Evidence map›Paper›PMID 34201188›Full record

ArticleAntibiotics (Basel, Switzerland)2021

On-Site Pilot Testing of Hospital Wastewater Ozonation to Reduce Pharmaceutical Residues and Antibiotic-Resistant Bacteria.

Sofia Svebrant, Robert Spörndly, Richard H Lindberg, Therese Olsen Sköldstam, Jim Larsson, Patrik Öhagen, Hanna Söderström Lindström, Josef D Järhult

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Enhancement ofFrontiers in microbiology · 2025
    Article
  6. Heliyon · 2024
    Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sofia SvebrantUppsala University Hospital, Uppsala County Council, 75185 Uppsala, Sweden.
Robert SpörndlyZoonosis Science Center, Department of Medical Sciences, Uppsala University, 75185 Uppsala, Sweden.
Richard H LindbergDepartment of Chemistry, Umeå University, 90187 Umeå, Sweden.
Therese Olsen SköldstamUppsala University Hospital, Uppsala County Council, 75185 Uppsala, Sweden.
Jim LarssonUppsala University Hospital, Uppsala County Council, 75185 Uppsala, Sweden.
Patrik ÖhagenUppsala Clinical Research Center, Uppsala University, 75185 Uppsala, Sweden.
Hanna Söderström LindströmSection of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, 90187 Umeå, Sweden.
Josef D JärhultZoonosis Science Center, Department of Medical Sciences, Uppsala University, 75185 Uppsala, Sweden.ORCID 0000-0002-7075-1059

Funding

Uppsala County Part of the environmental programVetenskapsrådet 2016-02606
6 · The paper itself

Abstract

Hospital sewage constitutes an important point source for antibiotics and antibiotic-resistant bacteria due to the high antibiotic use. Antibiotic resistance can develop and cause problems in sewage systems within hospitals and municipal wastewater treatment plants, thus, interventions to treat hospital sewage on-site are important. Ozonation has proven effective in treating relatively clean wastewater, but the effect on untreated wastewater is unclear. Therefore, we piloted implementation of ozonation to treat wastewater in a tertiary hospital in Uppsala, Sweden. We measured active pharmaceutical ingredients (APIs) using liquid chromatography-mass spectrometry and antibiotic-resistant Enterobacteriaceae using selective culturing pre- and post-ozonation. Comparing low (1 m

Indexed as

antibiotic resistanceAPIdrug residuesenvironmentozone treatmentpharmaceuticalssewage treatment

Identifiers

PMID34201188
PMCPMC8228021

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.