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Record W4409799919 · doi:10.11159/iceptp25.158

Antibiotics and Resistant Bacteria in Hospital Wastewater: A Review ofTheir Presence and Implemented Removal Measures

2025· review· en· W4409799919 on OpenAlex
Luis Cabanillas-Chirinos, Magaly De La Cruz-Noriega, Lizzie Karen Becerra-Gutiérrez

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

venuePublished in a venue whose home country is Canada.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueProceedings of the World Congress on Civil, Structural, and Environmental Engineering · 2025
Typereview
Languageen
FieldMedicine
TopicHealthcare and Environmental Waste Management
Canadian institutionsnot available
Fundersnot available
KeywordsWastewaterBacteriaAntibioticsWaste managementEnvironmental scienceMedicineIntensive care medicineComputer scienceMicrobiologyBiologyEngineering

Abstract

fetched live from OpenAlex

Currently, antibiotics and resistant bacteria have been included among emerging microcontaminants that generate global concern.Due to prolonged exposure in the environment, they cause harmful effects on human health and aquatic ecosystems.Additionally, there is no standardized global regulation that governs their final disposal in hospital effluents and wastewater, leading to the indiscriminate discharge of antimicrobials into these effluents, which then reach wastewater treatment plants.This increases selective pressure on bacteria, resulting in the development of resistant bacteria and posing a risk to human health.This review explores antibiotics and resistant bacteria isolated from hospital effluents.It also provides information on methodologies used for isolating and identifying these bacteria, antibiotic resistance genes, and in situ methodologies for their removal.For this purpose, publications registered between 2021 and 2024 in the Scopus database were analyzed.As a result, it was found that no studies conduct a combined search for antibiotics and resistant bacteria in hospital effluents.Most studies focus on searching for bacteria and antibiotic resistance genes.Additionally, the methodologies presented for the removal of these microcontaminants show promising results and are proposed as a solution to be implemented within hospitals.In conclusion, there is an increase in the presence of bacteria resistant to antimicrobials due to the lack of regulatory standards, which increases the risk to human health and ecosystems.However, future prospects for their treatment are promising thanks to the use of biotechnology.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.603
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.254
Teacher spread0.243 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it