Search Results (104)

Carbapenem-resistant Enterobacter cloacae Complex (CRECC) has emerged as an important multidrug-resistant pathogen in healthcare settings, although it has historically received less attention than carbapenem-resistant Klebsiella pneumoniae and other major carbapenem-resistant Enterobacterales (CRE). Recent epidemiological reports from several regions indicate increasing detection rates of CRECC in tertiary hospitals, where it is associated with bloodstream infections, pneumonia, urinary tract infections, and prolonged hospitalization. The dissemination of carbapenemase genes, particularly bla_NDM, bla_KPC, and bla_OXA-48-like, carried predominantly on conjugative plasmids (e.g., IncFII, IncX3, IncL), represents the primary resistance mechanism, often accompanied by porin loss and efflux pump overexpression. High-risk clones such as ST171 and ST78 contribute to nosocomial persistence and outbreak potential. Beyond clinical settings, CRECC and related resistance determinants have been reported in companion animals, livestock, food products, wastewater systems, and natural aquatic environments. Although most available studies examine these sectors separately, the recurring detection of genetically related resistance genes and plasmid types suggests potential epidemiological links that warrant integrated surveillance. Environmental reservoirs, particularly hospital effluents and wastewater treatment systems, may facilitate the maintenance and dissemination of resistance genes. This review synthesizes current evidence on the epidemiology, resistance mechanisms, and evolutionary dynamics of CRECC in human, animal, and environmental contexts under a One Health framework. A better understanding of its ecological distribution and genetic plasticity is essential to inform coordinated surveillance strategies and mitigate the public health risks associated with the continued spread of carbapenem resistance. Full article

Microplastics (MPs) persist in wastewater treatment systems owing to their durability and mobility. As critical interception points, wastewater treatment plants (WWTPs) receive MPs from diverse domestic and industrial sources. This review synthesizes peer-reviewed studies (2009–2026) to evaluate MP mass flux, in-plant transformation, and elimination across primary, secondary, and tertiary stages. While conventional processes typically remove 60–90% of MPs, advanced tertiary technologies, such as membrane bioreactors and rapid sand filtration, can achieve efficiencies exceeding 95%. The fate of MPs is governed by density-driven settling and biological aggregation; however, the significant accumulation of MPs in sewage sludge represents a critical pathway for environmental re-entry. This review highlights key knowledge gaps, including inconsistent analytical methodologies, evidence of in-plant fragmentation generating nanoplastics (NPs), and uncertainties regarding full-scale mass flows. Furthermore, the review synthesizes mass flux data to clarify the partitioning of MPs between the effluent and sludge, identifying biosolids as a primary sink. The review concludes by proposing a transition from physical separation to elimination technologies (e.g., AOPs), alongside standardized monitoring and regulatory frameworks, to achieve sustainable reductions in MP emissions. Full article

Small communities in the Kingdom of Saudi Arabia (KSA) without a sewerage system commonly rely on septic tanks and long-distance transport of wastewater to the nearest centralized treatment facilities, resulting in high operational costs, social nuisance, and limited opportunities for treated effluent reuse. For a small community of 1300 persons in Al Qaraa (Qassim, KSA), this study performs life cycle analysis (LCA) to evaluate the environmental sustainability of a low-cost membrane bioreactor (LC-MBR)-type for decentralized on-site treatment as an alternative to wastewater transportation to a conventional extended aeration activated sludge process (EA-ASP)-type centralized system operating in the nearest larger city of Al-Bukayriyah. SimaPro^® 8.3.0.0 with the ecoinvent 3.0 database and ReCiPe 16 midpoint methodology shows that the decentralized LC-MBR scenario outperformed the centralized option with a 49 km-long wastewater transportation route in 13 out of 15 selected midpoint categories when considering relative and normalized impacts. In the EA-ASP, primary treatment dominated environmental impacts across most categories, driven by high energy demand for wastewater pumping, whereas freshwater and marine eutrophication were primarily influenced by treatment efficiency. With smaller normalized values, secondary treatment had a greater relative impact on urban and agricultural land occupation categories, attributed to the use of clay and rice bran in low-cost membrane fabrication in an LC-MBR. Tertiary treatment in the LC-MBR scenario, incorporating coagulation and granular activated carbon, significantly reduced freshwater eutrophication. Although normalized endpoint impacts indicated comparable ecosystem impacts for both systems, the LC-MBR resulted in 8% lower impacts on human health and 60% lower on resource depletion. Overall, the findings support decentralized wastewater treatment as a sustainable solution for small communities in arid regions and provide valuable insights for policy and decision-making. Full article

The increasing need for sustainable wastewater treatment technologies has accelerated the development of Nature-Based Solutions (NBS), including hydroponic systems applied as tertiary treatment. This study aimed to assess changes in algal species composition in hydroponically treated municipal wastewater and to evaluate whether laser granulometry can be used as a rapid tool for preliminary identification of algal taxa. The experiment was conducted in a static hydroponic system with three macrophyte species (Pistia stratiotes, Limnobium laevigatum, and Myriophyllum verticillatum) under white and red–blue light conditions. Microscopic identification was compared with indirect indicators such as chlorophyll a concentration and particle size distribution (D-values) obtained using laser granulometry. The results showed a substantial reduction in cyanobacteria and a shift towards diatoms and green algae, demonstrating the ecological benefits of hydroponic NBS. However, regression analysis revealed no significant correlation between algal cell volume and D(3.0) or D(4.3) values (R² < 0.06, p > 0.38), excluding the use of granulometric data for taxonomic purposes. This limitation complicates monitoring of potentially harmful cyanobacteria in effluent and may necessitate additional algal removal before discharge Full article

Microplastics are increasingly recognized as contaminants of emerging concern in wastewater systems, where treatment plants act both as sinks and as point sources. However, Central Asian wastewater infrastructures are under-represented in the literature, and global syntheses are hindered by strong methodological heterogeneity (sampling regimes, size cut-offs, QA/QC). This PRISMA-guided critical review compiles and harmonizes data from 63 WWTP studies worldwide (402 matrix-stage observations), including the few available case studies from Kazakhstan and neighboring countries, to benchmark Central Asian plants against a global envelope and identify methodological and infrastructure gaps. Globally, influent concentrations cluster around a median ≈65 particles/L, while final/tertiary effluents show a median ≈2.2 particles/L. Median removal efficiency is 85.5% for secondary and 95.0% for tertiary/advanced trains, with ≈10³–10⁵ particles/kg DW typically retained in sludge. Across influent, effluent and sludge, fibers and fragments of PE, PP and PET dominate polymer morphology patterns, with similar PET/PE/PP signatures also reported in downstream river water. Central Asian influents fall within global interquartile ranges, but secondary-only facilities tend to yield effluents in the upper half of the global distribution. Overall, the review provides a first integrated, methodologically explicit assessment of WWTP microplastics in Central Asia and underscores the need for protocol harmonization, longitudinal monitoring, and targeted upgrades of polishing steps and sludge management in arid hydrosystems. Full article

Pharmaceuticals such as paracetamol and diclofenac (DCF) are among the most extensively consumed drugs worldwide and are continuously released into municipal and hospital wastewater due to incomplete human metabolism. Their persistent presence in aquatic environments, typically ranging from ng/L to µg/L, raises concerns due to endocrine disruption, chronic toxicity, and the promotion of antimicrobial resistance. Conventional wastewater treatment plants (WWTPs) remove 70–90% of ACT but less than 30% of DCF, primarily because these systems were not designed to target low-concentration, recalcitrant micropollutants. As a result, pharmaceuticals frequently pass into treated effluents, highlighting the need for advanced, sustainable, and passive treatment solutions. Permeable reactive barriers (PRBs) have emerged as a promising technology for the interception and removal of pharmaceuticals from both wastewater treatment plant effluents and groundwater. This review provides a comprehensive assessment of ACT and DCF occurrence, environmental behavior, and ecotoxicological risks, followed by a detailed evaluation of PRB performance using advanced reactive media such as geopolymers, activated carbon, carbon nanotubes, and hybrid composites. Reported removal efficiencies exceed 90% for ACT and 70–95% for DCF, depending on media composition and operating conditions. The primary removal mechanisms include adsorption, ion exchange, π–π interactions, hydrogen bonding, and redox transformation. The novelty of this review lies in systematically synthesizing recent laboratory- and pilot-scale findings on PRBs for pharmaceutical removal, identifying critical knowledge gaps—including long-term field validation, media regeneration, and performance under realistic wastewater matrices—and outlining future research directions for scaling PRBs toward full-scale implementation. The study demonstrates that PRBs represent a viable and sustainable tertiary treatment option for reducing pharmaceutical loads in aquatic environments. Full article

Assessment of the environmental behavior of environmental hormones and antibiotics along the processes in typical wastewater treatment plants (WWTPs) based on bioavailable concentrations reflects the negative effects of pollutants from WWTPs on aquatic organisms more directly, as well as the potential for reusing the effluent and receiving waters for aquaculture. This study measured bioavailable concentrations in a typical WWTP and its receiving water body using the XAD-DGT samplers during dry and wet seasons. Firstly, the results confirmed the applicability of XAD-DGT in WWTP and the receiving water. Then, significant season and process-dependent variations were observed. The primary treatment occasionally led to concentration rebound due to desorption during the dry season, secondary treatment exhibited considerable variability depending on the physicochemical properties of the contaminants, and tertiary treatment consistently performed well (>80%). Based on XAD-DGT-measured bioavailable concentrations, the risks posed by environmental hormones and antibiotics in the effluent and receiving water body were determined to assess their potential for aquaculture reuse. The result indicated that the effluent water is applicable for fish aquaculture; however, further removal techniques, like adsorption or advanced oxidation, should be applied to crustacean cultivation, especially for contaminants like environmental hormones. For the water body, it was only feasible for crustacean aquaculture. Pre-treatments based on adsorption, sedimentation, or oxidation processes are necessary to remove environmental hormones and antibiotics if these areas are planned for aquaculture. This study provides an important scientific basis for a more accurate assessment of the environmental behavior of emerging contaminants, reuse directions of WWTP effluent, as well as the corresponding receiving waters. Full article

Background/Objectives: Hospital wastewater is a complex effluent containing a wide range of biological and chemical contaminants, including pharmaceuticals, pathogens, and antimicrobial resistance determinants. These discharges pose a growing threat to aquatic ecosystems and public health, particularly in regions where wastewater treatment is insufficient. This study aimed to characterize the chemical and microbiological composition of untreated effluent from a tertiary care hospital in southern Chile, focusing on contaminants of emerging concern. Methods: Wastewater samples were collected at the hospital outlet before any treatment. The presence of two commonly used pharmaceutical compounds, paracetamol and amoxicillin, was quantified using high-performance liquid chromatography (HPLC). Bacterial isolation was performed using selective media, and antibiotic susceptibility testing was conducted via the disk diffusion method following CLSI guidelines. In addition, metagenomic DNA was extracted and sequenced to assess microbial community composition and functional gene content, focusing on the identification of resistance genes and potential pathogens. Results: A total of 42 bacterial isolates were recovered, including genera with known pathogenic potential such as Aeromonas, Klebsiella, and Enterococcus. Antibiotic susceptibility tests revealed a high prevalence of multidrug-resistant strains. Metagenomic analysis identified the dominance of Bacillota and Bacteroidota, together with 56 antimicrobial-resistance gene (ARG) families and 38 virulence-factor families. Functional gene analysis indicated the presence of efflux-pump systems, β-lactamases, and mobile genetic elements, suggesting that untreated hospital effluents serve as potential sources of resistance and virulence determinants entering the environment. Paracetamol was detected in all samples, with an average concentration of 277.4 ± 10.7 µg/L; amoxicillin was not detected, likely due to its instability and rapid degradation in the wastewater matrix. Conclusions: These findings highlight the complex microbiological and chemical burden of untreated hospital wastewater and reinforce the need for continuous monitoring and improved treatment strategies to mitigate environmental dissemination of antibiotic resistance. Full article

The ability of ultrasound/peracetic acid (US/PAA) to degrade the azo dye Sunset Yellow FCF (SSY) was evaluated considering the impacts of power, pH, inorganic carbon, common salts, radical scavengers, and real water matrices. Pseudo-first-order rate constants revealed synergy indices of 2.90, 3.28, 2.22, and 2.03 at electrical powers of 40, 60, 80, and 100 W, respectively. Selective scavenger assays revealed a mixed radical regime. ^•OH radical involvement was confirmed by inhibition with alcohols (tert-butanol, 2-propanol), benzoic acid, nitrobenzene, sodium azide, and phenol, while suppression by TEMPO highlighted the key role of PAA-derived acyl and peroxyl radicals. Nitrobenzene caused pronounced inhibition at elevated doses, while nitrite acted as a decisive quencher by converting ^•OH and other oxidants into less reactive species. Carbonate alkalinity exerted dual effects: at acidic pH (3.7–4.4) it diverted ^•OH radicals to carbonate radicals and reduced cavitation through dissolved CO₂, whereas at near-neutral pH it buffered conditions toward the optimum (pH 9) and enhanced degradation. Common anions (chloride, sulfate, nitrate) at ≤10 mM produced minor effects. Tests in environmental waters revealed the following reactivity order: seawater > ultrapure water > tap water ≈ Zamzam water > tertiary effluent. Enhanced performance in seawater was attributed to halide-mediated formation of reactive chlorine and bromine species, while inhibition in effluent was linked to organic matter scavenging. Overall, US/PAA emerges as a robust and adaptable advanced oxidation process for azo dye abatement across diverse water matrices. Full article

The soft drink industry generates effluents with high organic loads and contaminants such as nitrogen and phosphorus, requiring sequential secondary and tertiary treatments to meet international discharge standards. Moving beyond traditional monocultures, this study developed a microbial consortium (forming microalga–fungus pellets), demonstrating a synergistic combination due to the resistance of the pellets, enhancing the treatment efficiency, and facilitating the recovery of the microbial sludge produced. Specifically, the treatment of anaerobic effluents (tertiary treatment) from the soft drink industry using consortia of the fungus Penicillium gravinicasei and the microalgae Tetradesmus obliquus and Chlorella sp. in aerated reactors was evaluated, analyzing the impact of aeration rates (0.5–3.5 vvm) on pollutant removal and microbial sludge production. The results showed that moderate aeration rates (1.5 vvm) optimized the removal of COD (up to 92.5%), total nitrogen (TN) (up to 79.3%), and total phosphorus (TP) (up to 83.4%) in just 2.5 h. Furthermore, excessive aeration reduced treatment efficiency due to microbial stress and difficulty in forming microalga–fungus pellets. The Chlorella sp. consortium showed greater stability, while T. obliquus was more sensitive to the aeration rate. Microbial sludge production was also optimized at around 1.5 vvm, consequence of the pollutant removal, with the formation of pellets that facilitated biomass harvesting. Full article

Cost-effective procedures usually cannot achieve complete removal of priority contaminants present in water at very low concentrations (as pesticides or pharmaceuticals). Advanced oxidation processes (AOPs) represent promising technologies for removing priority contaminants from water at trace concentrations, yet practical implementation remains limited due to technical and economic constraints. This study presents an innovative flow-through photodegradation device designed to overcome current limitations while achieving efficient contaminant removal at industrial scale. The device integrates a UVC 254 nm lamp-equipped flow chamber with automated dosing pumps for hydrogen peroxide and/or solid catalyst suspensions, coupled with a 30 nm porous membrane filtration system for catalyst recirculation. This configuration optimizes light–catalyst–pollutant contact while enabling combined catalytic processes. Performance evaluation using acesulfame (ACE) and iohexol (IHX) as model contaminants demonstrated rapid and effective removal. IHX degradation with UVC and 75 μM H₂O₂ achieved complete removal with t₉₅% = 7.23 ± 1.21 min (pseudo-order 0.25, t₁/₂ = 3.27 ± 0.39 min), while ACE photolysis (with UVC only) required t₉₅% = 14.88 ± 2.02 min (pseudo-order 1.27, t₁/₂ = 2.35 ± 0.84 min). The introduction of t₉₅% as a performance metric provides practical insights for near-complete contaminant removal requirements. Real-world efficacy was confirmed using tertiary wastewater treatment plant effluents containing 14 μg/L IHX, achieving complete removal within 8 min. However, carbamazepine degradation proved slower (t₉₅% > 74 h), highlighting the need for combined catalytic approaches for recalcitrant compounds. Spiking experiments (1000 μg/L) revealed concentration-dependent kinetics and synergistic effects between co-present contaminants. Analysis identified degradation byproducts consistent with previous studies, including tri-deiodinated iohexol (474.17 Da) intermediates. This scalable system, constructed from commercially available components, demonstrates potential for cost-effective industrial implementation. The modular design allows adaptation to various contaminants through adjustable AOP combinations (UV/H₂O₂, photocatalysts, ozone), representing a practical advancement toward addressing the gap between laboratory-scale photocatalytic research and full-scale water treatment applications. Full article

This research assesses the design efficiency of the future centralized wastewater treatment plant (WWTP) in Prishtina, which also takes into consideration rapidly expanding suburban areas, such as Fushë Kosova, Obiliq, and Graçanica. Using a combination of both ATV-DVWK-A 131E deterministic calculations and dynamic simulation with IWASP, this study focuses on the planned configurations for the future Prishtina wastewater treatment plant (WWTP) to evaluate design efficiency alongside operational feasibility. The primary goal was to determine if meeting projected loads for the year 2040 would be possible with compliance requirements for a single-stage CAS system. Simulation data suggest that reliable nitrogen removal would not be possible with a sole CAS stage (aerobic), particularly considering seasonal and peak load dynamics. Alternatively, an optimized three-reactor CAS model, including one anoxic pre-denitrification zone coupled with two alternating aerobic zones, achieved an average total nitrogen (TN) removal efficiency of about 85%, maintaining effluent TN below 10 mg/L. Additional advantages saw COD being removed at rates between 90 and 92%, along with MLSS levels stabilizing around 3500 mg/L. The flexibly scalable design also provides adaptive operation features, including expanded tertiary nutrient removal in phase II. In scenario two’s site comparative analysis, Lismir’s centralized WWTP emerges as the most economically and technically rational option due to the enhanced reactor layout optimization. These findings confirm that enhanced configurations, validated through both static and dynamic analyses, are essential for long-term treatment efficiency and regulatory compliance. Full article

The extensive use of herbicide 2-methyl-4-chlorophenoxyacetic acid (MCPA), coupled with its limited biodegradability, has led to its ubiquitous presence in aquatic environments. This work investigates the removal of MCPA (100 mg/L) in the aqueous phase via solar photo-Fenton. The process was carried out in a 700 mL reactor using a Xe lamp that simulates solar radiation (λ: 250–700 nm). A parametric study was conducted to assess the influence of dissolved O₂ on the reaction medium, Fe²⁺ dosage, H₂O₂ concentration and pH₀. The results indicate that dissolved O₂ boosts pollutant mineralization, even working at sub-stoichiometric H₂O₂ concentrations. Under optimal reaction conditions ([Fe²⁺]: 7.5 mg/L, [H₂O₂]₀: 322 mg/L (stoichiometric dose), pH₀: 3.5), the MCPA reached almost complete mineralization (X_TOC: 98.40%) in 180 min. Phytotoxicity and ecotoxicity assessments of treated effluents revealed that even working at sub-stoichiometric H₂O₂ dosages, toxicity decreases with the solar photo-Fenton treatment. Finally, the solar photo-Fenton process was evaluated in relevant matrices (river water and WWTP secondary effluent) and a realistic pollutant concentration (100 µg/L). In all cases, the pollutant degradation was ≥70% in 60 min, demonstrating the potential of this technology as a tertiary treatment. Full article

The recent Directive EU/2024/3019, a recast of the previous 1991 Directive 91/271/EEC concerning urban wastewater treatment, introduces new obligations concerning effluents requirements and overall energy management in urban wastewater systems. In addition to increased levels of treatment (including extended tertiary and quaternary pollutants removal), the Directive introduces the obligation for treatment facilities to become “energy neutral” at the national sectoral level, increasing reliance on energy optimization and recovery from internal processes and external renewable energy sources. In order to achieve this objective, an obligation to periodically conduct energy audits is introduced; however, while this practice is commonly carried out in residential and industrial buildings, guidelines for its implementation in treatment facilities are currently not precisely defined. The paper summarizes current issues on wastewater sector energy audits, discussing the current state-of-the-art and the expected requirements to conduct such audits. It then discusses the causes of possible facility inefficiencies and their possible solutions from both permanent and transient perspectives. Finally, it addresses the issue of energy neutrality requirement, and the role of renewable energy sources contribution, both natural and internal (process-related) to the sector’s energy efficiency. Full article

With water availability being one of the world’s major challenges, this study aims to propose a Zero Liquid Discharge (ZLD) system for treating saline effluents from an urban wastewater treatment plant (UWWTP), thereby supplementing into the existing water cycle. The system, which employs membrane (nanofiltration and reverse osmosis) and thermal technologies (multi-effect distillation evaporator and vacuum crystallizer), has been installed and operated in Cyprus at Larnaca’s WWTP, for the desalination of the tertiary treated water, producing high-quality reclaimed water. The nanofiltration (NF) unit at the plant operated with an inflow concentration ranging from 2500 to 3000 ppm. The performance of the installed NF90-4040 membranes was evaluated based on permeability and flux. Among two NF operation series, the second—operating at 75–85% recovery and 2500 mg/L TDS—showed improved membrane performance, with stable permeability (7.32 × 10⁻¹⁰ to 7.77 × 10⁻¹⁰ m·s⁻¹·Pa⁻¹) and flux (6.34 × 10⁻⁴ to 6.67 × 10⁻⁴ m/s). The optimal NF operating rate was 75% recovery, which achieved high divalent ion rejection (more than 99.5%). The reverse osmosis (RO) unit operated in a two-pass configuration, achieving water recoveries of 90–94% in the first pass and 76–84% in the second. This setup resulted in high rejection rates of approximately 99.99% for all major ions (Cl⁻, Na⁺, Ca²⁺, and Mg²⁺), reducing the permeate total dissolved solids (TDS) to below 35 mg/L. The installed multi-effect distillation (MED) unit operated under vacuum and under various inflow and steady-state conditions, achieving over 60% water recovery and producing high-quality distillate water (TDS < 12 mg/L). The vacuum crystallizer (VC) further concentrated the MED concentrate stream (MEDC) and the NF concentrate stream (NFC) flows, resulting in distilled water and recovered salts. The MEDC process produced salts with a purity of up to 81% NaCl., while the NFC stream produced mixed salts containing approximately 46% calcium salts (mainly as sulfates and chlorides), 13% magnesium salts (mainly as sulfates and chlorides), and 38% sodium salts. Overall, the ZLD system consumed 12 kWh/m³, with thermal units accounting for around 86% of this usage. The RO unit proved to be the most energy-efficient component, contributing 71% of the total water recovery. Full article