Contamination Status and Health Risk Assessment of Tetracycline and β-Lactam Antibiotics in Milk: A Global Review (2012–2024)
Authors: ZHANG Xinyu, ZHANG Yi, YU Hui, LI Ke
Antibiotics, widely used for disease prevention and growth promotion in livestock, are emerging contaminants with potential risks to human health via the food chain. This review systematically analyzed the sources and residual levels of tetracycline (TCs) and β-lactam antibiotics in raw, pasteurized, commercial, and ultra-high-temperature (UHT) sterilized milk from various countries between 2012 and 2024, based on quantitative detection methods such as LC-MS and HPLC. The highest concentrations of TCs were found in milk from Algeria and Iran, while β-lactam residues were most elevated in Algeria, Bangladesh, and Kenya. The predominant TCs were tetracycline, chlortetracycline, and oxytetracycline; β-lactams were mainly penicillin and amoxicillin. Health risk assessment using hazard quotient (HQ) and hazard index (HI) revealed that all individual HQ values were below 1, indicating no significant non-carcinogenic risk from single antibiotics. However, the HI for multiple antibiotics in raw milk from Algeria exceeded 1, suggesting potential cumulative health risks. Furthermore, some studies reported residue concentrations surpassing maximum residue limits (MRLs), underscoring the need for continuous monitoring and control. This review highlights the global variability in antibiotic contamination and the importance of comprehensive risk assessment to safeguard public health.