Potential of nature-based solutions to reduce antibiotics, antimicrobial resistance, and pathogens in aquatic ecosystems. a critical review

Edward J. Pastor-López, Mònica Escolà, Vaidotas Kisielius, Carlos A. Arias, Pedro N. Carvalho, Ana M. Gorito, Sandra Ramos, Vânia Freitas, Laura Guimarães, C. Marisa R. Almeida, Jochen A. Müller, Eberhard Küster, R. M. Kilian, Abdoulaye Diawara, Sidy Ba, Víctor Matamoros*

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

1 Citation (Scopus)

Abstract

This comprehensive scientific review evaluates the effectiveness of nature-based solutions (NBS) in reducing antibiotics (ABs), combating antimicrobial resistance (AMR), and controlling pathogens in various aquatic environments at different river catchment levels. It covers conventional and innovative treatment wetland configurations for wastewater treatment to reduce pollutant discharge into the aquatic ecosystems as well as exploring how river restoration and saltmarshes can enhance pollutant removal. Through the analysis of experimental studies and case examples, the review shows NBS's potential for providing sustainable and cost-effective solutions to improve the health of aquatic ecosystems. It also evaluates the use of diagnostic indicators to predict NBS effectiveness in removing specific pollutants such as ABs and AMR. The review concludes that NBS are feasible for addressing the new challenges stemming from human activities such as the presence of ABs, AMR and pathogens, contributing to a better understanding of NBS, highlighting success stories, addressing knowledge gaps, and providing recommendations for future research and implementation.

Original languageEnglish
Article number174273
JournalScience of the Total Environment
Volume946
ISSN0048-9697
DOIs
Publication statusPublished - Oct 2024

Keywords

  • (Eco-)Toxicity
  • Antibiotics
  • Antimicrobial resistance
  • Nature-based solutions
  • Removal
  • River catchment
  • Wastewater

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