A decennial study of the trend of antibiotic studies in China
Tong Yu,
Adharsh Rajasekar,
Songhe Zhang
Abstract:Antibiotics are one of the greatest inventions in human history and are used worldwide on an enormous scale. Besides its extensive usage in medical and veterinary arenas to treat and prevent the infection, its application is very prominent in other elds, including agriculture, aquaculture, and horticulture. In recent decades, the increased consumption of antibiotics in China saw a vast increase in its production and disposal in various environments. However, in this post-antibiotic era, the abuse and misuse of… Show more
“…Worldwide, ATs are used in more than 100,000 tons per year and have gained increasing interest in recent years as an emerging pollutant [14]. ATs are antimicrobial drugs that interfere with the developmental functions of bacteria and are widely used in the livestock, medical, and aquaculture industries [15]. Most ATs are not completely absorbed and degraded by organisms upon entry, and approximately 5-90% of ATs are released to soil and water as prototypes or metabolites [16].…”
Microplastics (MPs) and antibiotics (ATs) have been detected in various aquatic environments and characterized as novel contaminants that have attracted worldwide attention. This review summarizes the characteristics of MPs and ATs, analyzes the sources of MPs and ATs in aquatic environments, reviews the concentration distribution of the two pollutants in China, and introduces the environmental effects of mixing MPs and ATs. Studies on single pollutants of MPs or ATs are well established, but the interactions between the two in aquatic environments are rarely mentioned. The physicochemical characteristics of MPs make them carriers of ATs, which greatly increase their risk of being potential hazards to the environment. Therefore, in this article, the interaction mechanisms between MPs and ATs are systematically sorted out, mainly including hydrophobic, electrostatic, intermolecular interactions, microporous filling, charge-assisted hydrogen bonding, cation-bonding, halogen bonding, and CH/π interactions. Also, factors affecting the interaction between ATs and MPs, such as the physicochemical properties of MPs and ATs and environmental factors, are also considered. Finally, this review identifies some new research topics and challenges for MPs and ATs, in order to gain deeper insight into their behavioral fate and toxic mechanisms.
“…Worldwide, ATs are used in more than 100,000 tons per year and have gained increasing interest in recent years as an emerging pollutant [14]. ATs are antimicrobial drugs that interfere with the developmental functions of bacteria and are widely used in the livestock, medical, and aquaculture industries [15]. Most ATs are not completely absorbed and degraded by organisms upon entry, and approximately 5-90% of ATs are released to soil and water as prototypes or metabolites [16].…”
Microplastics (MPs) and antibiotics (ATs) have been detected in various aquatic environments and characterized as novel contaminants that have attracted worldwide attention. This review summarizes the characteristics of MPs and ATs, analyzes the sources of MPs and ATs in aquatic environments, reviews the concentration distribution of the two pollutants in China, and introduces the environmental effects of mixing MPs and ATs. Studies on single pollutants of MPs or ATs are well established, but the interactions between the two in aquatic environments are rarely mentioned. The physicochemical characteristics of MPs make them carriers of ATs, which greatly increase their risk of being potential hazards to the environment. Therefore, in this article, the interaction mechanisms between MPs and ATs are systematically sorted out, mainly including hydrophobic, electrostatic, intermolecular interactions, microporous filling, charge-assisted hydrogen bonding, cation-bonding, halogen bonding, and CH/π interactions. Also, factors affecting the interaction between ATs and MPs, such as the physicochemical properties of MPs and ATs and environmental factors, are also considered. Finally, this review identifies some new research topics and challenges for MPs and ATs, in order to gain deeper insight into their behavioral fate and toxic mechanisms.
Background and AimsBurn and scald injuries are the fourth most common type of trauma. Pediatric burns account for a high proportion of the total number of burn patients and impose a high burden on public health. Understanding the epidemiology of pediatric burns can help improve science education and reduce the incidence of burn injuries.MethodsThis study is a single‐center retrospective study. One thousand five hundred and twenty‐seven pediatric burn patients admitted to our burn center from January 2016 to December 2020 were included. Demographic and epidemiological data of included patients were extracted and analyzed. The correlations of categorical data were tested by the Chi‐square tests, and differences of continuous data were tested by the Kruskal–Wallis tests. A p‐value of less than 0.05 was considered to be statistically significant.ResultsThe results showed that children under 3 years of age were most susceptible to burn and scald injuries. Burn injuries were most likely to occur in the season of winter and at the place of home. 56.6% of included patients did receive first aid measures, while 1.8% received gold‐standard first aid. Clinical variables related to the severity of injuries were statistically different between patients with and without cooling measures in first aid. Linear regression models showed that emergency treatment of burns in children and adolescents was associated with outcome indicators, including number of operations, total operation duration per total burn surface area (TBSA), cost per TBSA, and length of stay per TBSA.ConclusionsThis study summarized the epidemiology and outcomes of pediatric burn patients admitted to a burn center in northern China. Adopting cooling measures in first aid can reduce the severity of injuries and reduce the burden on the medical system. Education on burn prevention and first aid measures to caregivers of children, especially preschool children, should be strengthened.
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