A critical review on the occurrence of resistomes in the environment and their removal from wastewater using apposite treatment technologies: Limitations, successes and future improvement

Environ Pollut. 2020 Aug;263(Pt A):113791. doi: 10.1016/j.envpol.2019.113791. Epub 2019 Dec 13.

Abstract

Recent reports are pointing towards the potential increasing risks of resistomes in human host. With no permissible limit in sight, resistomes are continually multiplying at an alarming rate in the ecosystem, with a disturbing level in drinking water source. The morphology and chemical constituent of resistomes afford them to resist degradation, elude membrane and counter ionic charge, thereby, rendering both conventional and advanced water and wastewater treatment inefficient. Water and wastewater matrix may govern the propagation of individual resistomes sub-type, co-selection and specific interaction towards precise condition may have enhanced the current challenge. This review covers recent reports (2011-2019) on the occurrence of ARB/ARGs and ease of spread of resistance genes in the aquatic ecosystem. The contributions of water matrix to the spread and mitigation, treatment options, via bulk removal or capture, and intracellular and extracellular DNA lysis were discussed. A complete summary of recent occurrences of ARB/ARGs, fate after disinfection and optimum conditions of individual treatment technology or in tandem, including process limitations, with a brief assessment of removal or degradation mechanism were highlighted.

Keywords: Antibiotic resistance bacteria; Antibiotic resistance genes; Water and wastewater treatment technology; Water pollution.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents
  • Bacteria / genetics
  • Drug Resistance, Microbial
  • Ecosystem
  • Genes, Bacterial*
  • Humans
  • Wastewater*

Substances

  • Anti-Bacterial Agents
  • Waste Water