The performance of an up-flow anaerobic stage reactor (UASR) treating pharmaceutical wastewater containing macrolide antibiotics was investigated. Specifically, it was determined whether a UASR could be used as pre-treatment system at an existing pharmaceutical production plant to reduce the antibiotics in the trade effluent. Accordingly, a UASR was developed with an active reactor volume of 11 L being divided into four 2.
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