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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Span. J. Soil Sci.</journal-id>
<journal-title>Spanish Journal of Soil Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Span. J. Soil Sci.</abbrev-journal-title>
<issn pub-type="epub">2253-6574</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">10741</article-id>
<article-id pub-id-type="doi">10.3389/sjss.2022.10741</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Science archive</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Occurrence of Nine Antibiotics in Different Kinds of Sewage Sludge, Soils, Corn and Grapes After Sludge Spreading</article-title>
<alt-title alt-title-type="left-running-head">Barreiro et al.</alt-title>
<alt-title alt-title-type="right-running-head">Antibiotic Ocurrence in Sewage Sludge</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Barreiro</surname>
<given-names>Ana</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1598617/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cela-Dablanca</surname>
<given-names>Raquel</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nebot</surname>
<given-names>Carolina</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rodr&#xed;guez-L&#xf3;pez</surname>
<given-names>Luc&#xed;a</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1787239/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sant&#xe1;s-Miguel</surname>
<given-names>Vanesa</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/533401/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arias-Est&#xe9;vez</surname>
<given-names>Manuel</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fern&#xe1;ndez-Sanjurjo</surname>
<given-names>Mar&#xed;a</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>N&#xfa;&#xf1;ez-Delgado</surname>
<given-names>Avelino</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/89410/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>&#xc1;lvarez-Rodr&#xed;guez</surname>
<given-names>Esperanza</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/486669/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Soil Science and Agricultural Chemistry</institution>, <institution>Engineering Polytechnic School</institution>, <institution>University of Santiago de Compostela</institution>, <addr-line>Lugo</addr-line>, <country>Spain</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Analytical Chemistry, Nutrition and Bromatology</institution>, <institution>Faculty of Veterinary Medicine</institution>, <institution>University of Santiago de Compostela</institution>, <addr-line>Lugo</addr-line>, <country>Spain</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Soil Science and Agricultural Chemistry</institution>, <institution>Faculty of Sciences</institution>, <institution>University of Vigo</institution>, <addr-line>Vigo</addr-line>, <country>Spain</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1235713/overview">Irene Ortiz-Bernad</ext-link>, University of Granada, Spain</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Ana Barreiro, <email>ana.barreiro.bujan@usc.es</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>10741</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>07</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>09</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Barreiro, Cela-Dablanca, Nebot, Rodr&#xed;guez-L&#xf3;pez, Sant&#xe1;s-Miguel, Arias-Est&#xe9;vez, Fern&#xe1;ndez-Sanjurjo, N&#xfa;&#xf1;ez-Delgado and &#xc1;lvarez-Rodr&#xed;guez.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Barreiro, Cela-Dablanca, Nebot, Rodr&#xed;guez-L&#xf3;pez, Sant&#xe1;s-Miguel, Arias-Est&#xe9;vez, Fern&#xe1;ndez-Sanjurjo, N&#xfa;&#xf1;ez-Delgado and &#xc1;lvarez-Rodr&#xed;guez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The huge worldwide use of antibiotics triggers the accumulation of these substances in sludge from wastewater treatment plants (WWTP) and the possible contamination of soils amended with it, as well as of crops growing in these soils. In this work we analyzed the presence of the antibiotics amoxicillin (AMO), cefuroxime (CEF), ciprofloxacin (CIP), clarithromycin (CLA), levofloxacin (LEV), lincomycin (LIN), norfloxacin (NOR), sulfadiazine (SUL), and trimethoprim (TRI), in sludge from different WWTPs in Galicia (NW Spain), as well as in sludge technically treated by waste-managers, in soils where treated sludge was applied, and in crops (corn and vineyard) growing in the amended areas. The antibiotics were quantified by means of high resolution HPLC-mass-chromatography. The results indicate that almost all the sludge samples contained antibiotics, being ciprofloxacin and levofloxacin the most abundant reaching maximum values of 623 and 893&#xa0;ng/g, respectively. The sludge treatment significantly reduced the number and the concentrations of antibiotics. In 12% of the soil samples where sludge was applied, some antibiotics were detected, but always in small concentrations. Regarding the crops, no antibiotic was detected in the roots, stalk, leaves and grain of corn, neither in grapes sampled in vineyards. It can be concluded that the treatments currently applied in the WWTPs under study are not totally effective in removing antibiotics from the sludge, although the findings of this research suggest that the additional specific treatment of the sludge derived from these WWTPs is effective in reducing the risk of environmental pollution due to a variety of antibiotics, and specifically in the case of soils amended with these organic materials and crops growing on it.</p>
</abstract>
<kwd-group>
<kwd>antibiotics</kwd>
<kwd>composting</kwd>
<kwd>crop soils</kwd>
<kwd>sludge treatment</kwd>
<kwd>wastewater treatment plants</kwd>
</kwd-group>
<contract-sponsor id="cn001">Ministerio de Econom&#xed;a y Competitividad<named-content content-type="fundref-id">10.13039/501100003329</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Antibiotics have been widely used in human medicine since the discovering of penicillin in 1928, mainly to treat bacterial infections. Their consumption reaches globally up to 15.7 daily doses (DDDs) per 1,000 people (<xref ref-type="bibr" rid="B61">Sriram et al., 2021</xref>) with a slightly higher average for Europe, with 16.4 DDD per 1,000 inhabitants (<xref ref-type="bibr" rid="B16">ECDC, 2021</xref>). These pharmaceuticals are also provided as food supplement to animals for growth promotion, although this it is banned in Europe (<xref ref-type="bibr" rid="B60">Spielmeyer, 2018</xref>), and for animal health control which can lead to the soil persistence of these compounds after repeated application of manure and slurry (<xref ref-type="bibr" rid="B24">Gros et al., 2019</xref>). Globally, between the years 2000&#x2013;2015, 42.3 billion DDD were consumed by humans and the antibiotics consumption rate increased 39%, being higher in high-income countries (<xref ref-type="bibr" rid="B34">Klein et al., 2018</xref>), with amoxicillin and amoxicillin/clavulanic acid being the most frequently consumed antibiotics in most countries (<xref ref-type="bibr" rid="B2">Aldeyab et al., 2020</xref>). Within the European Union, the antibiotics more consumed are the ones from the group of &#x3b2;-Lactam antibacterial molecules and penicillins (42.3%) and the general consumption pattern has not significantly change in the period 1997&#x2013;2017 (<xref ref-type="bibr" rid="B10">Bruyndonckx et al., 2021</xref>). The country raking of antibiotic consumption in Europe is led by Greece, with Cyprus and Spain in second and third place, respectively (<xref ref-type="bibr" rid="B10">Bruyndonckx et al., 2021</xref>).</p>
<p>After its administration, these compounds are partially metabolized and then excreted, reaching the sewage systems and wastewater treatment plants (WWTP). The sludge generated in the WWTP has a great capacity for adsorbing antibiotics, favoring their accumulation, which has been previously described. Specifically, in a study carried out in China, 21 different antibiotics were detected with concentrations up to 5,800&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in two WWTPs (<xref ref-type="bibr" rid="B67">Zhou et al., 2013</xref>), and in Sweden 9 different antibiotics were detected in 11 WWTPs (<xref ref-type="bibr" rid="B50">&#xd6;stman et al., 2017</xref>). Some of the most relevant antibiotics present in WWTPs are: ciprofloxacin, appearing in 90% of the sampled WWTP effluents in a European survey (<xref ref-type="bibr" rid="B38">Loos et al., 2013</xref>); lincomycin, which is among the three main individual pollutants usually found in concentrations over 10&#xa0;&#x3bc;g&#xa0;L<sup>&#x2212;1</sup> in the sewage influents in Korea (<xref ref-type="bibr" rid="B8">Behera et al., 2011</xref>); and clarithromycin, detected in 73% of sludge samples analyzed in Sweden (<xref ref-type="bibr" rid="B50">&#xd6;stman et al., 2017</xref>) and in effluents from WWTPs in Switzerland (<xref ref-type="bibr" rid="B43">Mcardell et al., 2003</xref>). Other antibiotics like levofloxacin (<xref ref-type="bibr" rid="B46">Okuda et al., 2009</xref>), norfloxacin (<xref ref-type="bibr" rid="B20">Gao et al., 2012</xref>) and trimethoprim (<xref ref-type="bibr" rid="B50">&#xd6;stman et al., 2017</xref>) have been detected as well in the sludge of different WWTPs. Amoxicillin has been detected both in wastewater (<xref ref-type="bibr" rid="B26">Henninger et al., 2001</xref>) and in WWTP sludge (<xref ref-type="bibr" rid="B33">Kimosop et al., 2016</xref>). Namely, the conventional treatments implemented in WWTPs are not efficient in removing antibiotics from both water and sludge, and additional treatments are required (<xref ref-type="bibr" rid="B56">Sabri et al., 2020</xref>). These compounds are considered among the most critical pharmaceuticals and personal care products (PPCPs) regarding environmental risk (<xref ref-type="bibr" rid="B65">Verlicchi and Zambello 2015</xref>).</p>
<p>According to the Spanish National Sludge Register, 1.2 million tons of sludge (dry matter) are produced annually in Spain and are considered residues, therefore specific residues regulations are applied related to their disposal and agricultural use (<xref ref-type="bibr" rid="B40">MAMRM, 2009</xref>). The sludge should be treated before field application, that in Spain represented around 80% of the sludge use (<xref ref-type="bibr" rid="B40">MAMRM, 2009</xref>). These treatments can be applied in the WWTP or after transfer to authorized residue managers. The current normative regulates the maximum concentration of heavy metals allowed in the sludge, meanwhile presence of antibiotics is not controlled. Despite the regulations regarding sludge management, antibiotics might end up in agricultural soils amended with the sludge, and therefore available to the crops growing in these soils (<xref ref-type="bibr" rid="B65">Verlicchi and Zambello 2015</xref>). The plants would tend to accumulate antibiotics in the roots, after uptake from the soil solution (<xref ref-type="bibr" rid="B5">Azanu et al., 2016</xref>). The presence of these pharmaceuticals has been identified as a new threat due to the application of sewage sludge in agriculture (<xref ref-type="bibr" rid="B28">Ivanov&#xe1; et al., 2018</xref>), generating risks for the consumers (<xref ref-type="bibr" rid="B11">Buta et al., 2021</xref>). Several studies have detected antibiotic uptake in crops like carrot and barley (<xref ref-type="bibr" rid="B17">Eggen et al., 2011</xref>), corn, green onion and cabbage (<xref ref-type="bibr" rid="B35">Kumar et al., 2005</xref>), lettuce and radish (<xref ref-type="bibr" rid="B7">Bassil et al., 2013</xref>) and grass, corn and wheat (<xref ref-type="bibr" rid="B14">Conde-Cid et al., 2018</xref>). It has been shown that different antibiotics may also impact on the soil microbial biomass (<xref ref-type="bibr" rid="B57">Sant&#xe1;s-Miguel et al., 2020</xref>), and that their degradation in the soil environment is affected by variables such as soil pH, humic acids and salts (<xref ref-type="bibr" rid="B54">Rodr&#xed;guez-L&#xf3;pez et al., 2022</xref>), which could substantially change after sludge spreading.</p>
<p>The aim of the current research is to screen the presence of antibiotics in sludge from different WWTPs in Galicia (NW Spain), as well as in sludge treated by residue managers, in soils where the treated sludge mixtures were applied, and in crops (corn and vine plants) growing on these soils. The study will focus on assessing the eventual success as regards the following aspects: 1) the eventual decrease in the amount of antibiotics present in sewage sludge subjected to technical treatment applied to these residues, and 2) after the spreading of the treated sludge, the concentrations of antibiotics present in soils and crops would remain low. In addition, the research could shed further light on processes taking place and affecting the fate of these emerging pollutants in the environment, which is a matter of real concern as regards environmental and human health.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Experimental Design</title>
<p>Sludge samples were collected from 30 different WWTPs in Galicia (NW Spain) (<xref ref-type="fig" rid="F1">Figure 1</xref>) during two sampling campaigns, in spring and autumn of 2019. In the spring campaign, 21 urban WWTP, plus 1 industrial WWTP, were sampled. The urban WWTPs were placed in cities with 65,000&#x2013;248,000 habitants (A Coru&#xf1;a, Ferrol, Pontevedra, Santiago de Compostela), as well as in villages with above 17,000 habitants (A Estrada, Boiro, Ribeira, Teo, Tui, Sanxenxo, Vilagarc&#xed;a), and in smaller villages (A Guarda, Ares, Betanzos, Cedeira, Curtis, Mi&#xf1;o, Ordes, Ribadeo, Ribadumia). In the second sampling campaign (autumn), 28 WWTP sludge samples were taken (the same as for the first sampling, except Cedeira, Ferrol and Teo 2), plus additional WWTPs from Cambados, Cangas, Moa&#xf1;a, Sada, Lugo, and 3 more industrial WWTPs. The industrial ones belong to the agri-food industry, poultry and canned fish production. Regarding configurations adopted in the treatment lines, all urban WWTPs use both primary (gritting, sieving, sedimentation) and secondary treatments (organic matter removal), while tertiary treatments are applied differently in each WWTP (only UV disinfection is applied is most of them, <xref ref-type="sec" rid="s9">Supplementary Table S1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Location of the wastewater treatment plants included in the study, all of them in Galicia (NW Spain).</p>
</caption>
<graphic xlink:href="sjss-12-10741-g001.tif"/>
</fig>
<p>Within Spain, the specific Galician legislation requires the sludge to be treated before being suitable to be used as an amendment in agricultural soils. The sludge generated from different WWTPs is processed by residue managers, generating compost or not composted mixtures. These processed sludge-derived materials were sampled in spring and autumn, from four different residue managers (RM) who produced different mixtures of WWTP sludges with several animal and vegetal by-products (<xref ref-type="table" rid="T1">Table 1</xref>). These treated mixtures were applied as fertilizers to several agricultural fields, where corn and vineyard were cultivated. Also soils and crops were sampled, as indicated below.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Treatments applied by the residue managers (RM) to the wastewater treatment plants (WWTP) sludge, by adding and mixing different by-products during certain time. Sp: spring sampling; Au: autumn sampling.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left"/>
<th align="left"/>
<th align="center">WWTP</th>
<th align="center">Additions</th>
<th align="center">Time</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="5" align="left">RM 1</td>
<td align="left">Mixture 1 (Sp)</td>
<td align="left">Betanzos, Ribeira, Tui</td>
<td align="left">Chicken manure, wood chips and lime</td>
<td rowspan="5" align="left">3&#xa0;days</td>
</tr>
<tr>
<td align="left">Mixture 2 (Sp)</td>
<td align="left">Ares, Betanzos, Cedeira</td>
<td align="left">Sludge from meat industry, mussel shell and lime</td>
</tr>
<tr>
<td align="left">Mixture 1 (Au)</td>
<td align="left">A Guarda</td>
<td rowspan="3" align="left">Sludge from industrial WWTP, wood chips, chicken manure, crop substrate, compost, lime</td>
</tr>
<tr>
<td align="left">Mixture 2 (Au)</td>
<td align="left">Cedeira, Lugo</td>
</tr>
<tr>
<td align="left">Mixture 3 (Au)</td>
<td align="left">Sada, Moa&#xf1;a, Cangas</td>
</tr>
<tr>
<td align="left">RM 2</td>
<td align="left">Mixture 1</td>
<td align="left">Mi&#xf1;o, Ordes, Ribadeo</td>
<td align="left">Sludge from industrial WWTP, animal rest (blood, stomach intestine, meat), mussel shell, wood chips, milk</td>
<td align="left">8&#xa0;weeks (Register fertilizer)</td>
</tr>
<tr>
<td align="left">RM 3</td>
<td align="left">Mixture 1</td>
<td align="left">Ferrol</td>
<td align="left">Sludge from cannery industry, dairy industry, food leftovers, wood chips</td>
<td align="left">8&#xa0;weeks</td>
</tr>
<tr>
<td rowspan="3" align="left">RM 4</td>
<td align="left">Mixture 1</td>
<td align="left">A Estrada, Teo 1-2, Santiago</td>
<td rowspan="3" align="left">Wood chips</td>
<td rowspan="3" align="left">2&#xa0;weeks</td>
</tr>
<tr>
<td align="left">Mixture 2</td>
<td align="left">Sanxenxo, Vilagarc&#xed;a, Industrial 1</td>
</tr>
<tr>
<td align="left">Mixture 3</td>
<td align="left">Boiro, Vilagarc&#xed;a, Industrial 1</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-2">
<title>Sludge, Compost, Soil, and Plant Sampling</title>
<p>The WWTP sludge and treated mixtures were sampled at the WWTPs and residue managers facilities, freeze-dried and stored at &#x2212;4&#xb0;C until analysis. Soils from amended fields, which had received that kind of fertilization during at least the last 3&#xa0;years, specifically with the treated mixtures from residue managers (RM) RM1, RM2 and RM4 were sampled at harvest time. A total of 59 amended soils were sampled, 27 under corn (10 amended by RM1, 5 by RM2, and 12 by RM4) and 32 under vineyard (all amended by RM4). The fields were located in different parts of Galicia with (according to the K&#xf6;ppen-Geigen classification) Csb climate (warm temperature with dry and warm summers) and characterized by high precipitations. In each field 10 subsamples were collected in a zigzag transect in the soil surface (depth 0&#x2013;20&#xa0;cm) and mixed as a composite sample per field. Soil was dry (at 40&#xb0;C) until stable weight, sieved (by 2&#xa0;mm mesh) and stored until analysis. At those same fields vegetal material was sampled at harvest time. In each corn field, three corn plants were randomly selected, and leaves, stem, grains, and roots were taken, making a composite sample per site (<xref ref-type="fig" rid="F2">Figure 2</xref>). In the vineyard fields, three plants were also randomly selected, and several bunches of grapes were sampled from each plant making a composite sample per site. In the laboratory, the roots were washed with distilled water, and in stems and leaves the parts closer to the cob were selected for analysis, discarding the central nerve and the sides in the leaves.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Scheme of plant material sampling. It is shown that all the antibiotics studied in plant samples were below their detection limits using high performance HPLC-mass-chromatography.</p>
</caption>
<graphic xlink:href="sjss-12-10741-g002.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>Physicochemical Analyses of Soil and Sludge Samples</title>
<p>Standard procedures were used to carry out the analyses (<xref ref-type="bibr" rid="B25">Guiti&#xe1;n Ojea and Carballas, 1976</xref>; <xref ref-type="bibr" rid="B62">Tan, 1996</xref>). Soil texture was determined using the international method of Robison Pipette. For both soil and sludge samples, pH values were obtained in water and KCl (1:2.5), using a pH-meter CRISON, model 2001. Total C and N were determined by elemental analysis using a LECO equipment, model TRUSPEC CHNS. Extractable P was measured in soil samples using the Olsen method (<xref ref-type="bibr" rid="B47">Olsen and Sommers, 1982</xref>). Soil exchange cations (Ca, Mg, Na, K, Al) were extracted using NH<sub>4</sub>Cl 1M (<xref ref-type="bibr" rid="B51">Peech et al., 1947</xref>) in 1:10 solution. Ca, Mg and Al were measured by atomic absorption spectrophotometry; Na and K were quantified using emission spectrophotometry. The sum of all this exchange cations was considered the effective cation exchange capacity (eCEC) (<xref ref-type="bibr" rid="B30">Kamprath., 1970</xref>). Non-crystalline Al and Fe (<xref ref-type="bibr" rid="B9">Blackmore, 1978</xref>) and organic Al and Fe (<xref ref-type="bibr" rid="B6">Bascomb, 1968</xref>) were measured by atomic absorption after specific extractions. In sludge samples, total element analysis was performed according to the EPA 3051 method, using ICP-MS for measuring Na, Mg, Al, K, P, Ca, Cr, Mn, Fe, Ni, Cu, Zn, As, Cd, Hg and Pb concentrations.</p>
</sec>
<sec id="s2-4">
<title>Chemicals, Reagents, and Stock Solutions for the Quantification of the Antibiotics</title>
<p>Amoxicillin, cefuroxime, ciprofloxacin, clarithromycin, levofloxacin, lincomycin, norfloxacin, sulfadiazine, and trimethoprim (purity &#x3e;98%) and formic acid (purity &#x3e;99% for analysis) were bought from Sigma-Aldrich (St. Louis, MO, USA). Acetonitrile and methanol HPLC grade were obtained from Merk (Darmstadt, Germany) and Milli-Q water was obtained from a Millipore system (Bedford, MA, USA) installed in the laboratory.</p>
<p>For each antibiotic, an amount of 20&#xa0;mg was accurately weight (&#xb1;0.1&#xa0;mg) and transferred to a 25&#xa0;ml volumetric flask containing approximately 10&#xa0;ml of solvent, the volume was finally made up to the graduation mark and the concentration was calculated taking in consideration the purity of the compound. Specifically, ciprofloxacin was dissolved in methanol:water:formic acid (50:49.95:0.05), amoxicillin in water acidified with formic acid, and the rest of antibiotics in methanol. Each day of the analysis a new standard solution of amoxicillin was prepared as this pharmaceutical is very unstable and it degrades easily. The other standard solutions were stored in the dark at &#x2212;18&#xb0;C. These stock solutions were mixed and diluted several times with a mixture of methanol and water (50:50) to obtain a working standard solution mixture of antibiotics at 1 and 10&#xa0;&#x3bc;g&#xa0;ml<sup>&#x2212;1</sup>.</p>
</sec>
<sec id="s2-5">
<title>Antibiotics Extraction Protocol</title>
<p>The extraction solvent was not the same for all matrices, however, independently of the matrix type, 2&#xa0;g of sample was weight in a 15&#xa0;ml Falcon tube. From roots, leaves and soils, the antibiotics were extracted with a mixture of acetonitrile:water:formic acid (50:49.95:0.05), whereas from grapes and stalk were extracted with acetonitrile acidified with 0.2% of formic acid, and from sewage sludge with acetonitrile. After the addition of the extraction solvent, the falcon tubes were shaken on a rotary shaker for 30&#xa0;min and centrifuged at 4,500&#xa0;rpm for 15&#xa0;min. A portion of 1&#xa0;ml of the supernatant was filtered through an Acrodisk Syringe Filter (Waters, USA) and transferred to a HPLC amber vial for analysis. For each batch of samples and type of matrix (soil, sludge, stalk, roots, leaves and grapes) a matrix-matched calibration curved with analyte-free sample was prepared. The concentration of each antibiotic in the calibration curved varied with the matrix but in average ranged from 10 to 1,000&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>. These calibration curves were used to identify and correctly quantify each of the antibiotics.</p>
</sec>
<sec id="s2-6">
<title>Analyses of the Antibiotics by HPLC-MS/MS</title>
<p>The samples were analyzed in an LC-MS/MS system from Bruker (Bremen, Germany) consisting of a UPLC&#xae; Elute with degasser, pump, oven, column and autosampler connected to an Evoq Elite triple quadrupole detector. Analytes were separated on an HPLC column Kinetex biphenyl (2.6&#xa0;&#xb5;m, 2.1 &#xd7; 50&#xa0;mm) from Phenomenex (Torrance, CA, USA). The temperature of the column was set up at 43&#xb0;C, and the separation of the analytes was achieved on a gradient mode mixture of phase A (0.1% acidified water with formic acid) and phase B (acetonitrile 0.1% acidified with formic acid). The flow was maintained at 375&#xa0;&#x3bc;L&#xa0;min<sup>&#x2212;1</sup>, the column temperature at 43&#xb0;C, and the samples at 8&#xb0;C. The mass spectrometer was calibrated as follows: the capillary voltage at 4,800&#xa0;V, the cone pressure at 20 psi, the cone temperature at 300&#xb0;C, the source pressure at 30 psi, the source temperature at 500&#xb0;C, and the misting gas pressure at 60 psi. The injection volume was 15&#xa0;&#xb5;L. The MRM transitions monitored for each compound as well as the collision energy employed are compiled in <xref ref-type="table" rid="T2">Table 2</xref>.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Ionization mode, precursor and product ion and collision energy employed for pharmaceuticals quantification.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left"/>
<th align="center">Ionization mode</th>
<th align="center">Precursor Ion</th>
<th align="center">Product Ions</th>
<th align="center">Collision energy</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Amoxicillin</td>
<td align="center">Positive</td>
<td align="char" char=".">366.101</td>
<td align="char" char=".">114.000</td>
<td align="char" char=".">29</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">208.100</td>
<td align="char" char=".">15</td>
</tr>
<tr>
<td align="left">Cefuroxime</td>
<td align="center">Negative</td>
<td align="char" char=".">422.9</td>
<td align="char" char=".">207.0</td>
<td align="char" char=".">15</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">318.0</td>
<td align="char" char=".">15</td>
</tr>
<tr>
<td align="left">Ciprofloxacin</td>
<td align="center">Positive</td>
<td align="char" char=".">331.95</td>
<td align="char" char=".">231.100</td>
<td align="char" char=".">41</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">288.100</td>
<td align="char" char=".">31</td>
</tr>
<tr>
<td align="left">Clarithromycin</td>
<td align="center">Positive</td>
<td align="char" char=".">749.846</td>
<td align="char" char=".">158.200</td>
<td align="char" char=".">33</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">83.100</td>
<td align="char" char=".">77</td>
</tr>
<tr>
<td align="left">Levofloxacin</td>
<td align="center">Positive</td>
<td align="char" char=".">362.362</td>
<td align="char" char=".">261.000</td>
<td align="char" char=".">31</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">318.200</td>
<td align="char" char=".">21</td>
</tr>
<tr>
<td align="left">Lincomycin</td>
<td align="center">Positive</td>
<td align="char" char=".">407.3</td>
<td align="char" char=".">126.2</td>
<td align="char" char=".">22</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">359.2</td>
<td align="char" char=".">12</td>
</tr>
<tr>
<td align="left">Norfloxacin</td>
<td align="center">Positive</td>
<td align="char" char=".">320.0</td>
<td align="char" char=".">302.0</td>
<td align="char" char=".">15</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">276.0</td>
<td align="char" char=".">15</td>
</tr>
<tr>
<td align="left">Sulfadiazine</td>
<td align="center">Positive</td>
<td align="char" char=".">252.1</td>
<td align="char" char=".">156.0</td>
<td align="char" char=".">12</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">108.0</td>
<td align="char" char=".">19</td>
</tr>
<tr>
<td align="left">Trimethoprim</td>
<td align="center">Positive</td>
<td align="char" char=".">291.272</td>
<td align="char" char=".">261.100</td>
<td align="char" char=".">21</td>
</tr>
<tr>
<td align="left"/>
<td align="left"/>
<td align="left"/>
<td align="char" char=".">81.000</td>
<td align="char" char=".">59</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-7">
<title>Statistical Treatment</title>
<p>Mean &#xb1; SD values of the general soil properties were used to compare the soils amended with different sludges and under different crops. These data were analyzed by performing a standard analysis of variance (ANOVA 1), and in the cases of significant F statistics, the Tukey&#x2019;s minimum significant different test was used to separate the means, using the statistical package SPSS 27.0 (IBM, USA). For the sludge and mixtures, the study of Pearson correlations (<italic>p</italic> &#x3c; 0.01) among concentrations of antibiotics and total elements and physicochemical properties was performed using the R software package (R studio, version 4.1.0).</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<sec id="s3-1">
<title>Presence of Antibiotics in Sludge From WWTPs</title>
<p>Altogether in both sampling campaigns (spring and autumn of 2019) seven different antibiotics were detected in the WWTP sludge samples analyzed, with concentrations generally bigger in the first than in the second sampling date. In the first sampling 15 out of 22 of the sludge samples (68%) had at least one antibiotic detected, while 7 of the sludge samples had concentrations below the detection level for all the antibiotics analyzed (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Concentration (ng g<sup>&#x2212;1</sup>) of antibiotic in the sludge from the different WWTP at the spring (Sp) and autumn (Au) sampling time. Antibiotic detected: ciprofloxacin (CIP), clarithromycin (CLA), levofloxacin (LEV), lincomycin (LIN), norfloxacin (NOR), sulfadiazine (SUL), trimethoprim (TRI).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">WWTP</th>
<th colspan="2" align="center">CIP</th>
<th colspan="2" align="center">CLA</th>
<th colspan="2" align="center">LEV</th>
<th colspan="2" align="center">LIN</th>
<th colspan="2" align="center">NOR</th>
<th colspan="2" align="center">SUL</th>
<th colspan="2" align="center">TRI</th>
</tr>
<tr>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
<th align="center">Sp</th>
<th align="center">Au</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">A Coru&#xf1;a</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">9</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">A Estrada</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">A Guarda</td>
<td align="center">599</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ares</td>
<td align="center">105</td>
<td align="center">&#x3c;</td>
<td align="center">63</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">21</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Betanzos</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">24</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Boiro</td>
<td align="center">274</td>
<td align="center">&#x3c;</td>
<td align="center">85</td>
<td align="center">&#x3c;</td>
<td align="center">525</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">37</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Cambados</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Cangas</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">31</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Cedeira</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">7</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Curtis</td>
<td align="center">&#x3c;</td>
<td align="center">49</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">18</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ferrol</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Industrial 1</td>
<td align="center">623</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">144</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Industrial 2</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Industrial 3</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Industrial 4</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Lugo</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Mi&#xf1;o</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">98</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">32</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Moa&#xf1;a</td>
<td align="center">-</td>
<td align="center">1,573</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">92</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Pontevedra</td>
<td align="center">390</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ordes</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">256</td>
<td align="center">&#x3c;</td>
<td align="center">118</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ribadeo</td>
<td align="center">76</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ribadumia</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Ribeira</td>
<td align="center">150</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">137</td>
<td align="center">56</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">114</td>
<td align="center">20</td>
</tr>
<tr>
<td align="left">Sada</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">15</td>
<td align="center">-</td>
<td align="center">27</td>
</tr>
<tr>
<td align="left">Santiago</td>
<td align="center">351</td>
<td align="center">111</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">649</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">65</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">23</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Sanxenxo</td>
<td align="center">319</td>
<td align="center">297</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">892</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">43</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Teo 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Teo 2</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">95</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
<td align="center">&#x3c;</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Tui</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">31</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">Vilagarc&#xed;a</td>
<td align="center">293</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">37</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">400</td>
<td align="center">&#x3c;</td>
<td align="center">57</td>
<td align="center">&#x3c;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x3c; indicates the antibiotic was below detection level and &#x2013; indicates no data.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>In the second sampling, which was performed in autumn, just 32% of the samples (9 out of 28) presented some antibiotic at detectable concentrations, even though one the samples showed the highest antibiotic concentration detected in the whole study, which reached 1,573&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> for ciprofloxacin (<xref ref-type="table" rid="T3">Table 3</xref>). Previous studies have shown that the presence of antibiotics in WWTP sludge has a seasonal pattern. In this regard, <xref ref-type="bibr" rid="B23">Golovko et al. (2014)</xref> found in water from WWTPs higher concentrations of different antibiotics in winter than in the rest of the year. In the northern hemisphere, antibiotics consumption peaks between January and March (<xref ref-type="bibr" rid="B63">Van Boeckel et al., 2014</xref>), which can lead to a total daily pharmaceutical load in the sludge as high as 1&#xa0;kg&#xa0;day<sup>&#x2212;1</sup> in that season (<xref ref-type="bibr" rid="B4">Ayd&#x131;n et al., 2022</xref>). In the current study, the higher presence of antibiotics in spring than in autumn might be due to this seasonal consumption pattern.</p>
<p>The number of antibiotics detected in the present study was generally lower than values reported by other authors. <xref ref-type="bibr" rid="B4">Ayd&#x131;n et al. (2022)</xref> found ten different antibiotics in WWTP sludge in Turkey, with maximum concentrations detected in the same range that in the current study. In different works carried out in China, the maximum concentration of antibiotic detected in sewage sludge was higher than in our study. <xref ref-type="bibr" rid="B67">Zhou et al. (2013)</xref> detected 21 different antibiotics with maximum values up to 5,800&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, 4-fold higher than our maximum; while <xref ref-type="bibr" rid="B27">Huang et al. (2020)</xref> described the presence of 24 different antibiotics in WWTP sludge with maximum concentration of the antibiotics reaching up to 11,000&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, 7-fold higher than our maximum values. <xref ref-type="bibr" rid="B28">Ivanov&#xe1; et al. (2018)</xref> reported the presence of 15 different antibiotics in five WWTP in Slovakia, but the maximum concentration was relatively low, reaching 336&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> for azithromycin, antibiotic which was not detected in our study. On the other hand, <xref ref-type="bibr" rid="B50">&#xd6;stman et al. (2017)</xref> detected only four different antibiotics in sludge samples in Sweden, but with the maximum concentration being 7-fold higher than for our samples. In the same geographic area of our study, the NW of Spain, <xref ref-type="bibr" rid="B14">Conde-Cid et al. (2018)</xref> found 8 different antibiotics in 42% of manure samples analyzed, but with maximum concentration values being more than 60-fold higher than those corresponding to our results for sludge.</p>
<p>The WWTP&#xb4;s with greater number of antibiotics detected in our first sampling were Boiro, Santiago de Compostela and Vilagarc&#xed;a (<xref ref-type="table" rid="T3">Table 3</xref>). Ciprofloxacin was the more frequently detected antibiotic in this sampling, present in 45% of the sampled sludge, with a maximum value of 623&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> detected in the industrial WWTP (<xref ref-type="table" rid="T3">Table 3</xref>). This same antibiotic showed the maximum concentration detected in our study, found in the second sampling, with a concentration as elevated as 1,573&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in Moa&#xf1;a&#xb4;s WWTP (<xref ref-type="table" rid="T3">Table 3</xref>). Several authors have described this antibiotic (ciprofloxacin) as one of the dominant emerging contaminants in all environmental compartments, detecting maximum values of 1,040&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in sludge (<xref ref-type="bibr" rid="B27">Huang et al., 2020</xref>), or founding it in most of the WWTP effluents, with maximum concentration from 264&#xa0;ng&#xa0;L<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B38">Loos et al., 2013</xref>) to 2,733 96&#xa0;ng&#xa0;L<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="B44">Nas et al., 2021</xref>). In the current study, the second most frequent antibiotic detected in the spring sampling was trimethoprim, which was present in 41% of the samples, with maximum values up to 114&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in Ribeira&#xb4;s WWTP sludge (<xref ref-type="table" rid="T3">Table 3</xref>). In a previous investigation this antibiotic was detected in 93% of the WWTP effluents analyzed in Europe (<xref ref-type="bibr" rid="B38">Loos et al., 2013</xref>). In the present work, the high frequency of trimethoprim detected could be related to the lack of a specific tertiary treatment (a sand filtration system) which has been described to reduce 60% of the amount of this antibiotic in activated sludge (<xref ref-type="bibr" rid="B22">Gobel et al., 2005</xref>). As shown in <xref ref-type="sec" rid="s9">Supplementary Table S1</xref>, this filtration system was not present in any of the WWTPs of our study.</p>
<p>Among the less frequently detected antibiotics in the spring sampling, levofloxacin appeared just in 6 of the WWTPs (27%) but showed the highest antibiotic concentration detected at this sampling campaign, 892&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in Sanxenxo&#xb4;s WWTP. Other authors have included this antibiotic among the emerging compounds with highest concentration in sludge in WWTPs (<xref ref-type="bibr" rid="B46">Okuda et al., 2009</xref>), with values ranging from 204&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>&#x2013;8,680&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>. Also, the difficulty to remove it by means of the treatments usually applied in WWTPs has been previously described (<xref ref-type="bibr" rid="B42">Mart&#xed;nez-Org&#xe1;niz et al., 2021</xref>). The other antibiotics detected, clarithromycin, norfloxacin and sulfadiazine, were present in 4, 2 and 1 of the samples, respectively, with the maximum value found for the later (reaching 400&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>) in Vilagarc&#xed;a&#xb4;s WWTP. Contrarily to our results, other authors detected clarithromycin in 67% of the sludge samples (<xref ref-type="bibr" rid="B4">Ayd&#x131;n et al., 2022</xref>), and norfloxacin in 100% of the samples (<xref ref-type="bibr" rid="B20">Gao et al., 2012</xref>), with maximum values of 1,496 and 3,200&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> respectively. <xref ref-type="bibr" rid="B38">Loos et al. (2013)</xref>, in a study of the WWTP effluents in Europe detected sulfadiazine only in 3% of the samples.</p>
<p>In the second sampling campaign of the current study (autumn) the most frequent antibiotic was levofloxacin, which was present in 5 samples (one of them present in the first sampling as well) with maximum values of 98&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> in Mi&#xf1;o&#xb4;s WWTP. Ciprofloxacin was present in 4 samples, showing the highest concentration found in this research, and was present as well in the first sampling in 2 of these WWTPs (<xref ref-type="table" rid="T3">Table 3</xref>). Norfloxacin and trimethoprim appeared in 2 samples, with maximum values of 42 and 27&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, respectively, while sulfadiazine and lincomycin were present in just one sample (at 15 and 31&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> respectively). This last one antibiotic only appeared in this sampling, but was found in 37% of the WWTP effluents in an European survey (Loos et a., 2013).</p>
<p>Several previous studies have indicated that the primary and secondary treatments usually applied in WWTPs are not enough for removing many emerging pollutants, such as most antibiotics from both water effluents and sludge (<xref ref-type="bibr" rid="B29">Jelic et al., 2011</xref>; <xref ref-type="bibr" rid="B64">Verlicchi et al., 2012</xref>; <xref ref-type="bibr" rid="B65">Verlicchi and Zambello 2015</xref>; <xref ref-type="bibr" rid="B45">Nguyen et al., 2021</xref>), even though some tertiary treatments, like ozone disinfection, can provoke the degradation of macrolide antibiotics such as clarithromycin (<xref ref-type="bibr" rid="B36">Lange et al., 2006</xref>). In our study, only one of the WWTPs that presented this antibiotic in the sludge had a disinfection treatment, but was with UV and not ozone, which was not used in any of the WWTPs covered. In our samples the less frequent antibiotics were lincomycin and sulfadiazine. The latest belongs to the sulfonamides group, which have been reported to be easily biodegradable (<xref ref-type="bibr" rid="B21">Garc&#xed;a-Gal&#xe1;n et al., 2011</xref>) and transformed during anaerobic sludge digestion (<xref ref-type="bibr" rid="B22">Gobel et al., 2005</xref>), a secondary treatment present in most WWTPs.</p>
</sec>
<sec id="s3-2">
<title>Presence of Antibiotics in the Sludge Treated by Residue Managers</title>
<p>The sludge treated by the different residue managers (RM) showed a reduced number of antibiotics, compared with the WWTP sludge not subjected to treatment. Specifically, the mixtures from RM1 presented norfloxacin (551&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>) in one of the mixtures from the spring sampling, and lincomycin in the three mixtures from the autumn sampling (maximum value 40&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>) (<xref ref-type="table" rid="T4">Table 4</xref>). The mixture from RM3 had, similarly to RM1, a high concentration of norfloxacin (587&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>), while no antibiotic was detected in the mixture from RM2. The three mixtures from RM4 sampled in spring showed two antibiotics, ciprofloxacin and levofloxacin, with maximum values of 394&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> and 393&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, respectively, while in the autumn sampling only the mixture 3 presented levofloxacin (at 169&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, <xref ref-type="table" rid="T4">Table 4</xref>).</p>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>Concentration (ng g<sup>&#x2212;1</sup>) of antibiotic in the sludge mixtures from the different residue managers (RM) at the spring and autumn sampling time. Antibiotic detected: ciprofloxacin (CIP), levofloxacin (LEV), norfloxacin (NOR), lincomycin (LIN).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Mixtures Spring</th>
<th align="center">CIP</th>
<th align="center">LEV</th>
<th align="center">NOR</th>
<th align="center">LIN</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">RM1 &#x2013; Mixture 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">551</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM1 &#x2013; Mixture 2</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM3 &#x2013; Mixture 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">587</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 1</td>
<td align="center">286</td>
<td align="center">369</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 2</td>
<td align="center">391</td>
<td align="center">289</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 3</td>
<td align="center">394</td>
<td align="center">393</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td colspan="5" align="left">
<bold>Mixtures Autumn</bold>
</td>
</tr>
<tr>
<td align="left">RM1 &#x2013; Mixture 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">40</td>
</tr>
<tr>
<td align="left">RM1 &#x2013; Mixture 2</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">40</td>
</tr>
<tr>
<td align="left">RM1 &#x2013; Mixture 3</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">26</td>
</tr>
<tr>
<td align="left">RM2 &#x2013; Mixture 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 1</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 2</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="left">RM4 &#x2013; Mixture 3</td>
<td align="center">&#x3c;</td>
<td align="center">169</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x3c; indicates the antibiotic was below detection level.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>As indicated by <xref ref-type="bibr" rid="B45">Nguyen et al. (2021)</xref> and <xref ref-type="bibr" rid="B29">Jelic et al. (2011)</xref>, most of the treatments currently applied in WWTPs are not effective for removing antibiotics, some of which are accumulated in sludge, triggering the need of further sludge treatment to be carried out by residue managers. In the current work, this management consisted in the addition of other organic wastes (animal or vegetal) obtaining a final mixture, in some cases subjected to composting. The comparison between the concentrations of antibiotics detected in the sludge used by each RM and the resulting mixture (<xref ref-type="fig" rid="F3">Figure 3</xref>), indicates the effectiveness of the residue management in the antibiotic removal. Specifically, RM1 successfully removed ciprofloxacin, clarithromycin, levofloxacin, sulfadiazine and trimethoprim from the sludge, even though two other antibiotics that were not detected in the sludge (lincomycin and norfloxacin) appeared later in the treated mixtures (<xref ref-type="fig" rid="F3">Figure 3</xref>), the latter in high concentrations, which could be originated in the materials added by this RM. In this regard, it should be noted that the mixture 1, that showed high norfloxacin concentrations, had chicken manure included and poultry production industry uses norfloxacin for the prevention and therapy of infectious diseases in some countries (<xref ref-type="bibr" rid="B1">Al-Mustafa and Al-Ghamdi, 2000</xref>). However, in the European Union norfloxacin is used in human medicine, but it is not allowed as a veterinary medicine (<xref ref-type="bibr" rid="B52">Pereira et al., 2018</xref>), remaining unclear the origin of the norfloxacin in this mixture in the present work. Also to note that the same RM generates three other mixtures that presented small concentrations of lincomycin, without being this antibiotic present in the urban sludge used for the mixing. Sludge from an additional industrial WWTP was added to these mixtures, suggesting a possible industrial origin of the lincomycin, since this antibiotic has been detected in all the WWTPs analyzed in a study in an industrial city in Korea (<xref ref-type="bibr" rid="B8">Behera et al., 2011</xref>). However, in the current study we found it only in one of the urban samples and in none on the industrial ones analyzed, thus its origin also being unclear.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Concentration (ng g<sup>&#x2212;1</sup>) of antibiotics present in the sludge (S) from wastewater treatment plants (sum of all antibiotics present in the sludge used for each mixture) and in the mixtures (M) generated by different residue managers (RM). Antibiotics detected: ciprofloxacin (CIP), clarithromycin (CLA), levofloxacin (LEV), lincomycin (LIN), norfloxacin (NOR), sulfadiazine (SUL), trimethoprim (TRI).</p>
</caption>
<graphic xlink:href="sjss-12-10741-g003.tif"/>
</fig>
<p>RM2 successfully removed levofloxacin and norfloxacin from the sludge. The sludge used by RM3 had no antibiotic detected, but the residue management introduced norfloxacin in the treated mixture. This residue manager, like RM1, added different sludge from industrial WWTPs that may introduce antibiotics that were no present in the urban sludge. On the other hand, RM4 managed to remove most of the antibiotics detected in the sludge, and decreases the amount of ciprofloxacin and levofloxacin, which showed high concentrations in the WWTP sludge (<xref ref-type="fig" rid="F3">Figure 3</xref>). This RM carried out a composting process with wood chips. Previous studies reported the removal of levofloxacin from aqueous solutions with a biochar made of wood chips (<xref ref-type="bibr" rid="B66">Yi et al., 2016</xref>) and the persistence of ciprofloxacin in composted sludges (<xref ref-type="bibr" rid="B32">Khadra et al., 2019</xref>). The compost process is a well-known technology effective in the reduction of antibiotics from sludge, with ranges of removal 17%&#x2013;100% (<xref ref-type="bibr" rid="B65">Verlicchi and Zambello 2015</xref>; <xref ref-type="bibr" rid="B18">Ezzariai et al., 2018</xref>). In general, in the current study the management executed by the different residue managers was successful in the removal or reduction of antibiotics concentrations from the WWTPs sludge.</p>
</sec>
<sec id="s3-3">
<title>Physicochemical Characteristics of Sludge and Mixtures</title>
<p>The physicochemical properties of the various sludges and mixtures differed widely, with ranges 5-12 for pH, 2.25%&#x2013;57.47% for C, and 0.75%&#x2013;60.85% for N (<xref ref-type="sec" rid="s9">Supplementary Table S2</xref>). Similarly, the total elements contents showed great variation among the different sludge and mixture samples, with values (in mg&#xa0;kg<sup>&#x2212;1</sup>) between 107-9078 (for Na), 549-6395 (Mg), 143-26106 (Al), 0.6-25.1 (P), 343-8161 (K), 3-230 (Ca), 0-797 (Cr), 25-3595 (Mn), 133-48800 (Fe), 0.9-426 (Ni), 7-1229 (Cu), 0-1777 (Zn), 0.5-120 (As), 0-29 (Cd), 0-447 (Hg), and 0.4-110 (Pb). The WWTPs that presented the highest concentrations of total elements were Lugo (Na and P), Pontevedra (Cr, Fe, and Ni), Curtis (Cu and As), and Ferrol (Hg and Pb) (<xref ref-type="sec" rid="s9">Supplementary Table S2</xref>). Regarding the sludge mixtures, the highest values for most of the elements were detected in mixtures from RM1 (Na, P, K, Ca, Cr, Mn, Ni, Cu, Zn, Cd, Hg and Pb), meanwhile a mixture from RM2 had higher concentration of Fe, and mixtures from RM4 showed the highest scores for Mg, Al, Cr and As (<xref ref-type="sec" rid="s9">Supplementary Table S2</xref>).</p>
<p>Comparing with other studies, the values of pH were in the same range (<xref ref-type="bibr" rid="B49">Onchoke et al., 2022</xref>), while another study carried out in the USA with a lower number of WWTPs (<xref ref-type="bibr" rid="B48">Onchoke et al., 2018</xref>) showed narrower ranges for C (30&#x2013;32%) and N (8&#x2013;10%), and higher values of P (935&#x2013;1705&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), and Ca (1,521&#x2013;3,869&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), but the maximum values of Mg (709&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), K (679&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Na (2,303&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Al (12,857&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Cr (20&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Mn (1,103&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Fe (22,688&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Ni (19.8&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Cu (550&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Zn (772&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), As (13&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Cd (0.5&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Hg (0.6&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), and Pb (34&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>) were significantly smaller than the maximum concentrations detected in our samples. Similarly, in a study in Poland <xref ref-type="bibr" rid="B37">Latosinska et al. (2021)</xref> reported that the maximum concentrations of Cu (196&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Cr (2,760&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), Cd (12&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>), and Ni (44&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>) in sludge were smaller than in our samples, but Pb (427&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>) and Zn (5,351&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>) showed higher concentrations.</p>
<p>According to the Spanish regulation regarding the maximum concentration of heavy metals allowed in sludge to be suitable for field application (Royal Decree 1,310/1990), practically all the sludge samples from the spring sampling had values above the threshold allowed for Hg (16&#x2013;25&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>). The values detected in our sludge samples, with maximum of 447&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>, far outweigh the results from other authors, which were in the range 0.6&#x2013;6.1&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup> of total Hg (<xref ref-type="bibr" rid="B41">Mao et al., 2016</xref>; <xref ref-type="bibr" rid="B48">Onchoke et al., 2018</xref>). The management of the sludge did not manage to remove Hg in three of the spring mixtures (mixtures 1 and 2 from RM1, and RM3 mixture), as they presented Hg concentrations in the range 171&#x2013;337&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>. The mixture from RM3 was no applied to the field, but the mixtures from RM4 were spread, which supposes a clear pollution risk.</p>
<p>The fact that the sludge from the industrial WWTPs had Hg values conforming to the regulations, contrary to the urban ones, and that the samples with the highest concentrations belong to the WWTPs of the bigger cities, suggests a domestic origin of these elevated concentration of Hg, such as amalgams, food, laundry detergent, or other, like dentist business of pipe sediments (<xref ref-type="bibr" rid="B59">S&#xf6;rme et al., 2003</xref>). Previous studies correlated the high concentration of Hg detected in cattle in Galicia with the coal-fired power plants present in the area, that caused high Hg dispersion and deposition (<xref ref-type="bibr" rid="B39">L&#xf3;pez-Alonso et al., 2003</xref>), however nowadays these stations have been closed. The concentrations of the other heavy metals across the different WWTPs were among the Spanish regulation limits, with punctual exceptions.</p>
<p>The analysis of the correlations among antibiotics concentrations and chemical properties in sludge and sludge mixtures showed that lincomycin was correlated with pH (R &#x3d; 0.52, <italic>p</italic> &#x3c; 0.001), C/N ratio (R &#x3d; 0.4, <italic>p</italic> &#x3c; 0.05) and P content (R &#x3d; -0.34, <italic>p</italic> &#x3c; 0.05); while trimethoprim was correlated with N (R &#x3d; -0.32, <italic>p</italic> &#x3d; 0.01); and Na (R &#x3d; 0.34, <italic>p</italic> &#x3c; 0.05) (<xref ref-type="fig" rid="F4">Figure 4</xref>). To note that parameters related to organic matter appear in the correlations, evidencing its marked influence on the retention of antibiotics the soil environment. Physicochemical properties are determinant in the adsorption of antibiotics in soils or bio-adsorbents (<xref ref-type="bibr" rid="B13">Cela-Dablanca et al., 2021</xref>, <xref ref-type="bibr" rid="B12">2022</xref>), and similar adsorption mechanisms might take place in sludge. The concentrations of some of the antibiotics were positively correlated with each other: trimethoprim with levofloxacin (R &#x3d; 0.37, <italic>p</italic> &#x3c; 0.01) and with sulfadiazine (R &#x3d; 0.37, <italic>p</italic> &#x3c; 0.05), and ciprofloxacin with levofloxacin (R &#x3d; 0.33, <italic>p</italic> &#x3c; 0.01). In this regard, it should be noted that trimethoprim is used against different infections, from urinary to respiratory ones, and the antibiotic levofloxacin has emerged as an alternative for respiratory infections (<xref ref-type="bibr" rid="B58">Sarzynski et al., 2022</xref>). On the other hand, trimethoprim is sometimes administrated simultaneously with sulfadiazine to combat bacterial infections in animals, and ciprofloxacin and levofloxacin (both quinolone antibiotics) are used in a wide range of bacterial infections.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Correlations among the sludge and sludge mixtures physicochemical properties, total element concentration and the sludge and sludge mixtures antibiotics concentrations. Blue and red dots show positive or negative (respectively) significant correlation Pearson coefficients (<italic>p</italic> &#x3c; 0.01). Ciprofloxacin (CIP), clarithromycin (CLA), levofloxacin (LEV), lincomycin (LIN), norfloxacin (NOR), sulfadiazine (SUL), trimethoprim (TRI).</p>
</caption>
<graphic xlink:href="sjss-12-10741-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Impact on Agricultural Soils and Crops due to the Spreading of Treated Sludge</title>
<p>The physicochemical properties of the soils amended with the mixtures treated by the different residue managers are shown in <xref ref-type="table" rid="T5">Table 5</xref>. Regarding grain sizes and soil texture, the sand fraction clearly predominates, with a percentage above 45% in all cases. Soils amended with mixtures from RM1 (corn) and RM4 (vineyard) show high pH values (7.90 and 7.01, respectively), meanwhile the corn soils amended with mixtures from RM2 and RM4 had an acidic pH (5.32 and 5.53, respectively). The dominant exchange cation was Ca in all cases, and it is especially clear in the RM1-amended soils. These soils also presented the highest values of the other exchange cations, as well as the lowest values of exchangeable Al, coinciding with the highest pH. Also noteworthy are the high values of organic matter in the soils with the mixtures from RM1 (13.04%), while in the other soils the values were lower (between 6 and 6.7%) (<xref ref-type="table" rid="T5">Table 5</xref>). Non-crystalline Fe compounds (Fe<sub>ox</sub> and Fe<sub>pir</sub>) were more abundant in soils amended with RM2 and RM4 (corn). Non-crystalline Al compounds, however, showed higher levels in soils amended with RM1 mixtures.</p>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>Physicochemical properties (average &#xb1; DE) of soil amended with mixtures from different residue managers (RM) and under corn and vineyard crops. OM (organic matter); eCEC (effective cation exchange capacity); Al<sub>e</sub> (extractable Al); Fe ox (non-crystalline Fe); Fe pir (organic Fe); Al ox (non-crystalline Al); Al pir (organic Al). Different letters mean significant differences <italic>p</italic> &#x3c; 0.05.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left"/>
<th colspan="2" align="center">Soil under corn</th>
<th colspan="2" align="center">Soil under vineyard</th>
</tr>
<tr>
<th align="center">RM1</th>
<th align="center">RM2</th>
<th align="center">RM4</th>
<th align="center">RM4</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">pH (H<sub>2</sub>O)</td>
<td align="char" char="plusmn">7.90 &#xb1; 0.10c</td>
<td align="char" char="plusmn">5.32 &#xb1; 0.28a</td>
<td align="char" char="plusmn">5.53 &#xb1; 0.42a</td>
<td align="char" char="plusmn">7.01 &#xb1; 0.13b</td>
</tr>
<tr>
<td align="left">pH (KCl)</td>
<td align="char" char="plusmn">7.67 &#xb1; 0.07d</td>
<td align="char" char="plusmn">4.71 &#xb1; 0.18a</td>
<td align="char" char="plusmn">5.29 &#xb1; 0.50b</td>
<td align="char" char="plusmn">6.45 &#xb1; 0.19c</td>
</tr>
<tr>
<td align="left">Sand (%)</td>
<td align="char" char="plusmn">53.95 &#xb1; 3.90b</td>
<td align="char" char="plusmn">46.24 &#xb1; 5.41a</td>
<td align="char" char="plusmn">49.16 &#xb1; 6.64ab</td>
<td align="char" char="plusmn">67.73 &#xb1; 2.34c</td>
</tr>
<tr>
<td align="left">Silt (%)</td>
<td align="char" char="plusmn">28.53 &#xb1; 3.89b</td>
<td align="char" char="plusmn">32.99 &#xb1; 6.06c</td>
<td align="char" char="plusmn">28.36 &#xb1; 3.34b</td>
<td align="char" char="plusmn">15.63 &#xb1; 2.41a</td>
</tr>
<tr>
<td align="left">Clay (%)</td>
<td align="char" char="plusmn">17.52 &#xb1; 3.29a</td>
<td align="char" char="plusmn">20.77 &#xb1; 1.69ab</td>
<td align="char" char="plusmn">22.48 &#xb1; 4.45b</td>
<td align="char" char="plusmn">16.64 &#xb1; 2.90a</td>
</tr>
<tr>
<td align="left">Ca cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">47.28 &#xb1; 5.80c</td>
<td align="char" char="plusmn">5.30 &#xb1; 0.84a</td>
<td align="char" char="plusmn">8.85 &#xb1; 5.47ab</td>
<td align="char" char="plusmn">11.01 &#xb1; 2.77b</td>
</tr>
<tr>
<td align="left">Mg cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">3.05 &#xb1; 0.86b</td>
<td align="char" char="plusmn">1.04 &#xb1; 0.09a</td>
<td align="char" char="plusmn">0.88 &#xb1; 0.35a</td>
<td align="char" char="plusmn">0.88 &#xb1; 0.31a</td>
</tr>
<tr>
<td align="left">Na cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">0.70 &#xb1; 0.30b</td>
<td align="char" char="plusmn">0.20 &#xb1; 0.05a</td>
<td align="char" char="plusmn">0.05 &#xb1; 0.05a</td>
<td align="char" char="plusmn">0.15 &#xb1; 0.11a</td>
</tr>
<tr>
<td align="left">K cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">1.38 &#xb1; 0.67b</td>
<td align="char" char="plusmn">0.19 &#xb1; 0.03a</td>
<td align="char" char="plusmn">0.42 &#xb1; 0.20a</td>
<td align="char" char="plusmn">0.47 &#xb1; 0.16a</td>
</tr>
<tr>
<td align="left">Al cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">0.02 &#xb1; 0.01a</td>
<td align="char" char="plusmn">0.51 &#xb1; 0.35c</td>
<td align="char" char="plusmn">0.26 &#xb1; 0.24b</td>
<td align="char" char="plusmn">0.03 &#xb1; 0.01a</td>
</tr>
<tr>
<td align="left">eCEC cmol<sub>(&#x2b;)</sub>kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">52.43 &#xb1; 6.99b</td>
<td align="char" char="plusmn">7.23 &#xb1; 0.75a</td>
<td align="char" char="plusmn">10.46 &#xb1; 5.83a</td>
<td align="char" char="plusmn">12.54 &#xb1; 3.16a</td>
</tr>
<tr>
<td align="left">Al<sub>e</sub> (%)</td>
<td align="char" char="plusmn">0.05 &#xb1; 0.02a</td>
<td align="char" char="plusmn">7.23 &#xb1; 4.92c</td>
<td align="char" char="plusmn">3.50 &#xb1; 3.48b</td>
<td align="char" char="plusmn">0.27 &#xb1; 0.27a</td>
</tr>
<tr>
<td align="left">P mg kg<sup>&#x2212;1</sup>
</td>
<td align="char" char="plusmn">181.89 &#xb1; 27.47c</td>
<td align="char" char="plusmn">16.09 &#xb1; 1.85a</td>
<td align="char" char="plusmn">52.09 &#xb1; 12.27b</td>
<td align="char" char="plusmn">25.33 &#xb1; 9.99a</td>
</tr>
<tr>
<td align="left">C (%)</td>
<td align="char" char="plusmn">7.56 &#xb1; 1.54b</td>
<td align="char" char="plusmn">3.53 &#xb1; 0.21a</td>
<td align="char" char="plusmn">3.56 &#xb1; 1.55a</td>
<td align="char" char="plusmn">3.90 &#xb1; 0.83a</td>
</tr>
<tr>
<td align="left">OM (%)</td>
<td align="char" char="plusmn">13.04 &#xb1; 2.66b</td>
<td align="char" char="plusmn">6.08 &#xb1; 0.36a</td>
<td align="char" char="plusmn">6.13 &#xb1; 2.67a</td>
<td align="char" char="plusmn">6.72 &#xb1; 1.44a</td>
</tr>
<tr>
<td align="left">N (%)</td>
<td align="char" char="plusmn">0.55 &#xb1; 0.15c</td>
<td align="char" char="plusmn">0.36 &#xb1; 0.03b</td>
<td align="char" char="plusmn">0.34 &#xb1; 0.12ab</td>
<td align="char" char="plusmn">0.24 &#xb1; 0.06a</td>
</tr>
<tr>
<td align="left">C/N</td>
<td align="char" char="plusmn">14.07 &#xb1; 1.39b</td>
<td align="char" char="plusmn">9.85 &#xb1; 0.51a</td>
<td align="char" char="plusmn">10.26 &#xb1; 0.70a</td>
<td align="char" char="plusmn">16.66 &#xb1; 1.48c</td>
</tr>
<tr>
<td align="left">Fe ox (mg kg<sup>&#x2212;1</sup>)</td>
<td align="char" char="plusmn">4,929 &#xb1; 1339b</td>
<td align="char" char="plusmn">8,161 &#xb1; 2030d</td>
<td align="char" char="plusmn">6010 &#xb1; 646c</td>
<td align="char" char="plusmn">2,450 &#xb1; 488a</td>
</tr>
<tr>
<td align="left">Fe pir (mg kg<sup>&#x2212;1</sup>)</td>
<td align="char" char="plusmn">2,552 &#xb1; 585b</td>
<td align="char" char="plusmn">3,362 &#xb1; 319c</td>
<td align="char" char="plusmn">3,281 &#xb1; 224c</td>
<td align="char" char="plusmn">1,396 &#xb1; 267a</td>
</tr>
<tr>
<td align="left">Al ox (mg kg<sup>&#x2212;1</sup>)</td>
<td align="char" char="plusmn">7235 &#xb1; 2552a</td>
<td align="char" char="plusmn">1,632 &#xb1; 1170a</td>
<td align="char" char="plusmn">4,561 &#xb1; 2342b</td>
<td align="char" char="plusmn">4,126 &#xb1; 948b</td>
</tr>
<tr>
<td align="left">Al pir (mg kg<sup>&#x2212;1</sup>)</td>
<td align="char" char="plusmn">3,392 &#xb1; 1012b</td>
<td align="char" char="plusmn">1,409 &#xb1; 140a</td>
<td align="char" char="plusmn">3,189 &#xb1; 1135b</td>
<td align="char" char="plusmn">2,548 &#xb1; 633b</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Out of the 59 soils sampled, only seven soils showed detectable levels of antibiotics: two soils amended by RM2, and the other five by RM4 (<xref ref-type="table" rid="T6">Table 6</xref>). The two soils amended by RM2 had corn as crop, and one of them showed a concentration of 57&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> of amoxicillin, while the other one had 41&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> of clarithromycin. Regarding the soils amended by RM4, the three soil samples under corn contained the antibiotic cefuroxime, with maximum values of 276&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, while the other two soils which were placed under vineyard showed small amounts of amoxicillin (<xref ref-type="table" rid="T6">Table 6</xref>). The mixture from RM2 did not show clarithromycin and the other two antibiotics were not detected in any of the sludge samples, nor for those coming directly from WWTPs, neither after the processing in the residue manager facilities (<xref ref-type="table" rid="T3">Tables 3</xref>, <xref ref-type="table" rid="T4">4</xref>). The presence of antibiotics in these soil samples might be due to their dispersion through contaminated WWTPs effluents (<xref ref-type="bibr" rid="B68">Zuccato et al., 2010</xref>) or to the persistence of antibiotics in the soil after several years of sludge application, even though long-term application of sludge in arable lands has been shown to not being a probable cause of antibiotics accumulation in soils (<xref ref-type="bibr" rid="B55">Rutgersson et al., 2020</xref>). On the other hand, the continues application of slurry and manure, especially swine slurry, has been demonstrated that contributes building up persistent antibiotic residues in the uppermost layers of the soil (<xref ref-type="bibr" rid="B24">Gros et al., 2019</xref>). No antibiotic was detected in any of the leaves, stem, grain, roots or grape samples (<xref ref-type="fig" rid="F2">Figure 2</xref>). The post-WWTP management of the sludge is crucial to avoid soil contamination with antibiotics. Our results, with just 12% of the sampled soils presenting one antibiotic per sample, indicate the efficiency of the different management methods. <xref ref-type="bibr" rid="B14">Conde-Cid et al. (2018)</xref> studied the presence of veterinary antibiotics in soils amended with manure, detecting these compounds in 17% of the soil samples, with maximum values of 600&#xa0;ng&#xa0;g<sup>&#x2212;1</sup>, doubling the maximum detected in the soils amended with the managed sludge in the current research. Composting have been proved to reduce antibiotics in both manure and sludge samples (<xref ref-type="bibr" rid="B15">Dolliver et al., 2008</xref>; <xref ref-type="bibr" rid="B18">Ezzariai et al., 2018</xref>). In the present study, the presence of antibiotics in the mixtures that were lacking in the initial sludge highlights the need of carefully selecting the materials to be combined with the sludge for the composting process. Indeed, the co-composting of contaminated sludges with agricultural wastes has been suggested as a good strategy for the sanitation of compost (<xref ref-type="bibr" rid="B3">Alvarenga et al., 2015</xref>). These latter authors mentioned, however, that the risk of heavy metals accumulation driven by the composting process should be considered.</p>
<table-wrap id="T6" position="float">
<label>TABLE 6</label>
<caption>
<p>Concentration (ng g<sup>&#x2212;1</sup>) of antibiotic in soils under corn and vineyard crops and amended with compost/mixtures from the different residue managers (RM). Antibiotic detected: amoxicillin (AMO), cefuroxime (CEF), clarithromycin (CLA).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left"/>
<th align="center">RM</th>
<th align="center">AMO</th>
<th align="center">CEF</th>
<th align="center">CLA</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="5" align="left">Soil under corn</td>
<td rowspan="2" align="center">RM2</td>
<td align="center">57</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
<td align="center">41</td>
</tr>
<tr>
<td rowspan="3" align="center">RM4</td>
<td align="center">&#x3c;</td>
<td align="center">150</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="center">&#x3c;</td>
<td align="center">213</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="center">&#x3c;</td>
<td align="center">276</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td rowspan="2" align="left">Soil under vineyard</td>
<td rowspan="2" align="center">RM4</td>
<td align="center">&#x2a;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
<tr>
<td align="center">&#x2a;</td>
<td align="center">&#x3c;</td>
<td align="center">&#x3c;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>&#x3c; indicates the antibiotic was below detection level and &#x2a; indicated below quantification level.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>In previous investigations, different crops growing in manure-applied soils have shown antibiotic uptake (<xref ref-type="bibr" rid="B7">Bassil et al., 2013</xref>), but in some cases the values were below the quantification limit (<xref ref-type="bibr" rid="B31">Kang et al., 2013</xref>). In Galicia, previous studies showed that 44% of the crops amended with manure had detectable concentrations of veterinary antibiotics (<xref ref-type="bibr" rid="B14">Conde-Cid et al., 2018</xref>), these crops including grass, corn and wheat samples, with maximum values detected in corn, reaching up to 600&#xa0;ng&#xa0;g<sup>&#x2212;1</sup> for some veterinary antibiotics. The absolute absence of any antibiotic detected in plant material in the current research highlights the importance of the residue management before application to agricultural fields. In this sense, the spreading of manure, contrarily to what happens with sludge, is not regulated, and no management its required before field application in Spain, with less than 10% of the total animal manure being processed at the European level (<xref ref-type="bibr" rid="B19">Foged et al., 2011</xref>). It is possible that the situation in other regions and countries differ from this, although it means that we need to do further efforts regarding emerging pollutants monitoring. The impact of antibiotic contamination includes the presence of ARGs (antibiotic resistance genes) that has been reported in crops growing in soils where un-treated WWTP sludge was applied (<xref ref-type="bibr" rid="B53">Rahube et al., 2016</xref>), which is a real issue of concern as regards environmental and human health.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>The treatments applied in the wastewater treatment plants facilities investigated in the current study were not effective in removing the variety of antibiotics used in human medicine that were determined, which were specifically accumulated in sludge. In fact, most of the sludge studied contained some antibiotics, especially in the spring sampling, which is related to the greater consumption of these drugs in certain months. The antibiotics most frequently detected and in the greatest quantity in these sludge materials were ciprofloxacin and levofloxacin. The lack of specific regulation regarding these emergent pollutants in sludge and soils makes this an environmental problem needing further efforts to be correctly addressed. Our findings suggest that additional treatments of the sludge derived from these WWTP, carried out by waste managers, are effective in reducing the risk of environmental pollution due to antibiotics, specifically in the case of soils amended with these organic materials, preventing their entry in the food chain through the crops that grow in those agricultural soils.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s9">Supplementary Material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by the Spanish Ministry of Economy and Competitiveness (grant numbers RTI2018-099574-BC21 and RTI2018-099574-B-C22), with European Regional Development Funds (FEDER in Spain). RL-L holds a predoctoral FPU contract (FPU19/03758 Ministry of Education and Professional Formation).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontierspartnerships.org/articles/10.3389/sjss.2022.10741/full#supplementary-material">https://www.frontierspartnerships.org/articles/10.3389/sjss.2022.10741/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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