: 1618-131X
Titre abrégé: Int J Hyg Environ Health
Pays: Germany
ID NLM: 100898843

Informations de publication

Date de publication:
04 2019
Historique:
received: 30 08 2018
revised: 22 12 2018
accepted: 31 12 2018
pubmed: 10 1 2019
medline: 22 1 2020
entrez: 10 1 2019
Statut: ppublish

Résumé

Antibiotics represent one of the most important drug groups used in the management of bacterial infections in humans and animals. Due to the increasing problem of antibiotic resistance, assurance of the antibacterial effectiveness of these substances has moved into the focus of public health. The reduction in antibiotic residues in wastewater and the environment may play a decisive role in the development of increasing rates of antibiotic resistance. The present study examines the wastewater of 31 patient rooms of various German clinics for possible residues of antibiotics, as well as the wastewater of five private households as a reference. To the best of our knowledge, this study shows for the first time that in hospitals with high antibiotic consumption rates, residues of these drugs can be regularly detected in toilets, sink siphons and shower drains at concentrations ranging from 0.02 μg·L

Identifiants

DOI: 10.1016/j.ijheh.2018.12.013 PMID: 30622005
pubmed: 30622005
pii: S1438-4639(18)30637-0
doi: 10.1016/j.ijheh.2018.12.013
pii:
doi:

Substances chimiques

Anti-Infective Agents 0
Waste Water 0
Water Pollutants, Chemical 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

455-467

Informations de copyright

Copyright © 2019 Elsevier GmbH. All rights reserved.

Auteurs

A M Voigt (AM)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

H A Faerber (HA)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany. Electronic address: harald.faerber@ukbonn.de.

G Wilbring (G)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

D Skutlarek (D)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

C Felder (C)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

R Mahn (R)

Medical Clinic, Department of Haematology and Oncology, Centre for Integrated Oncology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

D Wolf (D)

Medical Clinic, Department of Haematology and Oncology, Centre for Integrated Oncology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany; University Clinic V, Dpt. Hematology and Oncology, Medical University Innsbruck, Anichstraße 35, A-6020 Innsbruck, Austria.

P Brossart (P)

Medical Clinic, Department of Haematology and Oncology, Centre for Integrated Oncology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

T Hornung (T)

Clinic and Polyclinic for Dermatology and Allergology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

S Engelhart (S)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

M Exner (M)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

R M Schmithausen (RM)

Institute for Hygiene and Public Health, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Anti-infectieux › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Équipement et fournitures › Équipement sanitaire › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Surveillance de l'environnement › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Équipement et fournitures › Équipement et fournitures hospitaliers › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Régions géographiques › Europe › Allemagne › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › Caractéristiques de l'habitat › Logement › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pollution de l'environnement › Déchets › Eaux usées › The occurrence of antimicrobial substances in...
questionsmedicales.fr › Actions chimiques et utilisations › Actions toxiques › Polluants environnementaux › Polluants de l'eau › Polluants chimiques de l'eau › The occurrence of antimicrobial substances in...