The coagulation and flocculation properties of chitosan, an organic biopolymer derived from chitin, have been researched as an alternative to synthetic polymers and inorganic metal salt coagulants currently used in water and wastewater treatment. In an effort to encourage further research into the practical uses of chitosan as green chemistry in water and wastewater treatment and to promote the efficacious removal of microbial contaminants in drinking and wastewater, we have summarized the current state of research pertaining to the treatment of microorganisms in water and wastewater. A search of PubMed revealed 720 possible titles and abstracts, of which 44 full-text articles were identified as matching the eligibility criteria for inclusion in this systematic review. Results are presented based on the type of water matrix treated (i.e., drinking water, wastewater, and recreational waters) and a summary table providing details on the types and forms of chitosan utilized and the treatment mechanisms and processes described in the study. We find chitosan to be an effective coagulant, flocculant, and adsorbent for removing microbes from water and wastewater; some modified forms of chitosan can inactivate microbes and achieve disinfection, such as those containing metals like silver and antimicrobial chemicals like quaternary ammonium compounds or other strong oxidants, and use with filtration or electrochemical processes can achieve extensive reductions in microbes to meet performance targets of the World Health Organization.
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