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At least 109 records · Page 6Linked to original sources
PubMed2000

Toddler drowning in domestic swimming pools.

AIMS: To identify how toddlers who drowned gained access to private swimming pools; to recommend preventive strategies to reduce the incidence of toddler drowning and near drowning. METHOD: The study reviewed critically all completed investigations into the drowning deaths of toddlers aged 1-4 years reported to the state coroner (n=33) as a result of unintentional submersion incidents in domestic swimming pools in Victoria, Australia, from 1 January 1992 to 31 December 1997. RESULTS: There was a predominance of 1 year olds, and boys. Forty six per cent of the children drowned in the three summer months. The majority of pools were in-ground; most were located on the child's home property. Over half the pools lacked fencing of any kind; of those that did have fences, only three appear to have met Australian standards. CONCLUSIONS: More than half of the children studied drowned in unfenced pools and spas. In not one case did a child gain unaided access to a pool fitted with a fully functional gate and fence that met the Australian standard. Where children gained access to fenced pools, the majority did so via faulty or inadequate gates, or through gates that were propped open. This finding highlights the need for pool owners to install Australian standard approved fences and gates, and to maintain existing fences and gates regularly. Door locks and supervision were inadequate primary prevention strategies.

Accident Prevention↗
PubMed2005

Study of the environmental health aspects of swimming pools in Alexandria City.

There has been a rapid increase in the number of public as well as private swimming pools in recent years. This is because the general public is now much more health and fitness-oriented, and swimming is thought by many to be the perfect form of exercise. Assessment of the environmental and health aspects of some of Alexandria swimming pools was carried out through the present study. All the recorded temperatures during the present study agreed with the Infectious Diseases Regulations. As regards turbidity, although the annual mean values of most pools had shown compliance with the allowable limit of the decree, there were many violations of the limit values in some individual results recorded during the different months. Most of the residual chlorine results recorded at the different pools during the different months showed that the operators were adding the Cl2 in a haphazard way. The low pH values could be attributed to the addition of slug doses of Cl2 which hydrolyze, producing high concentrations of hydrochloric and hydrochlorous acids. The high incidence of recorded itching and redness of the eyes followed by ear infections was attributed to the exposure to excess chlorine, and to the presence of pathogenic microorganisms. As regards the awareness and practice to pool hygienic instructions, the low percentage of swimmers using head caps during swimming (30.1%) was mainly comprised of females. It could be concluded that the majority of the users followed some of the hygienic instructions, like showering, washing the feet before entering the pool, and wearing bathing suites instead of private clothes. The frequencies of health problems observed among users were related to many factors, like age, marital status, occupation, frequency, and duration of use of the swimming pool.

Egypt↗
PubMed2001

HPLC determination of cyanuric acid in swimming pool waters using phenyl and confirmatory porous graphitic carbon columns.

The chlorinated salts of cyanuric acid have found an important role in recreational swimming pool waters across the United States. Upon application to pool water, they can (1) release disinfectant chlorine or (2) stabilize the free available chlorine by acting as chlorine reservoirs in the form of cyanuric acid, preventing the photolytic destruction of residual chlorine by sunlight. Recommended levels of the cyanuric acid stabilizer are in the 10-100 mg/L concentration range according to the National Swimming Pool Foundation (San Antonio, TX). Two isocratic HPLC methods with UV detection (213 nm) employing phenyl and porous graphitic carbon (PGC) columns and phosphate buffer eluents (pH 6.7 and pH 9.1, respectively) were developed to accurately measure cyanuric acid in swimming pools. The two methods allowed fast separation and detection of the stabilizer in 4 (phenyl) and 8 (PGC) min. Both methods offered practical sensitivities with method detection limits of 0.07 (phenyl) and 0.02 mg/L (PGC). Neither one of the two methods required the use of sample cleanup cartridges. They exhibit chromatograms with excellent baseline stability enabling low-level quantitation. Most important, the PGC column had a useful lifetime of five months and 500 sample analyses/column. Eleven pool water samples were fortified with 4.8-50.0 mg/L stabilizer, and the average recovery was 99.8%. Finally, statistical analysis on the relative precisions of the two methods indicated equivalence at the 0.05 critical level.

Chromatography, High Pressure Liquid↗
PubMed1990

Role of pre-incubation in non-selective medium in recovery of Staphylococcus aureus from swimming pools and beaches.

Staphylococcus aureus was isolated from eleven open swimming pools and eleven swimming beaches in certain areas of Saudi Arabia. Pre-incubation of the water samples in a non-selective medium prior to their growth in the selective medium increased the rate of recovery over that of direct plating on the selective medium. The average increase was from 20.68% to 46.1% for pools and from 32.7% to 37.3% for beaches. Pre-incubation, therefore, is very important for the pool water which appears to contain more stressed bacteria.

Bacteriological Techniques↗
PubMed1997

Tinea pedis outbreak in swimming pools in Japan.

This study was conducted to show a higher prevalence of interdigital tinea pedis in athletes by comparing athletes and non-athletes, and to examine swimming pools as a route of infection. The subjects were 282 athletes, 137 non-athletes, and 140 students enrolled in a swimming class at the University of Tsukuba. This study included the taking of cotton-swab samples from the interdigital skin surfaces of both feet and cultures, microscopical examinations of scales collected from subjects with lesions, and questionnaires. There was a significant difference between athletes and non-athletes in the prevalence of the relevant pathogens, and a higher risk of infection was shown in athletes. The study also found that 63.6% of the swimming class students were carriers, and that 85.0% of their dermatophytes were Trichophyton mentagrophytes. In addition, dermatophytes were also isolated from the floors of the swimming pool and the public baths. The results of these controlled studies suggested that there was a significant risk of dermatophytosis in both athletes and non-athletes using the swimming pool.

Adult↗
PubMed1998

"Lifeguard lung": endemic granulomatous pneumonitis in an indoor swimming pool.

OBJECTIVES: Two sequential outbreaks of respiratory disease among lifeguards at an indoor swimming pool with water spray features were investigated. METHODS: Questionnaires were administered to recreation center employees following each outbreak. Respondents reporting 2 or more pool-related symptoms were offered clinical evaluation, including bronchoscopy with bronchoalveolar lavage and transbronchial biopsy. Pool air and water were sampled for fungi, bacteria, amoebae, endotoxin, and respirable particulates. RESULTS: Thirty-three lifeguards had noncaseating granulomas on biopsy and/or bronchoalveolar lavage lymphocytosis. Attack rates for the outbreaks were 27% and 65%. Case patients had higher cumulative hours of work and tended to work more hours per week. Analyses indicated increased levels of endotoxin in pool air and water (relative to control pools) and gram-negative bacterial colonization of water sprays. Use of water spray features generated a 5.2-fold increase in the number of respirable particles and up to an 8-fold increase in air endotoxin levels. CONCLUSIONS: Lifeguards in this indoor swimming pool developed granulomatous lung disease associated with endotoxin-containing respirable bioaerosols from water spray features, which ventilation system improvements did not prevent.

Adolescent↗
PubMed2006

[Swimming pool lung -- extrinsic allergic alveolitis or mycobacterial disease?].

There have been several recent reports of pulmonary disease resulting from exposure to Mycobacterium avium complex in indoor hot tubs. The disease is thought to be due either to infection or extrinsic allergic alveolitis (EAA). In this report we describe the case of a patient who developed episodes of fever, dyspnea and cough 4-6 hours after cleaning his indoor swimming pool. A diagnosis of EAA was made on finding a restrictive lung function pattern with gas exchange abnormalities, a predominant lymphocytosis in the bronchoalveolar lavage, diffuse ground-glass opacities in the lower lobes on high-resolution computer tomography, and specific IgG antibody activity to the swimming pool water. There was no precipitin reaction or specific IgG antibody activity to microbes extracted from the water. Interestingly, the water contained Mycobacterium avium complex (MAC) in huge amounts and in this case the histopathological features of the lung biopsy specimens differed from those seen in typical EAA, but were similar to those described in "hot tub lung" caused by mycobacteria. Solely by avoidance of cleaning the swimming pool, without any pharmacological treatment, the patient recovered completely within three months. To the best of our knowledge, this is the first report of EAA possibly associated with MAC exposure in a swimming pool environment.

Adult↗
PubMed2002

Ecology of dermatophytes and other keratinophilic fungi in swimming pools and polluted and unpolluted streams.

The biodiversity and richness of keratinophilic fungal communities including dermatophytes were assessed in three stream sites and three swimming pools in the Nablus district in Palestine, using hair baiting (HBT) and surface dilution plate (SDP) techniques, over 8- and 6-month periods, respectively. The effect of wastewater effluent and selected ecological factors on these fungi in relation to species diversity and population densities were also considered. Fifty keratinophilic fungal species were recovered from the aquatic habitats studied, of which 42 were recovered from stream sites and 22 from swimming pools. Of these fungi 6 were either dermatophytes (Microsporum gypseum, and Trichophyton mentagrophytes) or dermatophyte related species (Chrysosporium merdarium, Ch. tropicum, Ch. keratinophilum and T. terrestre). The most frequently isolated species in the three pools were Acremonium strictum and Cladosporium cladosporioides, using Sabouraud dextrose agar medium (SDA). The most abundant species were Acr. strictum, and Aspergillus flavus. However, only 4 species were isolated using the SDA medium amended with 5-flurocytosine (5-FC). The most frequent and abundant species in the three stream sites using SDA medium were Geotricum candidum, and Penicillium chrysogenum. The most frequent species in the three sites using the 5-FC medium, was Paecilomyces lilacinus. Using HBT, the most abundant and frequent species in the three stream sites were G. candidum, and Pa. lilacinus, on SDA medium, and Pa. lilacinus, and Gliocladium nigrovirens on the 5-FC medium. The 5-FC medium was more suitable for the isolation of dermatophytes and closely related species than the SDA medium; 6 were recovered on 5-FC, whereas only one on the SDA medium. Variation in the levels of keratinophilic fungal populations from the three stream sites sampled 5 times over an 8-month period, followed comparable fluctuation patterns. Wastewater affected fungal population densities with the highest levels in the un-polluted stream sites, and lowest in the heavily polluted sites. Swimming pools, polluted and un-polluted stream sites were found to be rich in pathogenic and potentially pathogenic fungi.

Arthrodermataceae↗
PubMed2000

An outbreak of cryptosporidiosis in an urban swimming pool: why are such outbreaks difficult to detect?

OBJECTIVE: To describe an outbreak of Cryptosporidium gastroenteritis in a swimming pool in Melbourne in early 1998 that was not detected through routine surveillance, and discuss difficulties in identifying such outbreaks. METHODS: The Water Quality Study (WQS) was a large community-based study of gastroenteritis. Following suspicion of an outbreak of cryptosporidiosis within the study group, due to pool "X", a nested case control study was performed. Each case of Cryptosporidium gastroenteritis was matched with six controls and data from weekly Health Diaries from the WQS were reviewed. The Department of Human Services also instigated active surveillance among patrons at pool "X" using a systematic sample of 50 people from the pool's swim-school enrollment list. RESULTS: There were seven cases of Cryptosporidium gastroenteritis in the case control study. Five cases and eight controls swam at pool "X" during the outbreak period. The adjusted odds of developing cryptosporidial diarrhoea if an individual swam at pool "X" was 34.5 (CI 2.3-2548). DHS identified another 11 laboratory confirmed cases associated with pool "X" as well as cases not linked to pool "X". 125 cases were identified throughout Melbourne with the suspected involvement of seven swimming pools. CONCLUSIONS: Despite a high odds ratio of developing cryptosporidiosis this outbreak was not detected by routine surveillance methods. Current outbreak detection methods lack sensitivity, specificity or timeliness. IMPLICATIONS: Improved surveillance systems are required if outbreaks of gastroenteritis are to be detected early so an intervention can be instigated to reduce the amount of subsequent illness.

Animals↗
PubMed1999

[Warts, swimming pools and atopy: a case control study conducted in a private dermatology practice].

OBJECTIVE: Our purpose was to study two risk factors of warts, i.e., swimming pool frequentation and atopy. PATIENTS AND METHODS: A case-control study was performed in four dermatologists' private offices. The cases were patients consulting for the first time for warts; the controls were patients consulting for the first time for acne. RESULTS: Univariate analysis performed in 153 questionnaires (including 86 cases and 67 controls) showed an association between warts with swimming pool frequentation one year before consulting and between warts and history of atopy. Multivariate analysis showed an association between warts and history of atopy (OR: 4.20; confidence interval at 95 p. 100 = (1.52-11.6). The link between warts and frequentation of swimming pool one year before is not significant (OR: 1.81; confidence interval at 95 p. 100 = (0.78-4.21)) but shows a tendency. DISCUSSION: This last point should be confirmed in further studies. Additionally, this study showed that this kind of clinical research can be carried out in dermatologist private practice.

Acne Vulgaris↗
PubMed1977

[Experience gained with ozone/activated-charcoal treatment of swimming-pools filled with sea water (author's transl)].

An ozone/activated charcoal stage in the water treatment also lends itself extremely well to improving the quality of sea water in swimming pools. This improvement is typically reflected in the low content of organic substances and nitrogen compounds (ammonia, urea) and, as a result, in the high redox potentials in the swimming-pool water which are even likely to bring about a rapid inactivation of the viri. A small percentage of the bromide in the sea water is oxidised to free bromide which passes through the activated charcoal filter, counteracts the growth of germs, keeps the filtrate largely free from germs and contributes to the disinfection of the swimming pool.

Ammonia↗
PubMed1997

Hypersensitivity pneumonitis related to a covered and heated swimming pool environment.

Hypersensitivity pneumonitis (HP) or extrinsic allergic alveolitis is a lung disease caused by a large group of inhaled antigens of various sources. The most common HP occurring in the farm environment is classically caused by exposure to various thermophilic actinomycetes and fungi that can grow in the farm environment. Pullularia species and thermophilic actinomycetes have been involved in HP related to humidifier water and saunas. Our case illustrates the value of a site visit in the diagnosis of HP. During a visit to the covered and heated swimming-pool where our patient used to swim we could see that favourable conditions to fungal growth existed. To determine the possible aetiological agents of a suspected HP, cultures from several parts of the swimming-pool were taken. These cultures showed an intense growth of thermophilic actinomycetes, Neurospora and Aspergillus species. Precipitating antibodies against Neurospora species and Mycropolyspora faeni were detected. A case of HP related to a covered and heated swimming-pool environment is reported. Thermophilic actinomycetes and Neurospora species may be the causing agents.

Actinomycetales↗
PubMed1980

[Study of factors affecting presence of atypical Mycobacteria in water of a swimming pool (author's transl)].

Observation of skin lesions due to M. marinum in patients who frequent the same swimming pool, led to a survey of the water of this swimming pool. The mycobacterial analysis was completed by a microbiological and chemical examination. M. marinum, M. kansasii and M. fortuitum were isolated. There was no correlation between the presence of Mycobacteria and microbiological indicators; but it was found a relation between the residual chlorine concentration and the presence of opportunistic Mycobacteria. The contamination could be proceed from water filling the pool, or from swimmers.

Mycobacterium↗
PubMed1983

Comparison of Vogel-Johnson and Baird-Parker media for membrane filtration recovery of staphylococci in swimming pool water.

Previous studies have indicated that the coagulase-positive Staphylococcus (Staphylococcus aureus) has potential as a useful indicator of the infection hazard associated with the use of swimming pools and other recreational waters. However, before this indicator system can be used effectively, a recovery system that is sufficiently selective, accurate, and reliable for the enumeration of S. aureus must be developed. In this study, Vogel-Johnson (VJ) and Baird-Parker (BP) agars were compared for efficacy in the primary isolation and recovery of S. aureus from swimming pool water. For equal sample volumes of pool water containing adequate free chlorine residual, VJ agar was found to be more selective for staphylococcal species and less inhibitory to general cell growth than was BP agar. However, neither medium was found to be sufficiently differential to permit the accurate identification of S. aureus. In contrast, water samples obtained from a swimming pool containing very low levels of chlorine (none of which was in the free form) showed abundant growth of staphylococci on both test media, with both VJ and BP agars showing increased sensitivity for the detection of S. aureus. Thus, VJ and BP agars show increased sensitivity for the detection of coagulase-positive staphylococci from unchlorinated versus chlorinated waters.

Agar↗
PubMed1980

[Free-living amoebae in the Grenoble area swimming pool water. Influence of th "winter-summer" use and of the sterilising procedure (author's transl)].

An epidemiological study concerning the search for and identification of free-living amoebae has been carried out on swimming pool water in the Grenoble area. Eleven establishments were surveyed over a period of one year, by taking samples of water every month. The results obtained show that the positive nature of the samples and the nature of the isolated species are influenced by the two factors being studied: The rhythm of the "Summer-Winter" use of swimming pools and the nature of the sterilising procedure, chlorine, bromine and ozone. The current sterilising conditions of the swimming pool water are discussed.

Amoeba↗
PubMedDate not supplied

[Comparison of European standards of swimming pool safety].

European countries follow different procedures to monitor the quality of the water of swimming pools open to the public: some use generally accepted technical standards, some officially recommended guidelines, some rules or regulations by local authorities and some have national laws or regulations. These agree insofar as in every country the water of swimming pools must be disinfected. The microbiological limits are to a certain extent identical with drinking water threshold values, e.g., no faecal coliforms must be present in 100 ml. Other microorganisms as for instance legionellae, staphylococci or Pseudomonas aeruginosa ar not uniformly considered. In all countries the water must be disinfected by chlorination. Big differences exist, however, in respect of the maximum admissible concentrations of free or total chlorine, haloforms and organic carbons. With regard to the common goals, harmonization of the regulations appears possible.

Colony Count, Microbial↗
PubMedDate not supplied

[Study on the presence of "free-living" amoebae in the swimming-pools of Lyon (author's transl)].

About 90% among 44 water samples executed in 9 swimming-pools of Lyon contained amoebae. From these prelevements, 85 strains have been separated. In spite of the great diversity of the species isolated, the strains belonging to genus Acanthamoeba and Hartmannella prevail. In return, the genus Naegleria seems to be rare: it has been isolated only one time directly from water of swimming-pools.

Amoeba↗