Abstract:
Background: Antibiotics are the critical elements widely used to fight different bacterial
infections. Amoxicillin, ciprofloxacin and sulfamethoxazole are relatively the most commonly
prescribed antibiotics. Once consumed, most antibiotic drugs are excreted in unmetabolized
forms via urines and feces and may contaminate the environment if not well treated. Thus,
improperly disposed antibiotics are contributing for the development of bacterial resistances and
environmental pollution. In urban areas, due to weak removal efficiency of wastewater
treatment plants (WWTPs), municipal wastewater is considered as source for release of
antibiotics into the environments. Therefore, investigating the concentration of antibiotics in
municipal wastewater is critical to take appropriate mitigation strategies.
Objective: The aim of this study was to evaluate occurrence of selected antibiotics in the
municipal wastewater (influent and effluent) in Addis Ababa, Ethiopia
Methods: The study was carried out from January to February, 2022 at Addis Ababa. A 1 L
wastewater sample was collected from each sampling point (influent and effluent) of two WWTP
using polyethylene bottles as grab samples in February, 2022, kept in the ice box and transported
to the laboratory. Samples were appropriately stored until analysis. Before analysis, the PH of
samples were adjusted using HCL, chelating agent (Na2EDTA) was added then, and extracted by
solid phase extraction using C18 cartridges. Identification and quantification of target antibiotics
were performed using HPLC-UV. The laboratory analysis was conducted in Ethiopian food and
drug authority drug quality laboratory.
Results: The results of this study revealed the presence of ciprofloxacin and sulfamethoxazole in
influent wastewater of two treatment plants. Among investigated antibiotics, only
sulfamethoxazole is detected in effluent sample of Site B. Amoxicillin is not detected in all
wastewater samples of two WWTPs. The concentration (0.67 ±0.15 µg/L) of ciprofloxacin
detected in influent sample of Site A treatment plant was relatively highest. The removal
efficiency of WWTPs for the two detected antibiotics ranged from 36% to 100%. The removal
efficiency was determined as the percentage of the concentrations difference between influents
and effluents samples of each WWTP.
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Highest removal percentages (100%) were recorded for both antibiotics in Site A treatment plant.
The lowest removal percentage for sulfamethoxazole (36%) was recorded in Site B wastewater
treatment plant.
Conclusion and recommendation: from three investigated antibiotics in this study, two were
detected in influent municipal wastewater of two treatment plants with the concentration ranging
from < LOQ-0.67ug/L for ciprofloxacin and < LOQ-0.06 ug/L for sulfamethoxazole
respectively. In one treatment plant, sulfamethoxazole was still detected in final effluent at the
concentration < LOQ. The concentration of ciprofloxacin (0.67±0.15 µg/L) measured in the
present study is higher than the levels of Predicted No-Effect Concentrations (PNEC) to the
environment for this compound (0.45 µg/L). This study recommends the more detailed studies of
levels of these antibiotics in different water environments of Addis Ababa