Journal of Chromatography A, 1509 (2017) 60–68
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Journal of Chromatography A
jo ur nal ho me pag e: www.elsevier.com/locate/chroma
Full length article
Comprehensive determination of macrolide antibiotics, their
synthesis intermediates and transformation products in wastewater
effluents and ambient waters by liquid chromatography–tandem
mass spectrometry
Ivan Senta, Ivona Krizman-Matasic, Senka Terzic
∗
, Marijan Ahel
Division for Marine and Environmental Research, Rudjer Boskovic Institute, Bijenicka c. 54, 10000 Zagreb, Croatia
a r t i c l e i n f o
Article history:
Received 15 February 2017
Received in revised form 31 May 2017
Accepted 1 June 2017
Available online 3 June 2017
Keywords:
Antibiotics
Azithromycin
Erythromycin
Clarithromycin
Transformation products
Liquid chromatography–tandem mass
spectrometry
Wastewater
Surface water
a b s t r a c t
Macrolide antibiotics are a prominent group of emerging contaminants frequently found in wastewater
effluents and wastewater-impacted aquatic environments. In this work, a novel analytical method for
simultaneous determination of parent macrolide antibiotics (azithromycin, erythromycin, clarithromycin
and roxithromycin), along with their synthesis intermediates, byproducts, metabolites and transforma-
tion products in wastewater and surface water was developed and validated. Samples were enriched
using solid-phase extraction on Oasis HLB cartridges and analyzed by reversed-phase liquid chromatog-
raphy coupled to electrospray ionization tandem mass spectrometry. The target macrolide compounds
were separated on an ACE C18 PFP column and detected using multiple reaction monitoring in positive
ionization polarity. The optimized method, which included an additional extract clean-up on strong
anion-exchange cartridges (SAX), resulted in high recoveries and accuracies, low matrix effects and
improved chromatographic separation of the target compounds, even in highly complex matrices, such as
raw wastewater. The developed method was applied to the analysis of macrolide compounds in wastew-
ater and river water samples from Croatia. In addition to parent antibiotics, several previously unreported
macrolide transformation products and/or synthesis intermediates were detected in municipal wastewa-
ter, some of them reaching g/L levels. Moreover, extremely high concentrations of macrolides up to mg/L
level were found in pharmaceutical industry effluents, indicating possible importance of this source to the
total loads into ambient waters. The results revealed a significant contribution of synthesis intermediates
and transformation products to the overall mass balance of macrolides in the aquatic environment.
© 2017 Published by Elsevier B.V.
1. Introduction
In the last 20 years, a large number of studies [1–5] reported on
widespread occurrence of antimicrobial compounds in wastewater
and in the aquatic environment. Since the spread of antibiotic resis-
tance is considered to be one of the most serious global threats to
human health in the upcoming decades [6], the ubiquitous presence
of antibiotic residues in the environment raised a great concern
about possible contribution of the aquatic route to proliferation
of the resistant bacterial strains [7]. In order to meet the needs of
reliable and sensitive assessment of antibiotic exposure concen-
trations in different matrices, a number of analytical methods for
the determination of antimicrobials in environmental samples have
∗
Corresponding author.
E-mail address: terzic@irb.hr (S. Terzic).
been described in the literature over the past decade. Many of the
published methods are multiresidual and multiple-class methods,
which typically include a smaller number of selected representa-
tives from each antimicrobial class [8,9]. Moreover, the majority of
the published methods have focused exclusively on the parent com-
pounds [5], or, at best, include some major metabolites [10,11]. As a
consequence, the contribution of transformation products (TPs), as
well as synthesis intermediates and byproducts, to the total mass
loads of antimicrobial-related compounds in the environment is
much less understood.
Macrolide antibiotics represent one of the most prominent
classes of antimicrobial agents, with widespread usage in both
human and veterinary medicine. In the global antibiotic consump-
tion in 2010, macrolides were ranked third [12], and their usage
in human medicine in Croatia and other European countries [13]
is in accordance with the global figures. Moreover, together with
http://dx.doi.org/10.1016/j.chroma.2017.06.005
0021-9673/© 2017 Published by Elsevier B.V.