Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Sharma, Manisha; Kumar, Kapil; Dubey, Kashyap Kumar

doi:10.1002/tqem.21744

Cited by 18 publications

(6 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Antibiotics that are improperly disposed of may cause harm on a larger scale due to accumulation of antibiotic-resistant bacteria or antibiotic resistance genes in the environment, which are increasingly recognized as emerging environmental pollutants [ 27 ]. Our study reveals that knowledge of proper antibiotic disposal practices is severely lacking.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic perceptions, adherence, and disposal practices among parents of pediatric patients

et al. 2023

View full text Add to dashboard Cite

Antibiotics are frequently prescribed for children in the outpatient setting. Although sometimes necessary, antibiotic use is associated with important downstream effects including the development of antimicrobial resistance among human and environmental microorganisms. Current outpatient stewardship efforts focus on guiding appropriate antibiotic prescribing practices among providers, but little is known about parents’ understanding of antibiotics and appropriate disposal of leftover antibiotics. To help bridge this gap, we conducted a qualitative study to assess parental understanding of their children’s antibiotics, their adherence to antibiotic instructions, and their disposal practices. We conducted a semi-structured interview with parents of 13 children diagnosed with acute respiratory illnesses and prescribed antibiotics in an urban outpatient clinic. We found that parents had limited understanding of how antibiotics work. Although they received instructions about antibiotic use during the healthcare visit, adherence to the prescription and appropriate disposal of antibiotics was suboptimal. Limited baseline understanding of antibiotics, their prior experiences with antibiotics, perceptions about their social networks’ antibiotic use, and information provided to them by healthcare providers may influence these behaviors. Our findings can inform educational efforts of outpatient stewardship programs to help optimize parental understanding of how to use and dispose of their children’s antibiotics.

show abstract

Section: Discussionmentioning

confidence: 99%

Antibiotic perceptions, adherence, and disposal practices among parents of pediatric patients

et al. 2023

View full text Add to dashboard Cite

show abstract

“…However, in Malaysia, there is a voluntary medicine take-back program [ 31 ]. In India, unused and expired antibiotics are categorized as hazardous waste, and they should be collected separately from other household waste, but this is not adhered to, and in general, the public is not aware of these rules and regulations [ 32 ]. In Brazil, despite the fact that the regulations on the handling of medical waste appeared in the 1990s, it was only in 2020 that regulations regarding the collection of unnecessary drugs from residents appeared.…”

Section: Collection System Of Unused/expired Pharmaceuticalsmentioning

confidence: 99%

Household Pharmaceutical Waste Disposal as a Global Problem—A Review

Rogowska

Zimmermann

2022

IJERPH

View full text Add to dashboard Cite

The negative effect of the pharmaceuticals presence (persistence?) in various components of the environment is a global problem today. These compounds are released into the environment as a result of, inter alia, their use and improper disposal. Therefore, it is important to reduce excessive drug consumption and to develop a system for the collection of unused/expired pharmaceuticals. The effectiveness of actions in this area is inextricably linked with the need to educate society on how to deal properly with unwanted medications. The aim of the study was to show that the inappropriate handling of unused/expired drugs by society is an important problem in waste management systems, and it impacts the state of the environment. Forty-eight scientific articles published between 2012 and 2021 were taken into account that discussed the systems in various countries for the collection of unused/expired pharmaceuticals. This literature review shows that the main method of disposing of unused/expired medications, according to respondents from different countries, is either by disposing of them in household waste or flushing them into the sewage system. This is also the case in countries with systems or programs for the return of redundant drugs, which indicates that these systems are not sufficiently effective. This may be influenced by many factors, including the lack or ineffective education of the society.

show abstract

“…[1] The presence of emerging pollutants such as pharmaceutical products (tetracycline (TC)), industrial raw materials (bisphenol A (BPA)), pesticides, and dyes (rhodamine B (RhB), methylene blue (MB)) in water systems poses a severe threat to the environment and living organisms. [2][3][4] Pharmaceutical products, including TC, are commonly used in human and veterinary medicine. [5] When these pharmaceuticals are excreted or improperly disposed of, they can enter water systems through wastewater treatment plants or runoff from agricultural fields.…”

Section: Introductionmentioning

confidence: 99%

Enhancing Visible Light Catalytic Efficiency through Modulating Electron Cloud Density via Structure-Function Relationship

Tu,

Tang,

Guo

et al. 2024

Preprint

View full text Add to dashboard Cite

Structural modulation of pristine graphitic carbon nitride presents a significant challenge in the rational design of catalysts for efficient degradation of small organic pollutants under visible light. In this study, we combining first-principles calculations and structure-function relationship to predict a high-performance catalyst. The results indicate that CN-8 exhibits a significant degree of separation between electrons and holes, the CN-8 exhibits exceptional degradation efficiency towards rhodamine B, tetracycline and bisphenol A under visible light irradiation. The degradation rate constants are 0.6436 min-1, 0.2432 min-1, and 0.1394 min-1 higher than that of bulk g-C3N4 (0.0561 min-1, 0.0648 min-1, 0.0232 min-1), respectively. Density functional theory calculations, and structure-function relationship investigations confirm that the superior catalytic activity of CN-8, modifying the amino position changes the electron cloud distribution, promoting efficient separation of photo-generated electron-hole pairs. This study offers valuable insights for developing eco-friendly and efficient photocatalysts for environmental remediation.

show abstract

Disposal of unused antibiotics as household waste: A social driver of antimicrobial resistance

Cited by 18 publications

References 52 publications

Antibiotic perceptions, adherence, and disposal practices among parents of pediatric patients

Antibiotic perceptions, adherence, and disposal practices among parents of pediatric patients

Household Pharmaceutical Waste Disposal as a Global Problem—A Review

Enhancing Visible Light Catalytic Efficiency through Modulating Electron Cloud Density via Structure-Function Relationship

Contact Info

Product

Resources

About