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Environmental
Monitoring
Cite this: J. Environ. Monit., 2011, 13, 2042
www.rsc.org/jem PAPER
Monitoring of pharmaceutically active compounds on the Guadalquivir River
basin (Spain): occurrence and risk assessment
Published on 13 June 2011. Downloaded by Universidade do Porto (UP) on 7/8/2021 1:13:00 PM.

noz, J. L. Santos,* I. Aparicio and E. Alonso


J. Martın, D. Camacho-Mu~
Received 24th February 2011, Accepted 10th May 2011
DOI: 10.1039/c1em10185d

Guadalquivir River (South of Spain) is among the major freshwater sources of the European Atlantic
basin. Until now scientific efforts have been focused on contamination by heavy metals and some
priority pollutants in Guadalquivir River. However, the presence of ‘‘emerging contaminants’’, such as
pharmaceutically active compounds, has not yet been studied. In this work the occurrence and risk
assessment of sixteen pharmaceutically active compounds, belonging to different therapeutic groups, in
Guadalquivir River during its course through Seville city are reported. Wastewater effluents from four
wastewater treatment plants discharging into Guadalquivir River and river water samples were
analyzed. All studied pharmaceutically active compounds, except sulfamethoxazole, trimethoprim,
estrone and clofibric acid, were detected in effluent wastewaters at concentration levels up to
28.9 mg L1. Among the pharmaceutically active compounds found in effluent wastewater, seven were
present in Guadalquivir River samples at concentration levels up to 0.75 mg L1, which indicated an
important dilution from effluent discharge. Environmental risk assessment reveals that potential
ecotoxicological risk cannot be expected on Guadalquivir River at measured concentration levels.
Only, the lipid regulator gemfibrozil showed a medium risk for the environment. The risk for acute
toxic effects in the environment with the current use of active pharmaceutical ingredients is unlikely.
However, the results do not rule out the potential for chronic environmental effects.

1. Introduction persistent owing to their continuous discharge into lakes and


rivers. Moreover, compounds such as carbamazepine or caffeine
Pharmaceutical residues in the environment have been recog- have been proposed as anthropogenic markers.10,11
nized as one of the emerging research areas in environmental The most important issue of concern about the presence of
chemistry. Several studies have reported the inefficiency of pharmaceutically active compounds in the aquatic environment
wastewater treatment plants (WWTPs) for the removal of these is the ecotoxicological effect that they may cause.2 Although it is
compounds from influent wastewater1–6 and, as a result, these unlikely that these pollutants would be found at concentrations
compounds have been detected in effluent wastewaters and in high enough to induce acute effects, growing evidence suggests
surface water at concentration levels of several ng or even mg per that they may be present at concentrations able to cause chronic
litre.7–9 Pharmaceutically active compounds are considered effects or even lethal effects.1,12–14 For example, diclofenac, which
is widely used to treat livestock across the Indian subcontinent,
has been shown to be the major cause of the decline of three
Department of Analytical Chemistry, High Polytechnic School, University

of Seville, C/Virgen de Africa 7, E-41011 Seville, Spain. E-mail: Indian gyps vulture populations12 and the antiepileptic drug
JLSantos@us.es; Fax: +34-9-5428-2777; Tel: +34-9-5455-6250 carbamazepine affects various organs of the common carp

Environmental impact
Effluent wastewater from wastewater treatment plants has been recognized as the main source of pharmaceutically active
compounds to the receiving waters. The distribution of these compounds in surface water in relation with wastewater effluent
discharges has not been sufficiently described. In this paper the distribution and environmental risk of pharmaceutically active
compounds belonging to different therapeutic groups is studied in the receiving water of four wastewater effluents from Seville
(South of Spain). The work contributes to extending the understanding of how wastewater effluents affect the concentration levels of
pharmaceutically active compounds in rivers and the environmental risk caused by these compounds in surface water affected by
major cities.

2042 | J. Environ. Monit., 2011, 13, 2042–2049 This journal is ª The Royal Society of Chemistry 2011
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(Cyprinus carpio).15 However, until now the ecological risk North, South, East and West WWTP). The treatment in the four
associated with the presence of pharmaceutically active WWTPs is based on primary (settling) and secondary (activated
compounds discharged from WWTPs in receiving waters is not sludge) treatments which had a total treatment capacity of
sufficiently described.16–18 445 000 m3 d1 (Fig. 1).
The Guadalquivir River is the second longest river in Spain, Thirty-two effluent wastewater samples were collected
and it is among the major European rivers. With a length of throughout a period of 1 year from January 2008 to January
657 km, it flows southwest through the region of Andalusia, with 2009 in four WWTPs located in Seville city. Daily composite
a drainage area of 57 527 km2, affecting population regions of samples were obtained by mixing aliquots collected every hour
more than 4 million inhabitants, and flowing through major by an automatic device. Sample volumes collected each hour
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cities such as Cordoba and Seville. Its natural environment is one were proportional to the effluent flows. A total sample volume of
of the most varied in Europe, being present in half of the most 2.5 L were transferred to amber glass bottles and stored at 4  C
representative European plants and nearly all from the North until analysis.
African region. Two monthly river water samples were collected by two
However, despite its importance, only a few studies have been sampling campaigns carried out in wet (November to December
carried out about the presence of metals19 in the Guadalquivir 2008) and dry (from June to September 2009) season. Sampling
river basin. Moreover, the Guadalquivir Hydrographical sites were selected from upstream to downstream of the discharge
Confederation from the Andalusia Government offers moni- points of each WWTP (Fig. 1). During sampling, a global posi-
toring data of several organic compounds such as phenols, tion system (GPS) was used to locate the exact sampling sites.
pesticides or polycyclic aromatics hydrocarbons in several river Sampling point S1 and S2 were located in the North of Seville. S1
stations included in the river network for water quality moni- (37 270 33.9000 N; 5 590 57.6700 O) was located upstream from the
toring called Integrated Water Quality Network. However, to the discharge of the North WWTP and S2 (37 240 35.1200 N;
best of our knowledge, no investigations have been carried out 6 000 43.9100 O) was located 1 km downstream from this
about the presence of pharmaceutically active compounds in the discharge. S3 (37 190 59.7300 N; 6 010 09.4300 O) was located in the
Guadalquivir river basin. West of Seville, downstream from the discharge of West WWTP
The objective of the present study is to investigate the occur- and S4 (37 090 38.5000 N; 6 060 15.4300 O) was located below the
rence of some commonly used pharmaceutically active confluence of Guadalquivir River and Guadaira River, which
compounds in Guadalquivir River, and to further assess the receives the discharge of East and South WWTPs.
potential risks to the aquatic organisms in the river. This study
follows on a study carried out in Do~ nana Park (South of Spain)1
in which the occurrence and risk assessment of pharmaceutically 2.2. Materials and standards
active compounds was evaluated in WWTP treating wastewater
HPLC-grade water, acetonitrile and methanol were purchased
from small communities discharging their effluents to several
from Romil Ltd. (Barcelona, Spain). Hexane, acetone (HPLC
streams affecting Do~ nana Park. In this study the occurrence and
grade) and sulfuric acid of analytical grade were obtained from
risk assessment of pharmaceutically active compounds is studied
Panreac (Barcelona, Spain). Potassium dihydrogen phosphate of
in Guadalquivir River, affected by the discharge of wastewater
analytical grade was purchased from Scharlau (Barcelona,
effluents from the four WWTP that work in Seville city (700 000
Spain). Carbamazepine, diclofenac, ketoprofen, naproxen and
inhabitants), from which more than 250 000 m3 of wastewater are
salicylic acid (97–100% purity) were purchased from Sigma-
discharged daily. This manuscript advances in the knowledge of
Aldrich (Steinheim, Germany). Caffeine was obtained from
how large cities affect the rivers through the discharge of phar-
Merck (Darmstadt, Germany). Clofibric acid, gemfibrozil,
maceutically active compounds present in their wastewater.
ibuprofen, propranolol hydrochloride, 17a-ethinylestradiol,
The studied pharmaceutically active compounds were five
17b-estradiol, estriol, estrone, sulfamethoxazole and trimetho-
non-steroidal antiinflammatory drugs (diclofenac, ibuprofen,
prim (99% purity) were purchased from Dr Ehrenstorfer
ketoprofen, naproxen and salicylic acid), two antibiotics (sulfa-
(Augsburg, Germany).
methoxazole and trimethoprim), a b-blocker (propranolol), two
Three millilitres of solid phase extraction (SPE) cartridges,
lipid regulators (clofibric acid, metabolite of clofibrate, and
packed with 60 mg of Oasis HLB, were purchased from Waters
gemfibrozil), an antiepileptic drug (carbamazepine), four estro-
(Milford, MA, USA).
gens (17a-ethinylestradiol, 17b-estradiol, estriol and estrone),
Stock solutions of each pharmaceutically active compound at
and a nervous stimulant (caffeine).
concentration of 1000 mg L1 were prepared in methanol and
stored at 4  C. Working solutions were prepared by diluting the
2. Materials and methods stock standard solutions in methanol.

2.1. Description of the area of study and sampling


2.3. Analytical procedure
In this work we studied a length of about 50 km of the Gua-
dalquivir River. Along its course, about 10 km downstream from Analytical determination was carried out according to a previ-
the first sampling point, the river passes through Seville, with ously reported method.20 The method was based on sample
a population of more than 700 000 inhabitants. It is the main treatment by solid-phase extraction and determination by high-
urban and industrial centre of the zone. The wastewaters are performance liquid chromatography with ultraviolet diode array
treated before discharging into the river in four WWTPs (named and rapid scan fluorescence detectors connected on line.

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Fig. 1 Sampling locations in Guadalquivir River (South of Spain).

Recoveries achieved in sample treatment were from 69 to between measured concentrations of pharmaceutically active
116%. Solid phase extraction allows a preconcentration factor of compounds (MEC) and their predicted no-effect concentrations
5000 in wastewater effluent and surface water samples which (PNEC). Concentration levels measured during the monitoring
leads to limits of detection and quantification ranged from 0.001 period were used as MEC values. PNEC values were estimated
to 0.162 mg L1 and from 0.002 to 0.539 mg L1, respectively from the lowest ecotoxicological data found in the literature
(Table 1). (Effective Concentration, EC50 and Letal concentration, LC50)
for toxicological studies carried out in aquatic organisms and
applying an assessment factor of 1000 which takes into consid-
2.4. Environmental risk assessment
eration the different sensibilities from one organism to the
Potential risks of each pharmaceutical compound were assessed next.6,7,21,22 A commonly used risk ranking criteria was applied:
through the calculation of the risk quotients (RQ) as has been RQ # 0.1 means minimal risk, 0.1 # RQ # 1 means median risk,
previously described.14,21 RQs were determined as the ratio and RQ $ 1 means high risk.17

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Table 1 Recovery and limits of detection (LOD) and quantification (LOQ) of the method in effluent wastewater and surface water samples

Recovery (%)

Pharmaceutical compound Effluent wastewater Surface water LOD/mg L1 LOQ/mg L1

Antiinflammatory drugs Diclofenac 101 88.3 0.015 0.049


Ibuprofen 99.9 88.1 0.068 0.228
Ketoprofen 82.4 96.7 0.037 0.124
Naproxen 95.0 92.1 0.001 0.003
Salicylic acid 96.5 95.4 0.008 0.027
Antibiotics Sulfamethoxazole 74.6 87.4 0.008 0.028
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Trimethoprim 70.9 70.9 0.006 0.020


Antiepileptic drug Carbamazepine 71.5 93.1 0.008 0.027
b-Blocker Propranolol 72.9 101 0.001 0.002
Nervous stimulant Caffeine 107 90.5 0.014 0.048
Estrogens 17a-Ethinylestradiol 106 81.3 0.010 0.033
17b-Estradiol 87.8 116 0.022 0.072
Estriol 63.7 68.5 0.003 0.009
Estrone 88.0 80.0 0.162 0.539
Lipid regulators Clofibric acid 78.5 107 0.001 0.002
Gemfibrozil 85.9 79.3 0.008 0.026

3. Results and discussion The antiinflammatory drugs were found at the highest
concentration levels, especially ibuprofen and salicylic
3.1. Occurrence of pharmaceutically active compounds in acid which were found at concentration levels up to 28.9 and
effluent wastewater 11.8 mg L1, respectively. This fact could be associated with the
Table 2 shows the results obtained in analyzed effluent waste- high consumption of these pharmaceuticals for which medical
water during the sampling period. Concentration levels of prescription it is not necessary. Lipid regulator gemfibrozil and
studied compounds measured in effluent wastewater were from the nervous stimulant caffeine were present at concentration
0.03 mg L1 (propranolol) to 28.9 mg L1 (ibuprofen). Pharma- levels up to 4.14 mg L1 and 0.94 mg L1 while lower concentra-
ceutically active compounds such as caffeine, gemfibrozil, keto- tion levels were found for carbamazepine, detected in 50% of the
profen, naproxen, propranolol and salicylic acid were detected in analyzed samples at mean concentration levels of 0.10 mg L1.
the 100% of the samples analyzed while others such as clofibric Estrogenic compounds were found at low concentration levels
acid, estrone, sulfamethoxazole and trimethoprim were not (mean concentrations from 0.04 to 0.43 mg L1), however, these
detected in the analyzed effluent wastewater samples. Estrogenic concentrations and their frequent detection in effluent wastewater
compounds 17a-ethinylestradiol and estriol were detected in the (almost one estrogen detected in the 80% of the analyzed effluent)
75% of the analyzed effluents. could be sufficient to induce toxic effects in aquatic organisms.

Table 2 Ranges and mean concentration levels (mg L1) of pharmaceutically active compounds in wastewater effluents affecting Guadalquivir River
and frequency of detection in river samples

North WWTP South WWTP East WWTP West WWTP

Discharges affecting Discharges affecting Discharges affecting Discharges affecting


S2 S4 S4 S3 Frequency of
Pharmaceutically active detection in river
compound Range Mean Range Mean Range Mean Range Mean water (%)

Diclofenac <LOD-1.14 0.53 0.12–1.44 0.73 <LOD <LOD <LOD-0.37 0.09 0


Ibuprofen 0.61–6.77 3.74 0.59–1.67 1.04 <LOD-9.24 3.17 <LOD-28.9 8.00 0
Ketoprofen 0.30–1.62 1.06 0.34–1.62 1.11 0.33–0.86 0.62 0.52–1.39 0.95 0
Naproxen 1.77–3.20 2.58 0.88–1.23 0.99 0.10–3.21 1.15 0.33–2.49 1.29 100
Salicylic acid 0.13–0.44 0.34 0.06–0.27 0.17 0.09–0.11 0.10 0.12–11.8 3.17 100
Sulfamethoxazole <LOD <LOD <LOD <LOD <LOD <LOD <LOD <LOD 0
Trimethoprim <LOD <LOD <LOD <LOD <LOD <LOD <LOD <LOD 0
Carbamazepine <LOD-0.15 0.06 <LOD-0.28 0.15 <LOD-0.14 0.05 <LOD-0.37 0.13 58
Propranolol 0.03–0.65 0.34 0.19–0.64 0.37 0.14–0.29 0.21 0.10–0.72 0.31 100
Caffeine <LOD-0.81 0.24 <LOD-0.19 0.08 <LOD-0.94 0.37 0.18–0.47 0.30 38
17a-Ethinylestradiol <LOD-0.34 0.12 <LOD-0.13 0.03 <LOD-0.11 0.04 <LOD-0.37 0.18 0
17b-Estradiol <LOD-0.09 <LOQ <LOD-0.16 <LOQ <LOD <LOD <LOD-0.17 <LOQ 0
Estriol <LOD-1.07 0.59 0.10–0.57 0.27 <LOD-0.75 0.43 <LOD-0.61 0.37 42
Estrone <LOD <LOD <LOD <LOD <LOD <LOD <LOD <LOD 0
Clofibric acid <LOD <LOD <LOD <LOD <LOD <LOD <LOD <LOD 0
Gemfibrozil 2.03–4.14 3.07 1.88–3.03 2.47 0.20–3.03 1.52 1.07–3.83 2.16 100

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Fig. 2 Contribution of each studied effluent to the total discharge of pharmaceutically active compounds to Guadalquivir River.

Concentration levels found in this work were consistent with Guadaira River which affects to S4, followed by North, West
those reported by other authors in other Spanish regions such as and East WWTP, respectively (discharging to S2, S3 and Gua-
Galicia24 where concentration levels up to 2.60 mg L1 were daira rivers, respectively).
reported for the ibuprofen and naproxen or Northern Spain These results show that, in spite of the high removal rates
where Gros et al. (2007)7 found a similar distribution of the of pharmaceutically active compounds in wastewater
therapeutic drugs in seven WWTPs discharging to Ebro River. treatment described in several studies,13,23,24 these compounds are
Other studies carried out in Europe and United States corrobo- not completely removed from wastewater influent and, as
rate this distribution in wastewater effluents from Finland,4 a result, are present in effluent wastewater discharged to surface
France,25 Germany,26 Greece25 and Italy.25 water.
Fig. 2 shows contribution of each WWTP to the discharge of
pharmaceutically active compounds to the Guadalquivir River,
3.2. Pharmaceutical compounds in the receiving water
taking into account the mean concentration level of each
compound and the volumetric flow of the effluents from each Among twelve pharmaceutically active compounds found in
WWTP. Taking into consideration the discharge of each WWTP, effluent wastewater, seven (caffeine, carbamazepine, estriol,
the highest discharge of pharmaceutically active compounds gemfibrozil, naproxen, propranolol and salicylic acid) were
were those found in South WWTP (Fig. 2), discharging to detected in the measured river samples (Fig. 3).

Fig. 3 Mean concentration levels of pharmaceutically active compounds along Guadalquivir River in the four sampling sites. Lines in each bar show
maximum and minimum concentration values (n ¼ 12).

2046 | J. Environ. Monit., 2011, 13, 2042–2049 This journal is ª The Royal Society of Chemistry 2011
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Fig. 4 Concentration levels of pharmaceutically active compounds measured during winter and summer period (n ¼ 12).

The same pattern of pharmaceutically active compounds winter period were higher than those measured during summer
founds in effluent wastewater were found in river water. The period (Fig. 4). This fact could be explained taking into consid-
highest concentration levels were found for gemfibrozil (mean: eration (1) the increase of the consumption of pharmaceutically
0.34 mg L1), followed by the anti-inflammatory drugs naproxen active compounds during this period, especially in the case of
and salicylic acid and the pharmaceutically active compounds anti-inflammatory drugs for which mean concentration up to
caffeine, estriol, carbamazepine, and propranolol, in this order. 8.40 mg L1 were measured in effluent wastewater (1.5 mg L1
Concentration levels measured in the sampling point S1, sited found during winter period) and (2) the high volumetric flow of
upstream from the discharge of North WWTP, were from 0.013 wastewater effluent discharged during this period.
to 0.610 mg L1. These concentrations were higher than those The results showed in this work put in consideration the
measured downstream, except in sampling point S3. This fact pollution by pharmaceutically active compounds presents in
could be explained by several reasons: the discharge of WWTPs Guadalquivir River, moreover, the presence of these pharma-
sited in nearby municipals, the higher flow of the Guadalquivir ceutically active compounds is mainly due not only to the
River downstream and the degradation of these compounds in persistence of these compounds in the aquatic environment, but
the aquatic environment.27–31 The lowest concentration levels also to their continuous discharge from the WWTPs.
measured in sampling point S4 could be explained by the high The results obtained in this work are slightly similar to those
dilution effect observed by the confluence of Guadalquivir and previously reported for other authors in large Spanish Rivers
Guadaira River. such as Ebro, Llobregat, Henares, Jarama and Tajo Rivers7,9,31
Except in the case of caffeine, the concentration levels of where concentration levels of pharmaceutically active
studied pharmaceutically active compounds measured during compounds up to 0.497 mg L1 have been reported. In another

Table 3 Ecotoxicological data from the literature applied to the PNEC calculation

Ecotoxicological
Pharmaceutical compound Organism Test data/mg L1 PNEC/mg L1 Reference

Antiinflammatory drugs Diclofenac V. fischeri (bacteria) EC50 (15 min) 9.70 9.70 32
Ibuprofen H. attenuata (invertebrate) EC50 (96 h) 1.65 1.65 33
Ketoprofen V. fischeri (bacteria) EC50 (15 min) 15.6 15.6 34
Naproxen H. attenuata (invertebrate) EC50 (96 h) 2.62 2.62 33
Salicylic acid V. fischeri (bacteria) EC50 (15 min) 43.1 43.1 34
Antibiotics Sulfamethoxazole P. subcapitata (algae) EC50 (96 h) 0.15 0.15 35
Trimethoprim D. magna (invertebrate) EC50 (96 h) 121 121 36
Antiepilectic drugs Carbamazepine D. magna (invertebrate) EC50 (48 h) 13.8 13.8 35
b-Blocker Propranolol D. subspicatus (algae) EC50 (48 h) 0.70 0.70 37
Nervous stimulant Caffeine Leuciscus idus (fish) EC50 (96 h) 87.0 87.0 38
Estrogens 17a- S. purpuratus (invertebrate) EC50 0.03 0.03 39
Ethinylestradiol
17b-Estradiol S. purpuratus (invertebrate) EC50 0.01 0.01 39
Estriol S. purpuratus (invertebrate) EC50 1.52 1.52 39
Estrone T. battagliai (invertebrate) LC50 (10 days) 0.10 0.10 40
Lipid regulators Clofibric acid D. magna (invertebrate) EC50 (48 h) 72.0 72.0 35
Gemfibrozil H. attenuata (invertebrate) EC50 (96 h) 1.18 1.18 35

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Fig. 5 Mean risk quotient values (MEC/PNEC) of the detected pharmaceutically active compounds in wastewater effluents and river water. Lines in
each bar show maximum and minimum values.

study carried out in Do~ nana national park, near to the As a consequence of the dilution effect observed for the
sampling area and affected by Guadalquivir river,1 concentration studied pharmaceutically active compounds in Guadalquivir
levels higher than those reported in this work were River, a decrease in RQ values were observed. These values were
measured (from 0.03 to 4.55 mg L1) which could be related to the ranged from 0.001 to 0.630. Only the lipid regulator gemfibrozil
dilution effects of effluent wastewater in the studied river and showed a medium risk for the environment with a risk quotient
streams. higher than 0.1. Moreover, in spite of the medium risk showed
for the lipid regulator gemfibrozil, other chronic effects such as
reproductive disorders, inhibition of growth or changes in
3.3. Risk assessment
morphology could be expected. For example, the exposure of
Acute EC50 values of the pharmaceutically active compounds goldfish to concentration levels of gemfibrozil closer than those
differed markedly, from a few mg L1 for estrogenic compounds measured in Guadalquivir river (1.5 mg L1) over 14 days
to more than 100 mg L.1 for the antibiotic trimethoprim. These decreased testosterone levels by 50% which provides strong
toxicity data can be interpreted using EU directive 93/67/EEC, evidence that this compound may be acting as an endocrine
which classifies substances according to the measured EC50 disruptor in this species of fish.35
values.32 When this scheme was applied to the data used in the These results do not support the existence of a risk for acute
current study, 17a-ethinylestradiol, 17b-estradiol and estrone toxic effects in the environment following today’s use of phar-
were classified as extremely toxic, having an EC50 < 0.1 mg L1, maceuticals. However, these results do not rule out the potential
while others such as diclofenac, estriol, gemfibrozil, ibuprofen for chronic environmental effects. Moreover, these results are
and naproxen were classified as toxic, showing an EC50 value focused on the toxicity of the individual compounds and synergic
between 1 and 10 mg L1. Caffeine, carbamazepine, clofibric effect with other pharmaceuticals present in the environment has
acid, ketoprofen and salicylic acid were all classified as harmful not been considered.
(EC50 between 10 and 100 mg L1) and trimethoprim was
considered non-toxic (EC50 > 100 mg L1) (Table 3).
4. Conclusions
Ecotoxicological risk was evaluated in two scenarios: effluent
wastewater, which takes into account the potential risk of An analytical method based on solid phase extraction and
pharmaceutically active compounds for aquatic organisms after determination by high performance liquid chromatography with
the wastewater treatment and; surface water, which considers the diode array and fluorescence detectors has been applied to the
potential risk of pharmaceutically active compounds for aquatic monitoring of sixteen pharmaceutically active compounds in
organisms present in the river basin. Fig. 5 shows the risk effluent wastewater and surface water samples from Gua-
quotient calculated using concentration levels of each compound dalquivir river basin. The occurrence and risk assessment of these
measured in effluent wastewater and in surface water samples. compounds in Guadalquivir river basin has been evaluated.
Lines in each bar show maximum and minimum risk quotients WWTPs were found to be unable to efficiently remove the
values. studied pharmaceuticals. As a result, all studied pharmaceuti-
17a-Ethinylestradiol, ibuprofen, and gemfibrozil showed high cally active compounds, except estrone, clofibric acid, sulfame-
risk quotients in wastewater effluents while others such as estriol, thoxazole and trimethoprim were detected in analyzed
naproxen and propranolol showed risk quotients higher than 0.1 wastewater effluent samples.
and lower than 1 which could be indicative of a medium risk for In spite of the low concentration levels found in wastewater
the environment. effluent and the dilution occurring in Guadalquivir River, seven

2048 | J. Environ. Monit., 2011, 13, 2042–2049 This journal is ª The Royal Society of Chemistry 2011
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