Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.

Significant quantities of antibiotics are used in all parts of the globe to treat diseases with bacterial origins. After ingestion, antibiotics are excreted by the patient and transmitted in due course to the aquatic environment. This study examined temporal fluctuations (monthly time scale) in anti...

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Main Authors: Sylvain Coutu, Luca Rossi, D A Barry, Serge Rudaz, Nathalie Vernaz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0053592
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author Sylvain Coutu
Luca Rossi
D A Barry
Serge Rudaz
Nathalie Vernaz
author_facet Sylvain Coutu
Luca Rossi
D A Barry
Serge Rudaz
Nathalie Vernaz
author_sort Sylvain Coutu
collection DOAJ
description Significant quantities of antibiotics are used in all parts of the globe to treat diseases with bacterial origins. After ingestion, antibiotics are excreted by the patient and transmitted in due course to the aquatic environment. This study examined temporal fluctuations (monthly time scale) in antibiotic sources (ambulatory sales and data from a hospital dispensary) for Lausanne, Switzerland. Source variability (i.e., antibiotic consumption, monthly data for 2006-2010) were examined in detail for nine antibiotics--azithromycin, ciprofloxacin, clarithromycin, clindamycin, metronidazole, norfloxacin, ofloxacin, sulfamethoxazole and trimethoprim, from which two main conclusions were reached. First, some substances--azithromycin, clarithromycin, ciprofloxacin--displayed high seasonality in their consumption, with the winter peak being up to three times higher than the summer minimum. This seasonality in consumption resulted in seasonality in Predicted Environmental Concentrations (PECs). In addition, the seasonality in PECs was also influenced by that in the base wastewater flow. Second, the contribution of hospitals to the total load of antibiotics reaching the Lausanne Wastewater Treatment Plant (WTP) fluctuated markedly on a monthly time scale, but with no seasonal pattern detected. That is, there was no connection between fluctuations in ambulatory and hospital consumption for the substances investigated.
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spelling doaj-art-8bb3615ca98b4e55b7f7bb687613f6702025-08-20T03:47:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0181e5359210.1371/journal.pone.0053592Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.Sylvain CoutuLuca RossiD A BarrySerge RudazNathalie VernazSignificant quantities of antibiotics are used in all parts of the globe to treat diseases with bacterial origins. After ingestion, antibiotics are excreted by the patient and transmitted in due course to the aquatic environment. This study examined temporal fluctuations (monthly time scale) in antibiotic sources (ambulatory sales and data from a hospital dispensary) for Lausanne, Switzerland. Source variability (i.e., antibiotic consumption, monthly data for 2006-2010) were examined in detail for nine antibiotics--azithromycin, ciprofloxacin, clarithromycin, clindamycin, metronidazole, norfloxacin, ofloxacin, sulfamethoxazole and trimethoprim, from which two main conclusions were reached. First, some substances--azithromycin, clarithromycin, ciprofloxacin--displayed high seasonality in their consumption, with the winter peak being up to three times higher than the summer minimum. This seasonality in consumption resulted in seasonality in Predicted Environmental Concentrations (PECs). In addition, the seasonality in PECs was also influenced by that in the base wastewater flow. Second, the contribution of hospitals to the total load of antibiotics reaching the Lausanne Wastewater Treatment Plant (WTP) fluctuated markedly on a monthly time scale, but with no seasonal pattern detected. That is, there was no connection between fluctuations in ambulatory and hospital consumption for the substances investigated.https://doi.org/10.1371/journal.pone.0053592
spellingShingle Sylvain Coutu
Luca Rossi
D A Barry
Serge Rudaz
Nathalie Vernaz
Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
PLoS ONE
title Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
title_full Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
title_fullStr Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
title_full_unstemmed Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
title_short Temporal variability of antibiotics fluxes in wastewater and contribution from hospitals.
title_sort temporal variability of antibiotics fluxes in wastewater and contribution from hospitals
url https://doi.org/10.1371/journal.pone.0053592
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