Nippes Ramiro Picoli, Macruz Paula Derksen, da Silva Gabriela Nascimento, Neves Olsen Scaliante Mara Heloisa
State University of Maringa, Department of Chemical Engineering, Maringa, 87020-900, Parana, Brazil.
Process Saf Environ Prot. 2021 Aug;152:568-582. doi: 10.1016/j.psep.2021.06.040. Epub 2021 Jun 30.
On March 11, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. The outbreak caused a worldwide impact, becoming a health threat to the general population and its professionals. To date, there are no specific antiviral treatments or vaccines for the COVID-19 infection, however, some drugs are being clinically tested. The use of these drugs on large scale raises great concern about their imminent environmental risk, since the elimination of these compounds by feces and urine associated with the inefficiency of sewage treatment plants in their removal can result in their persistence in the environment, putting in risk the health of humans and of other species. Thus, the goal of this work was to conduct a review of other studies that evaluated the presence of the drugs chloroquine, hydroxychloroquine, azithromycin, ivermectin, dexamethasone, remdesivir, favipiravir and some HIV antivirals in the environment. The research indicated the presence of these drugs in the environment in different regions, with concentration data that could serve as a basis for further comparative studies following the pandemic.
2020年3月11日,世界卫生组织(WHO)宣布新型冠状病毒肺炎(COVID-19)为大流行病。此次疫情造成了全球性影响,对普通民众及其专业人员构成了健康威胁。迄今为止,尚无针对COVID-19感染的特异性抗病毒治疗方法或疫苗,不过,一些药物正在进行临床试验。大规模使用这些药物引发了人们对其即将带来的环境风险的高度关注,因为与污水处理厂去除这些化合物效率低下相关的粪便和尿液对这些化合物的排泄,可能导致它们在环境中持续存在,从而危及人类和其他物种的健康。因此,本研究的目的是对其他评估氯喹、羟氯喹、阿奇霉素、伊维菌素、地塞米松、瑞德西韦、法匹拉韦和一些抗HIV病毒药物在环境中存在情况的研究进行综述。研究表明,不同地区的环境中存在这些药物,其浓度数据可为疫情后的进一步比较研究提供依据。