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Karst aquifers are highly susceptible to contamination because compounds in water from the land surface are able to enter aquifers directly through sinkholes and travel rapidly through conduits. To investigate the occurrence and profiles of antibiotics in the typical karst river system in Kaiyang, southwest China, 34 aqueous samples were collected periodically to delineate seasonal trends in antibiotic levels. Thirty-five antibiotics, including nine sulfonamides, four tetracyclines, five macrolides, 16 quinolones and chloramphenicol, were analysed via solid phase extraction combined with ultra-performance liquid chromatography-tandem mass spectrometry. A total of 25 antibiotics were detected with the highest detection frequency reaching 94.1%, indicating the ubiquity of antibiotics in the study area. The total concentration of antibiotics ranged from 0.37 to 508.6 ng/L, with the dominating proportion including macrolides and quinolones based on the distribution profiles and seasonal variation. Due to the natural attenuation, the total concentration of antibiotics gradually decreased with the flow direction in the southern part of the river. The total concentrations of antibiotics in the mainstream were significantly higher in the dry season than in the rainy seasons. However, the distribution profiles were susceptible to anthropogenic activities, such as the leakage of septic tank wastewater. The dendrogram and heatmap revealed that three clusters of sample sites represented tributaries and the upstream areas, the downstream areas, and the potential pollutant source, and three clusters of antibiotics represented different concentration patterns. The high ecological risks of tetracycline, erythromycin and ciprofloxacin for algae and ofloxacin for plants were determined. These findings contributed to the establishment of a database for future monitoring and control of antibiotics in karst areas.
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http://dx.doi.org/10.1016/j.scitotenv.2018.09.131 | DOI Listing |
JAMA Netw Open
September 2025
Oncostat U1018, Institut National de la Santé et de la Recherche Médicale (INSERM), Ligue Contre le Cancer, Paris-Saclay University, Villejuif, France.
Importance: Antibiotics, steroids, and proton pump inhibitors (PPIs) are suspected to decrease the efficacy of immunotherapy.
Objective: To explore the association of comedications with overall survival (OS) in patients with advanced non-small-cell lung cancer (NSCLC).
Design, Setting, And Participants: This nationwide retrospective cohort study used target trial emulations of patients newly diagnosed with NSCLC from January 2015 to December 2022, identified from the French national health care database.
Mol Biol Rep
September 2025
Department of Biosciences, Integral University, Kursi Road, Lucknow, 226026, India.
Background: The river ecosystems provide habitats and source of water for a number of species including humans. The uncontrolled accumulation of pollutants in the aquatic environment enhances the development of antibiotic-resistant bacteria and genes.
Methods: Water samples were collected seasonally from different sites of Gomti and Ganga River.
Mol Biol Rep
September 2025
Department of Medical Lab Technology, College of health and medical technology, Sulaimani Polytechnic University, Sulaimani, 46001, Kurdistan Region, Iraq.
Background: Sinusitis is a common respiratory infection increasingly associated with antibiotic-resistant Staphylococcus aureus, posing significant treatment challenges. The emergence of methicillin-resistant S. aureus (MRSA) in sinus infections necessitates comprehensive profiling of resistance patterns to guide effective therapy.
View Article and Find Full Text PDFInfection
September 2025
Institute of Primary Care, University of Zurich and University Hospital Zurich, Pestalozzistrasse 24, Zurich, 8091, Switzerland.
Purpose: Antibiotic-sparing treatment (ASPT) strategies, such as delayed prescribing and symptomatic treatment, are promising to reduce antimicrobial consumption (AMC) in patients with uncomplicated urinary tract infections (uUTI). The aim of this scoping review was to identify literature reporting on factors that may act as barriers and facilitators to the use of ASPT in order to improve implementation.
Methods: MEDLINE (Ovid), Embase, the Cochrane Database, Google Scholar, Proquest Dissertations and Theses, the Clinical Trials Gov Registry and the ICTRP WHO Registry were searched for evidence of health care professionals and/or patients exposed to ASPT in the context of uUTI.
Infection
September 2025
Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark.
Purpose: To investigate bacteriology, antibiotic treatment and adverse birth outcomes (ABOs) in pregnancies with and without bacteriuria and urinary tract infections (UTIs) based on urine cultures and clinical diagnoses.
Methods: Registry-based cohort study.
Population: Pregnancies with at least one urine culture analysed at one of two hospitals in the Capital Region, Denmark, between 2015 and 2021.