Dynamics of antibiotic resistance agents during sludge alkalinization treatment

This study aimed to assess the removal of antimicrobial resistance agents (antibiotics, antibiotic-resistant bacteria - ARB, and antimicrobial resistance genes - ARGs) from aerobic and anaerobic sludges treated with quicklime (chemical alkalinization). Different mixing ratios (25%, 35%, and 45%) and contact times (2 h and 72 h) were evaluated. The findings revealed that anaerobic sludge responded more effectively to alkaline treatment, achieving better removal rates of antibiotics, ARB, and ARGs compared to aerobic sludge. The 45% lime treatment yielded the highest antibiotic removal rates, with average reductions of 19% in aerobic sludge and 28% in anaerobic sludge. The 35% lime treatment was the most effective in reducing ARGs across both types of sludge (average removal of 2 logs). The 25% lime treatment proved most efficient for removing ARB, with average reductions of 4 logs (aerobic) and 5 logs (anaerobic). The contact time between the sludge and quicklime also influenced the removal of resistance agents. An increase in the proportion of antibiotics and the absolute concentration of ARB and ARGs was observed after 72 h compared to the samples analyzed after 2 h of contact. This increase was more pronounced in aerobic sludge samples treated with 35% and 45% lime. Despite the overall reduction, none of the monitored resistant genes or bacteria were completely eradicated in both sludge samples, raising concerns about their potential dissemination into the environment.