Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water

The occurrence of residual antifungal agents through indiscriminate prophylactic use and inappropriate disposal has been reported in wastewater treatment plants (WWTPs), surface water, and groundwater environments. Opportunistic pathogenic aquatic yeasts develop resistance to commonly used antifunga...

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Main Authors: Mzimkhulu E. Monapathi, Joseph C. Oguegbulu, Lilian Adogo, Michael Klink, Bamidele Okoli, Fanyana Mtunzi, Johannes S. Modise
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Applied and Environmental Soil Science
Online Access:http://dx.doi.org/10.1155/2021/9985398
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author Mzimkhulu E. Monapathi
Joseph C. Oguegbulu
Lilian Adogo
Michael Klink
Bamidele Okoli
Fanyana Mtunzi
Johannes S. Modise
author_facet Mzimkhulu E. Monapathi
Joseph C. Oguegbulu
Lilian Adogo
Michael Klink
Bamidele Okoli
Fanyana Mtunzi
Johannes S. Modise
author_sort Mzimkhulu E. Monapathi
collection DOAJ
description The occurrence of residual antifungal agents through indiscriminate prophylactic use and inappropriate disposal has been reported in wastewater treatment plants (WWTPs), surface water, and groundwater environments. Opportunistic pathogenic aquatic yeasts develop resistance to commonly used antifungal agents through continued exposure to residual antifungal agents in environmental waters. This poses a major public health concern. The present review attempts to provide a brief description of antifungal drugs, with a focus on the most widely used class of antifungal drugs, the azoles, as emerging contaminants in environmental water. Routes of exposure of azole antifungal drugs in wastewater treatment plants, surface water, and groundwater are discussed. The presence of pathogenic yeasts in environmental water, the associated azole resistance, and the risk of exposure to humans and microbiota are highlighted. Management actions needed to curtail the spread and minimise the risks are also indicated. Further research on the occurrence of antifungal agents in wastewater and environmental water is vital to better understand and mitigate the associated health-related risks.
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institution Kabale University
issn 1687-7675
language English
publishDate 2021-01-01
publisher Wiley
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series Applied and Environmental Soil Science
spelling doaj-art-f373fafba38040cea44c4db2a3bdf8b52025-02-03T01:04:25ZengWileyApplied and Environmental Soil Science1687-76752021-01-01202110.1155/2021/9985398Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental WaterMzimkhulu E. Monapathi0Joseph C. Oguegbulu1Lilian Adogo2Michael Klink3Bamidele Okoli4Fanyana Mtunzi5Johannes S. Modise6Department of Biotechnology and ChemistryDepartment of Chemical SciencesDepartment of Biological SciencesDepartment of Biotechnology and ChemistryDepartment of Chemical SciencesInstitute of Chemical and BiotechnologyDepartment of Biotechnology and ChemistryThe occurrence of residual antifungal agents through indiscriminate prophylactic use and inappropriate disposal has been reported in wastewater treatment plants (WWTPs), surface water, and groundwater environments. Opportunistic pathogenic aquatic yeasts develop resistance to commonly used antifungal agents through continued exposure to residual antifungal agents in environmental waters. This poses a major public health concern. The present review attempts to provide a brief description of antifungal drugs, with a focus on the most widely used class of antifungal drugs, the azoles, as emerging contaminants in environmental water. Routes of exposure of azole antifungal drugs in wastewater treatment plants, surface water, and groundwater are discussed. The presence of pathogenic yeasts in environmental water, the associated azole resistance, and the risk of exposure to humans and microbiota are highlighted. Management actions needed to curtail the spread and minimise the risks are also indicated. Further research on the occurrence of antifungal agents in wastewater and environmental water is vital to better understand and mitigate the associated health-related risks.http://dx.doi.org/10.1155/2021/9985398
spellingShingle Mzimkhulu E. Monapathi
Joseph C. Oguegbulu
Lilian Adogo
Michael Klink
Bamidele Okoli
Fanyana Mtunzi
Johannes S. Modise
Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
Applied and Environmental Soil Science
title Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
title_full Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
title_fullStr Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
title_full_unstemmed Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
title_short Pharmaceutical Pollution: Azole Antifungal Drugs and Resistance of Opportunistic Pathogenic Yeasts in Wastewater and Environmental Water
title_sort pharmaceutical pollution azole antifungal drugs and resistance of opportunistic pathogenic yeasts in wastewater and environmental water
url http://dx.doi.org/10.1155/2021/9985398
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