Higher chlorine dosage does not consistently enhance antibiotic resistance mitigation in the Cl₂-UV process

Health problems arising from antibiotic resistance are a global concern. The Cl₂-UV disinfection process has shown potential for controlling antibiotic resistance in water; however, the influence of disinfectant dosage on its effectiveness remains insufficiently understood. Can antibiotic resistance be controlled by simply increasing the disinfectant dosage? This study demonstrated that higher disinfectant levels improved antibiotic resistance gene (ARG) removal, with certain ARGs reaching 1.82 log removal under conventional conditions. Nevertheless, higher disinfectant dosages also led to an increase in the relative abundance of multidrug resistance genes (MRGs), aminoglycoside resistance genes (AmRGs), and fosmidomycin resistance genes (FRGs). Correlation analysis of ARGs with mobile genetic elements (MGEs) and ARG-host bacteria indicated that this enrichment was primarily driven by enhanced horizontal gene transfer (HGT). Notably, increases in UV fluence and chlorine dose had distinct impacts on the total relative abundance of ARGs: higher UV fluence reduced total relative abundance, whereas higher chlorine dose increased it. These contrasting trends are likely linked to differences in the dominant HGT pathways under each condition. Greater UV fluence tended to promote conjugative transfer among surviving bacteria, while higher chlorine dosages more effectively facilitated natural transformation. Considering both the absolute and relative abundances of ARGs, along with calculated health-risk indices for each treatment condition, the findings indicated that increasing UV fluence is more effective for controlling ARGs in water. These results provide valuable insights for optimizing the Cl₂-UV disinfection process to better manage antibiotic resistance in aquatic environments.