Constructed wetlands (CWs) are widely used for the advanced treatment of swine wastewater. Wetland type is the most critical parameter for engineering applications; therefore, the performance of horizontal/vertical subsurface flow CWs (HSFCWs and VSFCWs) was explored over one year of operation. The effects of five antibiotics (40 μg/L each), copper (Cu, 1.0 mg/L), and their combination on CW performance and soil oxidation–reduction potential (ORP) and enzyme activity were investigated. The annual removal efficiencies of HSFCWs and VSFCWs for total organic carbon (TOC), nitrogen, and phosphorus were 72.03 %–84.49 % and 87.15 %–90.72 %, for antibiotics were 91.35 %–99.52 % and 87.33 %–99.57 %, and for Cu were 97.37 %–97.44 % and 95.52 %–96.85 %, respectively. The CWs removed antibiotics through substrate adsorption, plant absorption, and biodegradation. Total antibiotic residues in HSFCW and VSFCW soils ranged from 6.29 to 17.31 and 24.57 to 589.07 μg/kg, respectively, and enrofloxacin and roxithromycin posed medium and high risks in VSFCW non-rhizosphere soil. The amount of residual antibiotics in Phragmites australis parts was in the order of fibrous roots > rhizomes > aboveground. ORP and enzyme activities were greater in rhizosphere soil than in non-rhizosphere soil and greater in the VSFCWs than in the HSFCWs. CW performance and soil enzyme activities decreased under the stress of antibiotics and coexistence of antibiotics and Cu. These findings advance our knowledge of CW design, elucidate the unique advantages of CWs, and offer efficient operation strategies for swine wastewater advanced treatment, helping researchers recognize the adverse effects of antibiotics on CWs.
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