A Review of
Veterinary Antibiotic Pollution in the Agro-Environment of Pakistan: Alarm
Bells Are Ringing
Muhammad Fahad Sardar1,3, Bilawal Abbasi2,
Changxiong Zhu1, Muhammad Zia-ur-Rehman3, Ayesha Abdul
Qadir3, Hamaad Raza Ahmad3, Sulman Siddique3,
Ayesha Asghar4, Zongshou Wang5,
Xue Liu1
and Hongna Li1*
1Agricultural Clean Watershed Research Group, Institute
of Environment and Sustainable Development in Agriculture, Chinese Academy of
Agricultural Sciences, Beijing 100081, P. R. China
2Institute of Agricultural Resources and Regional
Planning, Chinese Academy of Agricultural Sciences, Beijing 100081, P. R. China
3Institute of Soil and Environmental Sciences, University
of Agriculture, Faisalabad 38040, Pakistan
4College
of Agronomy, Northwest A&F University, Yangling, Shaanxi 712100, P. R.
China
5Animal Husbandry and Veterinary Station, Nanping City,
Fujian, 353000, P. R. China
*For
correspondence: lihongna828@163.com
Received: 09 October 2020; Accepted: 05 January 2021;
Published: 25 March 2021
Abstract
Veterinary antibiotics (VAs) are widely
used in Pakistan for growth enhancement, production, and in the prevention and
treatment of infectious diseases in the livestock and poultry industry. Their
emergence into the agro-environment began during the resource utilization of
farmyard and poultry manure. However, these bioactive organic pollutants are
non-degradable in the natural environment and can be uptaken by plants,
eventually ending up in the human food chain. Despite the danger these
antibiotics pose, unfortunately, it is an issue that still remains
underreported, especially in Pakistan. As such, this review critically
summarizes the current consumption, exposure pathways, strategies for
controlling dissemination, and serious environmental concerns associated with
VAs. Additionally, the fate of antibiotics in the dry arid climate of
Pakistan is thoroughly explained along with the lack of monitoring and strict
legislation in developing countries. It is reported that antibiotic consumption
negatively impacts raw manure, hence suggestions such as limiting the
consumption of antibiotics from the source, proper disposal of farmyard manure
with effective technologies, and remediation techniques are introduced. Finally,
the authors highlight the importance of farmer's education and awareness
campaigns in the pollution control of antibiotics, as the problem can only be
properly addressed with the cooperation of government agencies, companies, and
involved stakeholders. © 2021 Friends Science Publishers
Keywords: Farmyard manure; Antibiotics; Environmental
pollution; Soil matrix; Strategies
Introduction
'Antibiotics' are termed as organic substances that are either extracted
as byproducts of secondary metabolism of fungi, actinomycetes and bacteria or
are prepared in pharmaceutical industries to counter the pathogenic
microorganisms in living biota (Thiele-Brun and Peters 2007; Alduina 2020). Many antibiotics are widely used in feed as
additives or injected in the blood (Zhu et al. 2017). In relation to that, veterinary antibiotics
(VAs) have been utilized for the last seven decades, with their consumption
increasing daily (Kuppusamy et al. 2018). To fulfil the requirements of meat and milk, the livestock industry is
exponentially growing, and with the increase in the number of animals, the
risks of animal infection and prevalence of pathogenic microorganisms increase
as well (Selaledi et al. 2020). It is estimated that, in 2030, the usage
rate of VAs will increase a hundredfold (Boeckel
et al. 2015), with the
concentration of these antibiotics consequently growing exponentially in
agricultural soils, surface water, as well as in groundwater resources (Hu
et al. 2010). The livestock
industry's irrational consumption causes the release of 30–90% of antibiotics
as parent compounds or as secondary products. Such excretions must be monitored
carefully, as these are the primary cause of antibiotic pollution (Benarab
and Fangninou 2020). Chen et al.
(2019) reported that nearly 70 kinds
of antibiotics were detected in the agricultural environment. Current evidence
suggests that a high concentration of antibiotics interferes with genes'
functionality and imposes severe concerns on the genetic sequences. There are
several entry channels of these antibiotics, with the most crucial route
occurring through the food chain, and this is directly linked to manure
utilization in agricultural lands (Coyne et al. 2020). The intake of these antibiotics through the
food chain imposes a potential threat to the human body's cell functioning and
gut microbiota (Francino 2016).
Furthermore, due to the misuse or overuse of antibiotics in Pakistan, a large
number of the population develops antibiotic resistance (Saleem et
al. 2020). In fact, this has become
an issue plaguing many nations as, around the world, it has been reported that
drug resistance-related diseases caused 700,000 deaths per annum (Alduina
2020).
Most studies only indicate the situation in
developed countries, with reports considering developing countries, such as
African and some Asian countries’ ecological health, unavailable (Selaledi et al. 2020). Moreover, research publications collating the regulations and
counter-strategies to cope with antibiotic pollution in the food chain of developing
countries are very limited or unavailable, and no critical reviews have been
conducted to compare and elaborate the impact of antibiotic pollution. Due to
this, monitoring and controlling the prevalence of antibiotics,
antibiotic-resistant genes, and corresponding microbial communities are
necessary to protect the agro-ecosystem and consumers (Du and Liu 2012). Similarly, a thorough understanding of this
newly emerging pollutant is required to predict and minimize its spread. Above
all, the prime objectives of the current review are to discuss the following
key points: (1) the use and abuse of antibiotics in the developing world with
prime focus on Pakistan, (2) reservoirs of veterinary antibiotics, (3) the fate
of antibiotics in the soil matrix, and (4) strategies to counter the effects of
the emerging pollutant.
Use
and Abuse of Antibiotics in the World and Pakistan
Globally, it is reported that 63,000–240,000
tons of antibiotics are consumed per annum, and by 2030, it is projected there
will be a nearly 67% increase in the consumption of antibiotics (Tasho and Cho 2016).
The annual global consumption of veterinary antibiotics in developed and
underdeveloped countries is presented in Table 1. According to research, China
leads in antibiotic consumption (Hu et al. 2010; Cycoń et al.
2019), with other developed countries, such as Germany and the USA, consuming
tons of veterinary antibiotics as well (Du and Liu 2012).
Pakistan has a vast livestock
and poultry market. It is estimated that the country has nearly 67.3 million
large ruminants, 89.6 million small ruminants, and 1,230 million poultry
(Rahman 2019). Pakistani farmers commonly transplant rice in standing water,
and under these circumstances, there are significant chances of antibiotic
leaching. Stoob et al. (2007) reports that wet conditions increase the
leaching ability of VAs up to 15 times more than dry conditions. At the root
cause of the issue are the indiscriminate and extensive use of antibiotics for
the production of milk and meat along with the widespread availability of
over-the-counter (OTC) medications that do not require a prescription.
Furthermore, potent drugs against infectious diseases are misused by untrained
veterinary doctors, uneducated local farmers, and fraudulent medical practitioners
(Ali et al. 2020). However, due to the lack of surveillance and
resources, there are no exact or estimated public reports about the consumption
of VAs in Pakistan (Rahman 2019; Saleem et al. 2020).
Reservoirs of Veterinary Antibiotics
Land application of livestock waste is a common practice
around the world, and it is the primary entry route of antibiotics in the
agro-ecosystem (Fig. 1). In developed countries, the farmyard manure is treated
before its application on agricultural soil. In Pakistan, the soils are
impoverished in organic matter content (1.29%). Due to farmers’ miserable
economic conditions and as a means to enhance agricultural soils' fertility
status, 49% of farmyard manure is used as organic fertilizer and directly
disposed of on land (Rahman 2019). Slaughterhouses are widespread in Pakistan,
and nearly 8,000 tons of blood meal is produced annually to serve as a soil
conditioner. Furthermore, due to the incomplete assimilation in an animal’s
gut, several kinds of antibiotics are also generated as liquid waste (Table 2).
Therefore, several studies have been conducted worldwide to determine and
control antibiotic dissemination in freshwater and wastewater effluents (Wei et al. 2011; Du
and Liu 2012). Kumar et al. (2005) investigated the antibiotic
concentration in manure slurry and reported up to 216 mg L-1 of
antibiotics. In another study, it has also been reported that 50–60% of
antibiotics are excreted as the parent compound or as an active metabolite in
urine (Feinman and
Matheson 1978). Fick et al. (2009) thoroughly investigated
several antibiotics in wastewater effluents discharged by pharmaceutical
companies and found a very high concentration of quinolones (14 mg L-1).
Hamscher et al. (2002) investigated the influence of liquid waste
material and reported tetracycline
concentrations of 172 mg kg‑1 at 20–30 cm depth of soil. This illegal
discharge of hazardous compounds pollutes freshwater reservoirs and local
communities. Afterwards, livestock wastewater gets mixed with sewage water,
where it becomes a sink of antibiotics. Antibiotics in the dissolved or liquid
form get transformed back to the parent compound; however, in the process, some
antibiotics become inactive and are conjugated as acetylated metabolites (Christian et al. 2003; Chen et al.
2017). Due to the scarcity and high cost of freshwater, the farmer community
generally disposes of or uses wastewater for irrigation purposes. Over time, the continuous dumping of solid livestock
waste, unprocessed sewage water, and treated wastewater for irrigation becomes
the primary reason for the buildup of heavy metals and VAs in the agricultural
lands (Sardar et al. 2018).
Owing to high mobility and leaching capacity, liquid waste is considered more
dangerous than dry manure.
Fate and Consequences of Veterinary Antibiotics in the Soils
of Pakistan
Table 1: The annual
global veterinary antibiotic consumption in developed and underdeveloped
countries
Country |
Consumption
per annum (tons) |
Reference(s) |
Australia |
932 |
(Kim et
al. 2010a, b) |
Brazil |
2225 |
(Kim et
al. 2010a, b) |
China |
210,000 |
(Hu et al. 2010) |
Denmark |
105 |
(Du and Liu
2012) |
France |
764 |
(Du and Liu 2012) |
Germany |
1900 |
(Tasho and Cho 2016) |
India |
1890 |
(Hu et
al. 2010) |
Iran |
1178 |
(Hu et al. 2010) |
Italy |
662 |
(Hu et al. 2010) |
Japan |
524 |
(Hu et al. 2010) |
Norway |
6 |
(Kim et
al. 2010a, b) |
Russia |
915 |
(Hu et al. 2010) |
South Korea |
1278 |
(Du and Liu
2012) |
Spain |
343 |
(Hu et al. 2010) |
Sudan |
675 |
(Hu et al. 2010) |
Sweden |
16 |
(Kim et
al. 2010a, b) |
Turkey |
1195 |
(Hu et al. 2010) |
UK |
308 |
(Kim et
al. 2010a, b) |
USA |
14,600 |
(Du and Liu 2012) |
Table 2: The occurrence
of veterinary antibiotics in different sources of livestock wastewater
Source(s) |
Compound |
Concentration |
Reference(s) |
Liquid Livestock
manure |
Chlortetracycline; |
0.03–183
mg L−1 |
(Hu et al.
2010) |
Pig effluent
|
Chlortetracycline; |
157 mg
L−1 |
(Popova et
al. 2017) |
Animal
wastewater |
Sulfadiazole |
2.3–211
μg L−1 |
(Wei et
al. 2011) |
Slurry from pig farm |
Sulfachloropyridazine |
703 μg L−1 |
(Kay et
al. 2005) |
Swine
wastewater |
Sulfonamides
|
685.6 μg L−1 |
(Cheng et
al. 2018) |
Swine wastewater |
Norfloxacin |
0.28 μg L−1 |
(Zhu et
al. 2020) |
Fig.
1: Modes of entry of VAs into the agro-ecosystem
through livestock and poultry
Once the antibiotics enter the soil matrix, they are
prone to sorption/desorption or sequestration, transportation (leaching and
surface runoff), transformation (biotic and abiotic), and uptake by the plants
(Grossberger et al. 2014; Kuppusamy et al. 2018). The fate of
antibiotics in an environment mainly depends on polarity, hydrophobicity, and
the antibiotics’ water-solubility properties (Christou et al. 2017) as well as on
physicochemical properties of soil such as pH, cation exchange capacity (CEC),
mineral ions, soil or dissolved organic matter contents, soil structure, and
texture (Vasudevan et al. 2009; Wu et al. 2013; Park and Huwe
2016).
Mineralogy of Pakistani Soils
Pakistan's climatic conditions are dry arid with long
hot summers and short, mild winters. The soils lack organic matter and are
alkaline with pH levels ranging between 8.35 and 9.05 (Ahmad et al. 2020).
Soils of this region mainly possess kaolinite, mica, vermiculite, and smectite
type minerals. These minerals determine specific chemical characteristics of
soils. For example, kaolinite-dominated soils have low CEC, whereas soil with a
high amount of vermiculite retains high CEC. These factors are known to
influence the dissemination of organic pollutants, such as antibiotics.
Sorption/Desorption/Sequestration
Antibiotics entering the soil with manure application
remain mostly on the soil surface (Aust et al. 2009; Ostermann et al.
2013). The adsorption and desorption mechanisms are observed with non-polar and
neutral antibiotics, whereas the polar and ionizable antibiotics remain in the
soil solution (Thiele-Bruhn et al. 2004; Wegst-Uhrich et al.
2014). For instance, sulfathiazole and sulfamethazine (which are neutral/cationic
nature in a soil solution) express their high sorption affinity with ionic soil
surfaces at pH levels lower than 7.5 (Kurwadkar
et al. 2011). Divalent cations in soil form complexes with
tetracycline (Hamscher et al. 2002), hence, the type of cations in the
soil also controls the adsorption of Vas (Fig. 2). The sequestration of VAs
into micro or nanopores with aging also decreases their bioavailability and bio-accessibility,
albeit a certain amount remaining in the soil system (Forster et al. 2009).
For the time being, the acute toxicity of VAs is reduced due to this process;
however, sequestration is a reversible process that later releases sequester
VAs back into its bioavailable form (Zarfl et al. 2009). Permanent
unavailability of VAs occurred with the physical diffusion of these antibiotics
into soil organic matter, oxides, or clay interlayer nanopores and with the
formation of enzymatically catalyzed covalent bonds (Gulkowska et al.
2013; Jechalke et al. 2014).
Runoff/Leaching
Transportation of antibiotics occurs either via surface
water bodies or groundwater aquifers when they dissolve in the soil solution
(Alder et al. 2001; Davis et al. 2006). Soil pH plays a prominent
role in the runoff and leaching of antibiotics. The charge of dissociating
functional groups changes, with the pH of the soil fluctuating and consequently
influencing the transport behavior of VAs. Since the pH of Pakistani soil is
mostly alkaline or above 7.5, leaching of the negatively charged antibiotics (e.g., sulfonamides) can increase
(Kurwadkar et al. 2011; Strauss et al. 2011). In another
research, weakly acidic antibiotics (e.g.,
naproxen) were found to be present in the soil solution, and this kind of
antibiotic exhibited high movement due to the dissociated carboxylic functional
group (Schaffer et al. 2012).
Low soil organic matter contents
(<1%) might enhance the mobility of antibiotics in Pakistani soil. It is
reported that as soil organic matter increases, the sorption of antibiotics
increases while the mobility decreases (Borgman and Chefetz 2013). On the other
hand, an increase in dissolved organic matter content enhances VAs' mobility (Kulshrestha
et al. 2004). It is reported that well-plowed soil amended with manure
highly prevents the transport of VAs to groundwater, because small macropores
play a key role in controlling the movement of VAs in soil (Kay et al.
2005). Antibiotics are easily transported from one part of the manure or
wastewater applied field to the other or nearby water bodies due to flood irrigation,
which is the well-practiced irrigation method in Pakistan. The transport of
antibiotics also occurs with shared farm machinery and wind erosion (Dalkmann et
al. 2012).
Transformations
The primary remediation mechanisms of antibiotics involve
adsorption, biodegradation, hydrolysis, and volatilization (Gurmessa et al. 2020). Veterinary
antibiotics like β-lactams, macrolides, tetracyclines, fluoroquinolones,
and trimethoprim mainly follow the adsorption mechanism, whereas sulfonamides
type antibiotics are generally removed along with the biodegradation mechanism
(Li and Zhang 2010; Jia et al. 2018; Sui et al. 2018; Zhang and
Li 2018).
Impact on Microbial Diversity
The microbial community structure holds
great potential to sustain and improve soil productivity and partially cope
with food security and soil degradation (National Academies of Sciences,
Engineers and Medicine
2018).
Singh and Trivedi (2017) stated that microbes are responsible for soil and crop
productivity's essential functions. Indeed, bacteria play a crucial role in the
supply of macro and micronutrients through host-specific interactions (Lehto and Zwiazek 2010). However,
microbial activity and efficiency directly depend on the environmental
conditions; soil microflora, bacterial communities and other microorganisms
face severe threats due to the accumulation of bioactive hazardous substances (e.g., antibiotics) in soil (Cycoń et
al. 2019). Prolonged exposure to these antibiotics leads to the development
of resistance in the soil's microbial community,
Fig.
2: Sorption
behavior of veterinary antibiotics in the soil matrix
Fig. 3: Possible pathways of veterinary
antibiotics in the soil and food chain
which eventually affects the resident's health. The
toxicity due to these antibiotics can also impart changes in the normal
functioning of bacterial and microbial populations. Ultimately, these
antibiotics result in the death of essential microbes that provide nutrients,
imbalance in the community structure, and increased occurrence of several types
of antibiotic-resistant genes (Knapp et al. 2011). In addition
to soil microbial communities, farmyard manure laden with antibiotics also
significantly impacts microbial communities in crop plants (Cycoń et
al. 2019). Animal manure is a primary source of ARBs in the soil
matrix, and most of the species are reported as human pathogens (Yang et al. 2013). In relation to
that, the application of animal manure disturbs the proportion of endophytic
bacterial populations in crops (Zhang et al. 2013). Similar results were reported in another
study that cattle and poultry manure could enhance the abundance of
antibiotic-resistant genes in root endophytes (Zhang et al. 2019).
In the context of environmental
conditions, soil properties are of utmost importance. Along with other
physicochemical factors, soil texture is relatively vital, due to the role it
plays in the survival of fecal bacteria in agricultural soils (Franz et al. 2014). Antibiotics
have a varied correlation with microbial structure across several textural
classes, and it is imperative to understand the influence of antibiotic
consumption and excretion along with its correlation to the indigenous
microbial community.
Entry of Veterinary Antibiotics in the Food Chain
Irrational and repetitive disposal of farmyard manure laden
with antibiotics may ultimately build up concentration high enough to enter the
terrestrial environment as an active hazardous substance (Bassil et
al. 2013). Because this is the first entry channel of antibiotics in
the animal and human food chain, the possibility of bio-accumulation and
bio-magnification of VAs at this stage cannot be ignored (Fig. 3). Previous
studies reveal that oxytetracycline, chlortetracycline, penicillin, and
sulfamethazine have moderate bio-accumulation potential (Thiele-Brun and Peters
2007), while tylosin, monensin, bacitracin, and virginiamycin have low
bio-accumulation potential (Luby et al. 2016). Different plant organs
and tissues have different responses to the toxic effect of these antibiotics,
with their response depending on the concentration of antibiotics and exposure
time. Hillis et al. (2011) conducted a detailed investigation and
reported that lower antibiotic concentration enhances nodes and internodes'
growth, while cotyledons and roots showed a negative growth response.
Chitescu et al. (2013) reported that
root crops are more prone to antibiotic accumulation, as they directly contact
soil and farmyard manure. The uncontrolled raw manure application threatens the
safe production of staple foods such as potato, millet, wheat, and corn. Recent
studies have also revealed the possible molecular level impact of antibiotics
on plants' metabolic functioning (Zhang et al. 2020). Minden et
al. (2017) investigated the woody plants' remediation potential and
highlighted that such plants could restore the antibiotic polluted soils.
Strategies to Counter Veterinary Antibiotic Pollution
The potential outcomes of antibiotic and corresponding
resistant gene pollution cannot be ignored. Regulations and strategies must be
adopted to reduce the deterioration of the agro-ecosystem. Targeted awareness
companies can reduce this emerging pollutant entry in soil, plants, and the
food chain. Nonetheless, it is important to note that these strategies can only
be adopted if governments provide financial support to poor and uneducated
farmers, as such financial benefits will provide them with the necessary
resources and encourage them to adopt farm level strategies and cooperate with
the legal authorities.
Proper Disposal of Farmyard Manure
The proper disposal and recycling of farmyard manure is
also an important area to be determined, and it should be cost-effective and
easy to adopt by farmers and other stakeholders. At the commercial scale,
millions of tons of livestock waste are generated annually, and its disposal
would require enormous resources, necessitating the implementation of policy
plans by governments and local administrations on the utilization and safe
disposal of this organic waste. Numerous reports have been published about the
aerobic techniques to counter antibiotic pollution, and these techniques are
claimed to be highly (> 99%) efficient (Ho et al. 2013; Song et
al. 2020).
Physiochemical Strategies
There are
several conventional and advanced techniques to control antibiotic pollution
and corresponding resistant determinants in the agro-environment.
To
deploy the advanced treatments, we recently conducted a series of experiments
using ultraviolet (UV) radiation against antibiotic-resistant bacteria in
biologically treated wastewater. The wastewater samples used in our previous
study were collected from a cyclic activated sludge system. As a disinfectant
of treated wastewater, UV radiation substantially impacted phenotypes and
genotypes of antibiotic-resistant bacteria. We found that the proportion of
Gram-positive and Gram-negative bacteria varied with UV fluence (Zhang et
al. 2019).
Strong oxidizing agents are one
of the newly adopted strategies, since the ozone can oxidize several classes of
organic materials (Nakonechny et al. 2007). A
recent study by Chu et al. (2020) showed favorable results on
cephalosporin's remediation (β-lactam class). In this study, ozonation,
irradiation, and heat treatment were used for degradation, and ozone showed
79.9% removal efficiency, while 85.5% by radiation; 71.9 and 87.3% by heat
treatment at 60 and 90°C for 4 h, respectively. However, a major disadvantage
of ozonation is its high cost, need for equipment, and gross energy
consumption.
Fenton's reagent is a demanding
technique among the various oxidation processes due to its strong oxidizing
efficiency (Gan et al. 2009). Moreover, Photo-Fenton and Fenton
procedures have a higher antibiotic removal percentage than the traditional
Fenton procedure. Rozas et al. (2010) achieved complete removal of
ampicillin at 3 and 10 min for photo-Fenton and Fenton, respectively, by
adjusting different variables like Fe2+ concentration (87 mol/L), H2O2
(400 mol/L) and pH (3.5).
The photolysis involves direct and indirect use of
light to decompose organic effluent into intermediates, which in turn can be
hydrolyzed into non-toxic end products (Lofrano et al. 2017). Despite
photolysis being more economical than other methods, it can only be useful for
freshwater containing light-sensitive compounds. Apart from that, the process'
efficiency is strongly dependent on the nature, pH, and fate of antibiotics
(Shi et al. 2020).
The Electrochemical (EC)
disinfectant technique is comparatively easier to adopt and apply, and it is
known to work without the requirements of chemicals and complicated procedures.
Therefore, in our previous work, we conducted a laboratory-scale EC experiment
to explore the wastewater's antibiotic-resistant status and investigated
various antibiotic drugs: tetracycline, sulfadiazine, penicillin, erythromycin,
vancomycin, gentamicin and chloramphenicol ofloxacin and ciprofloxacin. It was
found that EC disinfection decreases the relative abundance of
antibiotic-resistant genes, thus, proving to be a promising technique to
control antibiotic dissemination (Li et al. 2019, 2020).
Adsorption
Adsorption is an easy method for removing organic
compounds, but it has not been widely proven to eliminate antibiotics (Yu et
al. 2016). Based on the forces involved, adsorption can be categorized as
physical and chemical. The most common adsorbents used to remove antibiotics
are clay mineral, biochar, carbon nanotubes, bentonite and activated carbon. Méndez-Díaz et al. (2010) achieved
approximately 90% removal efficiency of sulfonamides and imidazoles by using
activated charcoal as an adsorbent. Similarly, by batch and continuous
techniques, trimethoprim was maximum (Kim et al. 2010a, b). Kim et
al. (2014) used single and multi-walled nanotubes to absorb
sulfamethoxazole and lincomycin and found that single-walled nanotubes were
more efficient at adsorbing pollutants. Hence, due to its low cost, high yield,
and lack of hazardous byproducts, it is well adapted for the separation and disposal
of antibiotics. In contrast to the specific methods described above, adsorption
can also be applied to water that contains a high proportion of antibiotics or
organic matter, with the disadvantage being that these are only removed and
concentrated.
Several membrane processes are
commonly used in various applications, with this method permitting separation
and concentration by transferring it to the membrane. Reverse osmosis, ion
exchange, nanofiltration, ultrafiltration, and combined processes have been
used to achieve the goal of separating antibiotics through membrane processes.
Combined and hybrid methods are the most efficient for application at the
industrial level. Therefore, integrated processes were used. In the case of
degradation in which most microorganisms are sensitive to certain chemicals or
mechanisms, combined methods must be used. Similarly, advanced oxidation
processes must also be used as a pre-treatment process in which organics or
contaminants are pre-treated to convert them into less toxic substances that
can be easily broken down and disposed of (Homem and Santos 2011). A
combination of Fenton and reverse osmosis was used to remove amoxicillin
(Elmolla and Chaudhuri 2010). Although this method is an effective and
potential technique, it is not used to remove antibiotics due to its
complexity.
Biological Pathways of Antibiotic Degradation
The scientific community has adopted biodegradation due
to its low cost, ease of operation, and absence of toxic byproducts generated.
The biological degradation of antibiotics can be achieved with plants,
biocatalysts, and microorganisms, each of which has its own advantages and
disadvantages in the effective removal of antibiotics. The outcome of these
processes depends on factors such as temperature, pH, and structure.
Composting
Composting
includes a series of manure management activities that use microbial processes
to aerobically decompose organic matter,
stabilize waste, and
reduce pathogens and odors. In some cases, organic
materials such as dried leaves and sawdust are mixed with manure pile to balance the carbon and
nitrogen ratio and improve aeration and nutritional status. The compost can also be turned to increase the utilization
rate of oxygen in a pile (USDA 2009). During
composting, the temperature of the manure pile is increased by microbial
processes. However, manure
incubated at a lower temperature shows less treatment efficiency. Hence,
antibiotic treatment is attributed to temperature-dependent abiotic processes
such as adsorption and degradation. Kim et al. (2012) noted that
compounds produced during composting by microbial processes formed complexes
with antibiotics (sulfamethazine, chlortetracycline, and tylosin). In several
studies, the lower removal efficiency was reported for ciprofloxacin (Selvam et
al. 2012), sulfamethazine, monensin (Dolliver et al. 2008)
chlortetracycline (Bao et al. 2009).
The collective effect of
different antibiotics is primarily responsible for the enrichment of antibiotic
resistance in conventional composting (Song et al. 2020). Our recent
research article has thoroughly investigated the role of conventional
composting in the degradation of commonly used veterinary antibiotics (e.g., lincomycin, chlorotetracycline,
sulfamethoxazole, and ciprofloxacin). To ensure the comparability of results,
50 mg/kg was selected as a uniform concentration of each antibiotic. We found
that ciprofloxacin had a more significant influence on the physicochemical and
biological characters of compost. The antibiotics were gradually degraded in
all the treatments; even so, the degradation rate was lower in a treatment
comprising a mixture of antibiotics.
However, conventional
composting cannot efficiently control antibiotics, antibiotic-resistant genes,
nor antibiotic-resistant bacteria. Several classes of antibiotics (e.g., tetracyclines and sulfonamides)
remain high in the final compost. Indeed, the impact of composting is still
unclear, requiring further comprehensive investigation. To explore the
composting process and its stage-specific effect on antibiotics, we conducted
temperature-programmed aerobic composting and found that the controlled
thermophilic phase increased the degradation of sulfamethoxazole, while the
abundance of ARGs was reduced. Temperature reduction enhanced ARGs, which may
be due to the rebounding of potential carriers. Furthermore, controlled
composting was still insufficient to counter these newly emerging pollutants,
and optimization of operational conditions was suggested (Sardar et al.
2021).
Anaerobic
Digestion
Anaerobic
digestion is a
two-step process in which part of the organic manure is first hydrolyzed and
then changed into volatile fatty acids by acid-forming bacteria (Macias-Corral et
al. 2008). The methanogenic bacteria then convert volatile
fatty acids into
methane (Macias-Corral et al.
2008). Several studies have been conducted for antibiotic removal by anaerobic
Fig. 4: Various approaches for phytoremediation of VAs
digestion
from farmyard manure (Arikan et al. 2006; Arikan 2008; Mitchell et
al. 2013) and
swine manure (Stone et
al. 2009). Sara et al.
(2013) reported
that antibiotic
biodegradation efficiency increased by thermal pre-treatment before anaerobic digestion.
Phytoremediation of Veterinary Antibiotics
Plants are the natural sink of environmental
contaminates and hazardous substances (Tasho and Cho 2016) and so, VAs that are
laden in the soil from livestock waste are taken up by plants (Bassil et al.
2013). This continuous exposure leads to bioaccumulation and eventually
phytotoxicity to the crops. A schematic mechanism behind phytoremediation is
presented in Fig. 4. The accumulation of these antibiotics is dependent on the
concentration and exposure time (Pan and Chu 2017). Generally, plants grown on
humus-deficient soils have a high affinity to accumulate antibiotics (Chen et
al. 2019), with several plant species tested and shown to bioaccumulate the
antibiotics (Bassil et al. 2013; Chitescu et al. 2013; Minden et
al. 2017). Bao et al. (2016) investigated the ability of green
pepper, potato, sweet potato, Chinese cabbage, lettuce, carrot, bitter melon,
and white gourd to accumulate different classes of sulfonamide drugs.
Phytoremediation techniques should be adopted to make the soil safe and
reliable, but to adopt such remedial strategies, a compromise may be needed for
the resources and economic constraints of farmers. Additionally, there would be
a financial burden on stakeholders. Therefore, such programs should be adopted
with the support of the government and other administrative agencies.
Regulated Consumption of Antibiotics
The problem with the consumption of VAs in the livestock
industry and the disposal of farmyard manure in agricultural fields is well
known, but there is a lack of monitoring and legislation implementation. Large
scale consumption of VAs for growth enhancement, milk, and meat production is
strictly banned in South Korea and China. However, developed countries such as
China, USA, and European countries consume these antibiotics, with the
production of such VAs still prevalent (Wu et al. 2019).
Many countries have improved
legislation and banned unnecessary licensing. This could be an excellent
strategy to controlling the dissemination of VAs, but dealing with the removal
of licensed antibiotics and its popularity among the farmer communities remains
a challenge.
Another possible way is to focus
on infectious diseases and specify a particular antibiotic's type and dosage.
Administrative and medical authorities should carefully examine the animal and
prescribe antibiotics only when absolutely necessary (Tasho and Cho 2016; Xue et
al. 2019). Farmers and medical workers should record prescribed medicine,
and administrative agents should regularly monitor their dosage and record (Ali
et al. 2020).
Awareness Programs
Developing and underdeveloped countries have a vast
number of uneducated and poor farmers. Awareness on the proper disposal of
waste, environmental pollution, safe production, and effects on human health is
limited (Buelow et al. 2020; He et al. 2020). To efficiently
control environmental pollution issues, especially antibiotic pollution, all
solutions must begin with education. Both the government and private sector
should be called upon to develop awareness campaigns to educate stakeholders
such as influential scientists, young researchers, and educated farmers on the
use and abuse of antibiotics and train them to properly treat the livestock
waste on their lands.
Concluding Remarks
Although the fertility status of soil is dependent on
the application of farmyard manure, it is evident from the current review that
antibiotic consumption can negatively impact raw manure. Thus, this source of
antibiotic pollution must be addressed. A useful strategy would be the
implementation of a ban on the misuse of drugs. As proposed in this review, the
scientific community and government agencies should develop policies and
legislation to counter and restrict this emerging issue. Awareness campaigns
must be launched at a large scale to ensure the human and animal food chain's
safety and to control environmental pollution. All these are crucial to solving
the underreported issue in developing countries like Pakistan.
Acknowledgements
This work was jointly supported by the
Young Elite Scientist Sponsorship Program of BAST (Beijing Association for
Science and Technology) (2019–2021), Beijing Municipal Natural Science
Foundation (6192029, 8182059), and Basic Research Funds for Central Research Institutes
of China (BSRF201903).
Author
Contributions
Conceptualization, MFS and HL. Graphics: BA, SS and AA.
Investigation: MFS, AAQ, MZR, ZW and HRA. Writing, original draft preparation:
MFS and HL. Review and editing: MFS, CZ and HL. Funding acquisition: CZ, XL and
HL. All authors have read and agreed to the published version of the
manuscript.
Conflict
of Interest
There is no conflict of interest among the authors
Ethics
Approval
Not applicable
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