Hospital wastewater includes many pharmaceutically active compounds (PhACs). Since this resulted in both PhACs distribution to the environment and antibiotic resistance development of microorganisms, on-site treatment of hospital wastewater has gained importance. In this study, the removal of 21 PhACs consisting of 12 parent compounds and 9 main metabolites from hospital wastewater was researched by ozonation. In this context, commonly used analgesics (paracetamol, diclofenac, ibuprofen, and naproxen, 4'-hydroxydiclofenac, 5-hydroxydiclofenac, 1-hydroxyibuprofen, 2-hydroxyibuprofen, carboxyibuprofen, (S)-O-desmethyl naproxen) and antibiotics (ciprofloxacin, sulfamethoxazole, trimethoprim, erythromycin, metronidazole, clarithromycin, azithromycin, clindamycin, N-acetyl-sulfamethoxazole, sulfamethoxazole-β-D-glucuronide, clindamycin sulfoxide) were selected. PhAC analyses were conducted with HPLC/MS-MS. The ozonation dose was between 0.05-5.0 mg O3/mg COD. In real hospital wastewater, many of the selected PhACs were detected and total analgesic and antibiotic were determined as 22.9 and 40.6 µg/L, respectively. The results showed that detected PhACs were completely removed at 1.5 mg O3/mg COD. Additionally, COD removal was determined as 48% in this ozone dose. The result of the study shows that pre-oxidation of hospital wastewater is an effective method in terms of on-site pretreatment of PhACs.
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