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

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 innovati...

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Published in:	The Science of the total environment Vol. 946; p. 174273
Main Authors:	Pastor-López, Edward J., Escolà, Mònica, Kisielius, Vaidotas, Arias, Carlos A., Carvalho, Pedro N., Gorito, Ana M., Ramos, Sandra, Freitas, Vânia, Guimarães, Laura, Almeida, C. Marisa R., Müller, Jochen A., Küster, Eberhard, Kilian, R.M., Diawara, Abdoulaye, Ba, Sidy, Matamoros, Víctor
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier B.V 10-10-2024
Subjects:	(Eco-)Toxicity Antibiotics Antimicrobial resistance Nature-based solutions Removal River catchment Wastewater Removal Antibiotics Nature-based solutions (Eco-)Toxicity Antimicrobial resistance Wastewater River catchment
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Summary:	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. [Display omitted] •NBS used as a wastewater treatment are effective for removing ABs, AMR, and pathogens.•River restoration and saltmarshes improve water quality.•Ecotoxicological impact is reduced due to the presence of NBS.•Water quality parameters can estimate ABs and AMR attenuation in NBS.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	0048-9697 1879-1026 1879-1026
DOI:	10.1016/j.scitotenv.2024.174273