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中国东部山东省不同环境介质中抗生素残留的存在:其产生耐药性的潜力及生态和人类风险。

Presence of antibiotic residues in various environmental compartments of Shandong province in eastern China: Its potential for resistance development and ecological and human risk.

机构信息

Global Health-Health Systems and Policy: Medicines, Focusing Antibiotics, Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden.

Department of Environment and Health, School of Public Health, Shandong University, Jinan 250012, China.

出版信息

Environ Int. 2018 May;114:131-142. doi: 10.1016/j.envint.2018.02.003. Epub 2018 Mar 2.

Abstract

OBJECTIVES

To investigate the occurrence of antibiotic residues in different types of environmental samples including water samples in rural Shandong province, China. Further, to characterize the potential ecological risk for development of antibiotic resistance in the environment, and the potential direct human health risk of exposure to antibiotics via drinking water and vegetables.

METHODS

Environmental samples (n = 214) (river water, waste water, drinking water, sediments, manure, soil and edible parts of vegetables) were collected in twelve villages in Shandong province in eastern China. High performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) was used to determine the concentration of antibiotic residues. The ratio of the measured environmental concentrations (MEC) to the predicted no-effect concentrations (PNEC) was used to evaluate the ecological risk (risk quotient, RQ) for development of antibiotic resistance. The potential risks to human health through exposure to antibiotics in drinking water were assessed by comparing measured environmental concentrations (MEC) and predicted no-effect concentration in drinking water (PNEC), and in vegetables by comparing estimated daily intake (EDI) to ADI.

RESULTS

Sulfapyridine, sulfamethoxazole, ciprofloxacin, enrofloxacin, levofloxacin, norfloxacin, chloramphenicol, florfenicol, doxycycline, and metronidazole were detected at concentrations ranging between 0.3 and 3.9 ng/L in river water, 1.3 and 12.5 ng/L in waste water, 0.5 and 21.4 ng/L in drinking water, 0.31 and 1.21 μg/kg in river sediment, 0.82 and 1.91 μg/kg in pig manure, 0.1 and 11.68 μg/kg in outlet sediment, 0.5 and 2.5 μg/kg in soil, and 6.3 and 27.2 μg/kg in vegetables. The RQs for resistance development were >1 for enrofloxacin, levofloxacin, and ranged between 0.1 and 1 for ciprofloxacin. MECs/PNEC ratios were <1 from exposure to antibiotics through drinking water for both adults and children. EDI/ADI ratios were <0.1 from exposure to antibiotics by vegetable consumption.

CONCLUSIONS

Antibiotic pollutants were ubiquitous in various environmental compartments of Shandong province of China. Risk estimates indicated a potential for the measured levels of enrofloxacin, levofloxacin and ciprofloxacin in waste water to pose an ecological risk for resistance selection, and further studies are needed to validate this finding. The investigated antibiotics did not appear to pose an appreciable direct human health risk from environmental exposure through drinking water or vegetables consumption. However, they might still pose a risk for resistance development.

摘要

目的

调查抗生素残留在中国山东省农村地区的不同类型环境样本(包括水样)中的发生情况。此外,还对环境中抗生素耐药性发展的潜在生态风险以及通过饮用水和蔬菜摄入抗生素对人类健康的直接潜在风险进行了评估。

方法

在山东省的 12 个村庄中采集了环境样本(n=214)(河水、废水、饮用水、沉积物、粪便、土壤和食用蔬菜部分)。采用高效液相色谱-串联质谱法(HPLC-MS/MS)测定抗生素残留浓度。采用实测环境浓度(MEC)与预测无效应浓度(PNEC)的比值来评估抗生素耐药性发展的生态风险(风险商数,RQ)。通过比较实测环境浓度(MEC)与饮用水中的预测无效应浓度(PNEC),以及通过比较估计每日摄入量(EDI)与允许日摄入量(ADI),评估了通过饮用水和蔬菜摄入抗生素对人类健康的潜在风险。

结果

在河水中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.3-3.9ng/L;在废水中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 1.3-12.5ng/L;在饮用水中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.5-21.4ng/L;在河底沉积物中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.31-1.21μg/kg;在猪粪中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.82-1.91μg/kg;在出泥沉积物中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.1-11.68μg/kg;在土壤中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 0.5-2.5μg/kg;在蔬菜中检测到磺胺嘧啶、磺胺甲恶唑、环丙沙星、恩诺沙星、左氧氟沙星、诺氟沙星、氯霉素、氟苯尼考、强力霉素和甲硝唑,浓度范围为 6.3-27.2μg/kg。恩诺沙星、左氧氟沙星的 RQ值>1,环丙沙星的 RQ 值在 0.1-1 之间。从成年人和儿童通过饮用水摄入抗生素的角度来看,MEC/PNEC 比值<1。从食用蔬菜摄入抗生素的角度来看,EDI/ADI 比值<0.1。

结论

抗生素污染物在中国山东省的各种环境介质中普遍存在。风险评估表明,废水中的恩诺沙星、左氧氟沙星和环丙沙星的实测水平可能对选择耐药性产生潜在风险,需要进一步研究来验证这一发现。所研究的抗生素似乎不会对通过饮用水或蔬菜摄入对人类健康造成明显的直接风险。然而,它们仍可能对耐药性发展构成威胁。

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