Wastewater reclamation and reuse is a promising way to relieve water scarcity by substituting for natural water consumption by industrial cooling. However, health concerns regarding cooling water originating from reclaimed water are increasing because an abundance of antibiotic-resistant bacteria (ARB) has been detected in reclaimed water. To assess the potential increase of ARB risks in reclaimed water after reuse for industrial cooling, the prevalence of six types of ARB was investigated in water and sediment samples from Lake Gaobeidian, which serves as an artificial circular storage reservoir for reclaimed water for cooling reuse. The effect of treated wastewater and cooling water drainage on the ARB distribution in water and sediment samples was also studied. The results showed that the concentration levels of six types of ARB in lake water samples were as high as those in treated wastewater. The annual median concentrations of total heterotrophic bacteria (HPC) and ARB in discharged cooling water after usage were 0.6-log and 0.4-log higher than those in treated wastewater and the cooling water intake site, respectively, indicating that the process of cooling water usage enhanced the proliferation of HPC and consequently increased the concentrations of ARB. Furthermore, the percentages of penicillin-, ampicillin-, and cephalothin-resistant bacteria in water were 30-57%, 36-48%, and 23-40% higher than those in sediment, respectively. However, the proportions of chloramphenicol-resistant bacteria in water were 35-85% lower than those in sediment. Quantitative evaluation of antibiotic resistance showed that HPC in water had a significant tolerance to penicillin and chloramphenicol, with 50% inhibitory concentrations reaching 22.90 mg L(-1) and 29.11 mg L(-1), respectively.
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