Ceftriaxone
Summary
Persistence. Ceftriaxone is degraded in the environment.
Bioaccumulation. Ceftriaxone has low potential for bioaccumulation.
Toxicity. Ceftriaxone has very high chronic toxicity.
Risk. The use of ceftriaxone (sales data Sweden 2021) has been considered to result in insignificant/low environmental risk. See more under Detailed information.
This summary information comes from fass.se.
For antibiotics in general, it is recommended that these pharmaceuticals are used as restrictively as possible without jeopardise the patient's health.
Detailed information
Fass environmental information
Fass environmental information for Rocephalin med lidokain (ceftriaxone, lidocaine) from Roche (downloaded 2024-10-08).
Hazard
Persistence: "Ceftriaxone disodium salt hemi(heptahydrate) is neither readily, nor inherently biodegradable. However, biodegradation in sewage sludge according to OECD 314 B showed a fast primary degradation of Ceftriaxone with cleavage of the beta-lactam ring, thereby demonstrating that the antibiotic activity is completely lost during sewage treatment. With a primary degradation DegT50 of 0.43 days, this justifies the phrase 'Ceftriaxone disodium salt hemi(heptahydrate) is degraded in the environment.'"
Bioaccumulation: Log POW 0.025 pH 2.0 experimental, method unknown
log D -1.2 pH 7.4 experimental, method unknown
KOC ≤ 2713 pH-sensitive, QSAR; low adsorption based on log Pow
BCF < 10 QSAR.
Chronic toxicity: There are data for 2 trophic levels, most sensitive cyanobacteria ErC10 = 3.31 microg/L.
Risk
PEC/PNEC is based on sales data in Sweden in year 2021. "PNEC (μg/L) = lowest ErC10/10, where 10 is the assessment factor used. An ErC10 of 0.00331 mg/L (3.31 μg/L) for the cyanobacteria Anabaena flos-aquae has been used for this calculation. Fish has been considered not to be the relevant species, due to the low acute toxicity. This is a joint assessment performed by the AMR Industry Alliance. PNEC = 3.31 μg/L/10 =0.331 μg/L active substance."
PEC Predicted Environmental Concentration = 0.008 μg/L.
PEC/PNEC = 0.023 which gives the risk insignificant.
According to the guidelines AF 50 would be used for two long-term tests. PNEC = 3.31 μg/L/50 = 0.0662 μg/L. PEC/PNEC = 0.12 which gives the risk low.
References
Author: Health and Medical Care Administration, Region Stockholm