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PubMed1989

Sink flora in a long-stay hospital is determined by the patients' oral and rectal flora.

Sinks in a new long-stay hospital (LSH) were cultured weekly during 4 consecutive months to evaluate the microbial profile before and after occupancy of the hospital. From the elderly patients admitted to the patient care rooms oral and rectal specimens were collected to examine the contribution of the patients' flora to the sink contamination. Isolates were typed biochemically, serologically and by susceptibility pattern. Before occupancy Gram-negative bacilli were not isolated. Once the elderly patients, who were highly colonized on admission, occupied their rooms identical strains gradually contaminated the sinks. Escherichia coli, Klebsiella, Pseudomonas and Acinetobacter species were the major correlating strains. The mean concentration of the correlating isolates was higher in throat and intestines compared to the mean concentration of the non-correlating strains. These strains seem to have a greater chance to be shed and then transferred via the hands of personnel to sinks. This report shows that the major route of environmental contamination is from patient carriers to sinks, and not the reverse way.

Acinetobacter↗
PubMed2006

Considering user attitude in early Development of environmentally friendly technology: a case study of NoMix toilets.

Urine source separation (NoMix technology) has been proposed as a sustainable alternative to centralized wastewater treatment systems. Radical changes necessitate an early inclusion of sociological expertise, thus offering a real chance fortransdisciplinary collaboration. The practical aim of our survey is to find out how users accept and use existing NoMixtoilets and how this could be encouraged. We collected 1249 questionnaires from 2002 to 2004 in one Swiss school and one Swiss research institute. The technological immaturity of NoMix toilets was noted by many. Nevertheless, acceptance was high: 72% liked the idea and 86% would move into apartments with NoMix toilets. Moreover, most users found that NoMix toilets equal conventional toilets with respect to design (78%), hygiene (84%), and smell (78%). Like many other innovations, the NoMix technology only functions properly if it is used adequately, which we demonstrate for water saving and sitting to urinate. Many users adopted this behavior, e.g., 72% sat. Because perception and use of NoMix toilets is subjective, it can be influenced with certain measures such as good information and cleaning, or discussions with peers. We discuss the importance of social psychology for understanding the factors that influence the acceptance of environmentally friendly innovations.

Attitude↗
PubMed2001

Biofilms and microbially influenced cuprosolvency in domestic copper plumbing systems.

AIMS: To survey biofilm accumulation within domestic copper plumbing pipes in South Australian drinking water distribution systems and examine its role in copper solvation (cuprosolvency). METHODS AND RESULTS: Cold water copper pipes were sampled from two different plumbing systems receiving filtered and unfiltered potable water respectively. Biomass was quantified by total organic carbon measurements and viable cell counts and microbial activity by respirometry. Biofilm accumulation was related to water chemistry within the systems, particularly nutrients, alkalinity and conductivity, as well as water turbulence. Laboratory coupon experiments were used to determine the effect of extracted biofilm on copper solvation. Biofilms were shown to be capable of both increasing and decreasing aqueous copper concentrations in comparison to sterile controls. CONCLUSIONS: The results suggest that water quality may influence the accumulation of biofilms in copper plumbing systems, as well as potential cuprosolvency activity. SIGNIFICANCE AND IMPACT OF THE STUDY: The presence of biofilms in copper plumbing systems and their ability to influence aqueous copper concentrations has implications for both public health and the management of distribution systems.

Bacteria↗
PubMed2000

Aerators as a reservoir of Acinetobacter junii: an outbreak of bacteraemia in paediatric oncology patients.

Tap water can play a role as a source of nosocomial pathogens, and faucet aerators have occasionally been mentioned in the literature associated with colonization or infection in hospitalized patients. In this study, we report on outbreak of bacteraemia in paediatric oncology patients caused by Acinetobacter junii. Environmental sampling showed the water system to be contaminated with A. junii. Molecular typing using automatic laser fluorescence analysis of randomly amplified polymorphic DNA (RAPD-ALFA) revealed two distinct strains. The outbreak strain, isolated from blood cultures of the affected children, was only found in the water taps of staff rooms. Aerators were commonly found to be contaminated, and more so than water obtained after removal of these devices. We believe that conventional aerators consisting of several wire meshes can serve as a reservoir for low levels of bacteria present in the water system. We recommend, especially for high-risk areas, either that aerators should not be used, or the use of aerators consisting of radially and vertically arranged lamellae, which do not lead to the collection of sediment or water stagnation, and to clean them regularly.

Acinetobacter↗
PubMed2001

Recovery of filamentous fungi from water in a paediatric bone marrow transplantation unit.

In order to determine whether water or water-related surfaces are a reservoir for opportunistic filamentous fungi, water sampling in the paediatric bone marrow transplantation (BMT) unit of the National Hospital University of Oslo, Norway was performed. During a six-month period 168 water samples and 20 samples from water-related surfaces were taken. The water samples were taken from the taps and showers in the BMT unit and from the main pipe supplying the paediatric department with water. In addition, 20 water samples were taken at the intake reservoir supplying the city of Oslo with drinking water. Filamentous fungi were recovered from 94% of all the water samples taken inside the hospital with a mean colony forming unit (cfu) count of 2.7/500mL of water. Aspergillus fumigatus was recovered from 49% and 5.6% of water samples from the taps and showers, respectively (mean 1.9 and 1.0cfu/500mL). More than one third (38.8%) of water samples from the main pipe revealed A. fumigatus (mean 2.1cfu/500mL). All water samples taken at the intake reservoir were culture positive for filamentous fungi, 85% of the water samples showed A. fumigatus (mean 3.1cfu/500mL). Twenty-five percent of water-related surfaces yielded filamentous fungi, but A. fumigatus was recovered from only two samples. We showed that filamentous fungi are present in the hospital water and to a lesser extent on water-related surfaces. The recovery of filamentous fungi in water samples taken at the intake reservoir suggests that the source of contamination is located outside the hospital.

Air Microbiology↗