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However, there is currently limited available data characterizing the concentrations of antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in recycled water to support robust efforts at risk assessment. The objective of this systematic review was to identify and synthesize the existing literature documenting the presence and abundance of ARB and ARGs in recycled water. In addition, this review identifies best practices and explores monitoring targets for studying ARB and ARGs in recycled water to guide future work and identifies key research needs aimed at better supporting quantitative microbial risk assessment focused on recycled water and antibiotic resistance. Future efforts to collect data about ARB and ARG prevalence in recycled water should report concentration data per unit volume. Sample metadata should also be provided, including a description of treatment approach, a description of planned water uses (e.g., potable, irrigation), methods for conveyance to the point of use, and available physicochemical water quality data. Additional research is needed aimed at identifying recommended ARB and ARG monitoring targets and for developing approaches to incorporate metagenomic data into risk assessment.<\/jats:p>","DOI":"10.1111\/1462-2920.15804","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T03:05:32Z","timestamp":1633921532000},"page":"7355-7372","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Towards risk assessment for antibiotic resistant pathogens in recycled water: a systematic review and summary of research needs"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1579-155X","authenticated-orcid":false,"given":"Emily","family":"Garner","sequence":"first","affiliation":[{"name":"Wadsworth Department of Civil and Environmental Engineering West Virginia University  Morgantown WV 26506 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