Evidence map›Paper›PMID 35970214›Full record

ArticleChemosphere2022

Occurrence and distribution of azithromycin in wastewater treatment plants, seawater, and sediments of the northern part of the Persian Gulf around Bushehr port: A comparison with Pre-COVID 19 pandemic.

Farzad Mirzaie, Fatemeh Teymori, Seyedehfatemeh Shahcheragh, Sina Dobaradaran, Hosein Arfaeinia, Raheleh Kafaei, Soleyman Sahebi, Sima Farjadfard, Bahman Ramavandi

Open access · greenAbstract read
In one paragraph

Article in Chemosphere, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.1field-weighted citation impact, top 2% of its field
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

8 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Article
  3. Antibiotic resistance dissemination in soil ecosystems: deep understanding for effective management and global health protection.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Dynamics of antimicrobial resistance and susceptibility profile in full-scale hospital wastewater treatment plants.Water science and technology : a journal of the International Association on Water Pollution Research · 2024
    Article
  8. 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

9 authors at 5 institutions in 1 country.

Farzad MirzaieEnvironmental Laboratory, Department of Chemical Engineering, Shiraz University, Shiraz, Iran.
Fatemeh TeymoriSystems Environmental Health and Energy Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran.
Seyedehfatemeh ShahcheraghDepartment of Chemistry, Islamic Azad University, North Tehran Branch, P.O. Box 191367411, Tehran, Iran.
Sina DobaradaranSystems Environmental Health and Energy Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran; Environmental Health Engineering Department, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
Hosein ArfaeiniaSystems Environmental Health and Energy Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran; Environmental Health Engineering Department, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
Raheleh KafaeiSchool of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: rahelehkafaei@sbmu.ac.ir.
Soleyman SahebiCenter of Excellence for Membrane Research and Technology, School of Chemical, Petroleum and Gas Engineering, Iran University of Science and Technology (IUST), Narmak, Tehran, Iran.
Sima FarjadfardEnvironmental Health Engineering Department, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
Bahman RamavandiSystems Environmental Health and Energy Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran; Environmental Health Engineering Department, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran. Electronic address: b.ramavandi@bpums.ac.ir.
Bushehr University of Medical Sciences · IRIran University of Science and Technology · IRIslamic Azad University North Tehran Branch · IRShahid Beheshti University of Medical Sciences · IRShiraz University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the environmental effects of COVID 19 is the contamination of ecosystems with antibiotics due to their high consumption to treat this disease. Many years ago, the distribution of antibiotics including azithromycin (Azi) in wastewater treatment plants in Bushehr city, seawater, and sediment of the Persian Gulf has been investigated. As Azi has been prescribed to COVID 19 patients, contamination of the environment with this drug can also be assumed. Thus, we decided to examine this hypothesis by repeating our previous study during COVID 19 period. We collected wastewater samples from influent, effluent, and different units of three wastewater treatment plants (WWTPs) including one municipal WWTP (Plant A) and two hospital-WWTPs (Plant B and C). Seawater and adjusted sediments were gathered from 8 stations located in the Persian Gulf in two seasons to evaluate the special and temporal variation. The results showed a huge growth of Azi pollution in all studied matrixes. The mean Azi values in the influent of Plant A, B, and C were 145 ng/L, 110 ng/L, and 896 ng/L, which represented an 9, 6, and 48-time increase compared with those obtained in 2017 (before COVID 19). The Azi removal efficiency had a different behavior compared to before COVID 19. The mean concentration of Azi in seawater and sediment samples was 9 ng/L and 6 ng/g, which was 3 and 4-fold higher than the previous study. Opposed to our former study, the Azi amount in the aqueous phase was less subjected to temporal seasonal variations. Our observations indicated the wide distribution of Azi in the environment and a future threat of intense growth of antibiotic resistance in ecosystems.

Indexed as

COVID-19 Drug TreatmentWater Pollutants, ChemicalWater PurificationAnti-Bacterial AgentsAzithromycinEcosystemEnvironmental MonitoringHumansIndian OceanSeawaterWastewaterAnti-Bacterial AgentsAzithromycinWastewaterWater Pollutants, ChemicalAzithromycinCOVID 19Persian gulfSeawaterWastewater treatment plants

Identifiers

PMID35970214
PMCPMC9372055
OpenAlexW4291033259

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.