Methods development to detect antibiotic activity in water samples

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1 Methods development to detect antibiotic activity in water samples Stefan Kools (Grontmij AquaSense) Marta Wilgosz (Grontmij AquaSense, WUR) Evertjan van de Brandhof (RIVM) Gerard Stroomberg (Waterdienst) Mariel Pikkemaat (RIKILT) 1

2 Who is who? Grontmij AquaSense Consultancy and ecotoxicology laboratories Waterdienst Directorate-General for Public Works and Water Management (Rijkswaterstaat) RIVM National Institute for Public Health and the Environment RIKILT WUR Institute of Food Safety Wageningen University and Research 2

3 Presentation Introduction to study on emerging substances Method development Application (examples) Method optimization and outlook 3

4 Background NORMAN has identified a list of the currently most frequently discussed emerging substances and emerging pollutants today. Examples of this list are surfactants, pharmaceuticals and personal care products, methyl tert-butyl ether (MTBE) and other related petrol additives and their degradation products, polar pesticides and their degradation products and various proven or suspected endocrine disrupting compounds (EDCs). Another example is nanoparticles, which behave aerodynamically like gas molecules and have a large surface area per unit mass. 4

5 Background NORMAN has identified a list of the currently most frequently discussed emerging substances and emerging pollutants today. Examples of this list are surfactants, pharmaceuticals and personal care products, methyl tert-butyl ether (MTBE) and other related petrol additives and their degradation products, polar pesticides and their degradation products and various proven or suspected endocrine disrupting compounds (EDCs). Another example is nanoparticles, which behave aerodynamically like gas molecules and have a large surface area per unit mass. 5

6 Pharmaceuticals antibiotics Oroginally natural substances against bacteria, fungi, protozoa: Bactericidal kill microbes Bacteriostatic inhibit grotwh st antibiotic penicillin Worldwide use: antibiotic era Treatment in human and veterinary medicine Threat: antibiotic resistance prudent use In veterinary medicine for prevention and as growth promoters (2004 stop in EU) 6

7 Antibiotics fate and distribution WWTP

8 Sold antibiotics (t) 1200 Relation between antibiotics and meat production 1000 UK France 800 Spain Netherlands Italy Germany 200 Others Belgium+Lux. Denmark Kools et al., 2008, IEAM Meat production (x1000 t) carcasse weight

9 Use in households (NL) Older population uses more medicines Expected life >65 yr: +60% 9

10 Apples and oranges? Antibiotics groups Aminoglycosides (A) Macrolides (M) Beta lactams (B) Quinolones (Q) Sulfonamides (S) Tetracyclines (T) 10

11 Bioassay measurement Chemical analysis: accurate identification? metabolites? Bioassays Potential identification of activity Cf. Steroids (Estrogens, Androgens, etc). Cf. Dioxines Including active metabolites 11

12 Methods Developed at RIKILT (Food Safety) The Nouws antibiotic test (NAT) slaughter animals (residue analysis) 5 test plates group-specific identification T-plate; Q-plate; M&B-plate; A-plate and S-plate PRINCIPLE (Specific) BACTERIAL GROWTH INHIBITION IN PRESENCE OF ANTIBIOTICS 12

13 Water Scan Test Antibiotic present growth inhibition 2 16 mm linear correlation between inhibition zone and concentration 13

14 The tests Different agar compositions were used with different bacteria strains, antibiotic supplements to prepare them Applying samples on plates incubate at 30 C (T, Q, M/B) 37 C (S,A) 1 concentration Dilution series Measurements after 24 h incubation Water Scan Test Inhibition zones were measured 96 well plate test Optical density (O.D.) (also at T 0 ) was measured 14

15 Method development Questions? Extraction method needed SPE, special resins (XAD)? Detection limit Sensitivity? Specificity? Cross-reactivity? 15

16 SPE extraction 16

17 XAD 4/8 extraction XAD 4/8 two synthetic resins used to extract substances 17

18 Spike (mix with log Kow range) log Kow Group Antibiotic CAS no Molecular formula Experimental Ecosar estim [kowwin] Aminoglycosides Neomycin B C23H46N6O Aminoglycosides Streptomycin C21 H39 N7 O Aminoglycosides Apramycin C21 H41 N5 O Aminoglycosides Kanamycin sulfate C18H36N4O Tetracyclines Oxytetracycline [SPE] C22H24N2O Cephalosporines Cefazolin C14 H13 N8 O4 S Aminoglycosides Gentamicin C21 H43N5 O Cephalosporines Cefalonium C20H18N4O5S Tetracyclines Doxycycline=vibramycin C22H24N2O Tetracyclines Tetracycline [SPE] C22H24N2O Cephalosporines Cefacetrile C13 H13 N3 O6 S Quinolones Marbofloxacin Penicillines Nafcillin C21 H21 N2 O5 S1 Na Aminoglycosides Spectinomycin C14 H24 N2 O Cephalosporines Cefapirin C17H17N3O6S Tetracyclines Chlortetracycline [SPE] C22H23ClN2O Cephalosporines Cefoperazone C25 H27 N9 O8 S Sulfonamides Sulfadiazine C10 H10 N4 O2 S Sulfonamides Sulfadoxine C12 H14 N4 O4 S Quinolones Ciprofloxacin [SPE] C17H18FN3O Quinolones Sarafloxacin C20H17F2N3O Macrolides Lincomycin C18 H34 N2 O6 S Cephalosporines Cefalexin C16H17N3O4S Sulfonamides Sulfamethoxazole [SPE] C10 H11 N3 O3 S Quinolones Enrofloxacin C19H22FN3O3 0.7 Sulfonamides Trimethoprim C14H18N4O Sulfonamides Sulfamethazine [SPE] C12 H14 N4 O2 S Sulfonamides Dapsone C12 H12 N2 O2 S Tetracyclines Chloramphenicol C11H12Cl2N2O Penicillines Amoxicillin C16H19N3O5S Macrolides Tylosin C46 H77 N1 O Sulfonamides Sulfadimethoxine [SPE] C12 H14 N4 O4 S Quinolones Danofloxacin C19H20FN3O Quinolones Difloxacin C21H19F2N3O Penicillines Ampicillin C16 H19 N3 O4 S Quinolones Oxolinic acid C13H11NO5 1.7 Macrolides Oleandomycin C35 H61 N1 O Penicillines Penicillin G C16 H18 N2 O4 S Macrolides Erythromycine C37 H67 N1 O Penicillines Oxacillin C19 H19 N3 O5 S Quinolones Flumequine C14H12FNO Sulfonamides Baquiloprim C17 H20 N Penicillines Cloxacillin C19 H18 CL1 N3 O5 S Penicillines Dicloxacillin C19 H17 CL2 N3 O5 S Macrolides Tilmicosin C46 H80 N2 O Macrolides Valnemulin C31H52N2O5S Log Kow clusters:? "-1" "-1" - "-2"? "-2" 1. Neomycin 2. Oxytetracycline-OTC 3. Chlortetracycline-CTC 4. Sulfadiazine 5. Sulfamethoxazole-SMX 6. Oxolinic acid 7. Erythromycine 8. Flumequine 18

19 Recovery (%) Recovery patterns (spiked water) Water-Scan test Mix 1 - recovery SPE vs. XAD SPE Recovery [%] XAD Recovery [%] ,7 272, ,5 85,4 68,2 68,2 98,4 89, T Q M/B S A Plate 19

20 Conclusions Some cross-reactivity noted At plate A : aminoglycosides Specific? Limited effects (<< cyto toxicity) of others RIVM data Overview of indicative detection limits for >35 compounds ( ug/l) Waterdienst data 20

21 Application, some examples Monitoring Screening locations Review of treatment techniques New treatments, do they remove? Prioritization of locations Identification of hot-spots 21

22 End-of-pipe? Antibiotics in river water Monitoring/screening Hot-spots? 22

23 Screening the Dutch Meuse river basin (Waterdienst)

24 Screening the Dutch Meuse river basin (Waterdienst)

25 growth inhibition (%) growth inhibition (%) Example: use of antibiotic bioassay STP standard sewage treatment plant STP + sand filter Response patterns similar in 96-wells test 2 - Steenwijk after WWTP STP (standard only) Chloramphenicol 3 - Steenwijk after WWTP & sand filter Chloramphenicol STP + sand filtration t plate M/B plate S plate 120 t plate M/B plate S plate concentration (µg/l) concentration (µg/l) 25

26 NOEC groeiremming (Cf; 50%-effect) Antibiotics screening: locations sulfonamiden macroliden/ß-lactam quinolonen aminoglycosiden tetracyclinen Utrecht 02 Vlaardingen 03 Nijmegen 04 Ootmarsum 05 Amersfoort 26

27 NOEC groeiremming (Cf; 50%-effect) verwaarloosbaar Antibiotics screening: assessment sulfonamiden macroliden/ß-lactam quinolonen aminoglycosiden tetracyclinen Utrecht 02 Vlaardingen 03 Nijmegen 04 Ootmarsum 05 Amersfoort 27

28 NOEC groeiremming (Cf; 50%-effect) verwaarloosbaar aandacht ernstig Antibiotics screening: assessment sulfonamiden macroliden/ß-lactam quinolonen aminoglycosiden tetracyclinen Utrecht 02 Vlaardingen 03 Nijmegen 04 Ootmarsum 05 Amersfoort 28

29 Conclusion Method optimization (with interested parties) Available for routine screening in combination with other bioassays in combination with chemical analysis (for interested parties) Outlook: Possible application in research on the emission of antibiotics from households, hospitals and careinstitutions Contact: 29

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