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You are here: Home / Archives for Legionella

Legionella pneumophila – Guidelines for Laboratory Interpretation

Lyn Gandham

Legionella pneumophila is a Gram negative, aerobic bacteria that is characterized as an opportunistic pathogen. It is the cause of Legionnaires’ Disease, a severe form of pneumonia and, it is the cause of Pontiac fever, a non-pneumonic form of L. pneumophila infection. Legionella spp.’s mode of transmission is through aerosols or aspiration of contaminated water.

The Public Health Agency of Canada has posted an informative pathogen safety data sheet on Legionella pneumophila which can be viewed at:

http://www.phac-aspc.gc.ca/lab-bio/res/psds-ftss/legionella-eng.php

Legionella spp. can be isolated from numerous places. Samples should be transported to the lab immediately and kept cool in sterile containers. Chlorinated water should be treated with sodium thiosulfate to neutralize the chlorine. Water samples should be brought to the lab ideally within a few hours of sampling and should be stored at room temperature (20 + 5°C) in the dark.

Examples of sampling areas:

A. Potable water (1 L in sterile container):

– Municipal water (hot water tanks), hoses, well water, faucets, water fountains, sinks, respiratory therapy equipment, showers, eye washers, bottled water or cooler water systems.

Note: Collect 2 water samples from shower heads, tap water faucets, respiratory therapy equipment, water fountains, etc. First a pre-flush or first draw sample by draining the first 1 L of water from the faucets or flush drains into a bottle. Allow the water to run for approximately 1 minute and collect the second draw of 1 L of water.

B. Non-potable water (250 mL in sterile container):

– Cooling towers, humidifiers, decorative fountains, HVAC systems, dire sprinkler systems, storage tanks, basin water, hot tubs, surface water from reservoirs, misters.

C. Swabs:

– Faucet aerators, condensate pan, shower heads, condenser coils.

D. Bulk samples:

– Sludge from the bottom of a condensate pan scraped off a cooling coil.

E. Legionella Air Sampling requires the following which can be provided by MBL Inc.:

  • Latex gloves
  • 70% Isopropyl alcohol to sterilize sampler after every other sample
  • SKC QuickTake 30 pump with Andersen N-6 single stage Impactor
  • BCYE (Buffered Charcoal Yeast Extract) agar

Interpretation of Legionella results:

Table 1. The following chart can be used as a guideline for interpretation of Legionella spp. results received from the laboratory.

Action (see below)


1

2

Cooling tower


100

1,000

Domestic water


10

100

Humidifier


1

10

 

Action 1:  Prompt cleaning and/or biocide treatment of the system.
Action 2:  Immediate cleaning and/or biocide treatment. Take prompt steps to prevent employee exposure.

(Source: From OSHA Technical Manual (Section III: Chapter 7, Legionnaires’ Disease), which was adapted from George K. Morris, PhD, and Brian G. Shelton, Pathcon Technical Bulletin 1.3, Legionella in Environmental Samples: Hazard Analysis and Suggested Remedial Actions, June 1991)

 

For more information on Legionella testing or to find out about our other bacteria and mold testing services, please contact Mold & Bacteria Consulting Laboratories, call our Ontario, Mississauga Office at 905-290-9101 or the British Columbia, Burnaby Office at 604-435-6555.

 

Filed Under: Bacteria Tagged With: Legionella, legionnaires disease

Heterotrophic Plate Count: What is HPC and when is the right time to use it?

Lyn Gandham

Heterotrophs are a group of microorganisms (bacteria, moulds and yeasts) that use organic carbon sources to grow and can be found in all types of water. In fact, the majority of bacteria found in drinking water systems are considered heterotrophs. Heterotrophic plate count (HPC) is a method that measures colony formation on culture media of heterotrophic bacteria in drinking water. Thus the HPC test (also known as Standard Plate Count) can be used to measure the overall bacteriological quality of drinking water in public, semi-public and private water systems.

The Limitations of HPC:

hpc plate count
Bacteria count

As stated by the Health Canada guidelines on HPC testing, “HPC results are not an indicator of water safety and, as such, should not be used as an indicator of potential adverse human health effects.” The World Health Organization (WHO) states that methods such as coliform testing are better indicators than HPC to test the sanitary conditions of water.

The HPC method does not indicate the specific heterotrophic bacteria present or their sources. Instead, HPC testing indicates the culturable organisms present, which could be as low as 1% of the total bacteria present. There are several factors that affect the genera of bacteria and their level of presence recovered by HPC. These factors include the type of medium used to grow the bacteria, what temperature is used for incubation, how long the plates are incubated, where the water sample was collected, the time of year and the age of the sample. It is also important to note that the concentrations and types of bacteria that are recovered at the same sampling location can vary over time.

Typically high levels of HPC bacteria in a distribution or plumbing system result from bacterial regrowth where bacteria that resisted treatment grow or those that were injured during treatment recover.

How do we interpret HPC results?

For HPC, regulations set out by Health Canada are followed under the Canadian Drinking Water Quality Guidelines: “No maximum acceptable concentration (MAC) is specified for heterotrophic plate count (HPC) bacteria in water supplied by public, semi-public, or private drinking water systems. Instead, increases in HPC concentrations above baseline levels are considered undesirable.”

In other words, sudden increases in HPC above levels typically seen may indicate a change in the quality of raw water or, that bacterial regrowth has occurred in the distribution system or plumbing. When steady increases of HPC are seen over time, this indicates a gradual decline in raw water quality.

As stated by the National Primary Drinking Water Regulations established by the U.S. EPA a “lower concentration of heterotrophic bacteria in the drinking water is linked to a better maintenance of the treatment and distribution systems.” According to these regulations, treatment techniques should aim to control HPC concentrations in surface waters and groundwaters influenced by surface waters to less than 500 CFU/mL (using standard methods). Note: “This is not a health-based standard, but reflects the concern that at concentrations above 500 CFU/mL, heterotrophic bacteria can interfere with some total coliform and E. coli recovery methods.”

Importance of HPC counts:

High HPC counts indicate ideal conditions for bacterial regrowth and should be corrected. Bacterial regrowth can lead to pipe corrosion, encourage slime growth, increase the need for disinfectants, cause foul-tasting water, and harbour secondary respiratory pathogens (ex. Legionella). Thus, HPC can be used as a marker for the underlying causes of some aesthetic problems (WHO, 2002).

Does having a positive HPC results mean the overall water quality is poor?

No, not necessarily.

Unlike other indicators, such as Escherichia coli or total coliforms, low concentrations of HPC organisms will still be present after drinking water treatment. In general, water utilities can achieve heterotrophic bacteria concentrations of 10 colony-forming units (CFU) per millilitre or less in finished water.

What are the health effects associated with HPC levels?

At an international meeting of experts in Geneva, Switzerland, it was concluded that heterotrophic bacteria in drinking water is not a health concern to the general public. However, some bacteria present in a heterotrophic population are opportunistic pathogens that could infect individuals with weakened immune systems.

“Heterotrophic bacteria belonging to the following genera have been associated with opportunistic infections: Acinetobacter, Aeromonas, Chryseobacterium (Flavobacterium), Klebsiella, Legionella, Moraxella, Mycobacterium, Serratia, Pseudomonas, and Xanthomonas. These organisms have been mainly associated with nosocomial (hospital acquired) infections, including wound infections, urinary tract infections, post-operative infections, respiratory infections, and infections in burn patients.”

What methods can be used to measure HPC?

There are 3 methods used for routine testing of heterotrophic bacteria:

  1. Pour plate method (least desirable method because embedded colonies are slower growing and microaerobic environment is not ideal for growth and, bacteria could undergo heat shock during plating).
  2. Spread plate method (heat shock is eliminated by using solidified agar but only a small volume (0.1-0.5 mL) can be tested).
  3. Membrane filtration method (most flexible method because volumes upto 10L can be tested, heat shock is eliminated by membrane filter, and  it is ideal for HPC less than 10 CFU/mL but multiple dilutions may be required to count colonies on filter).

Here at MBL, we use membrane filtration to measure heterotrophic plate count. If you need to determine the level of heterotrophic bacteria, fecal coliforms, E.coli, total coliforms, Legionella or other type of bacteria in water call our Mississauga office at 905-290-9101 or our toll free number at 1-866-813-0648.

References:

Health Canada (1996) Guidelines for Canadian Drinking Water Quality, 6th edn. Minister of Public Works and Government Services Canada, Ottawa, Ontario

Heterotrophic plate counts and drinking-water safety: The significance of HPCs for water quality and the human health. Edited by J. Bartram, J. Cotruvo, M.Exner, C. Fricker, A. Glasmacher. 

Guidelines for Canadian Drinking Water Quality: Guideline Technical Document: Heterotrophic Plate Count (Prepared by the Federal-Provincial-Territorial Committee on Drinking Water of the Federal-Provincial-Territorial Committee on Health and the Environment (February 2006).  

For access to the BC Drinking Water Protection Act and the BC Drinking Water Protection Regulation, please refer to the following website: http://www.health.gov.bc.ca/protect/dw_index.html

Guidance on the Use of Heterotrophic Plate Counts in Canadian Drinking Water Supplies (Document for Public Comment Prepared by the Federal-Provincial-Territorial Committee on Drinking Water – Consultation period ended May 27, 2011).

US EPA (1989) 40 CFR Parts 141 and 142 Drinking Water; National Primary Drinking Water Rules and Regulations; filtration, disinfection; turbidity, Giardia lamblia, viruses, Legionella, and heterotrophic bacteria; final rule. US Environmental Protection Agency. Fed. Regist. 54(124), 27486–27541.

US EPA (2001) National Primary Drinking Water Standards. EPA 816-F-01-007, March, US Environmental Protection Agency, Washington, DC (www.epa.gov/safewater).

Filed Under: Bacteria Tagged With: Acinetobacter, Aeromonas, Bacteria, Chryseobacterium, coliform, E. coli, Flavobacterium, Heterotrophic Plate Count, hpc, Klebsiella, Legionella, Moraxella, Mycobacterium, Pseudomonas, Serratia, Xanthomonas

What’s The Chance Of Getting A Positive Result For Legionella Tests?

Jackson Kung'u

Legionella Tests Question: Hi, I am a student working on an environmental research project on Legionella tests. I’m considering to have some water sample tested for Legionella species especially Legionella pneumophila. From your experience, what is the chance of getting a positive result for the Legionella tests? How much does the tests cost, for both PCR and culturable methods?

Thank you for your attention.

Answer: Legionella species are ubiquitous in natural and artificial water environments worldwide. They survive in a wide range of environmental conditions. Chances of getting positive results for Legionella tests from water depends on the following:

  • The Source of water. Legionella species thrive at temperatures between 20 °C and 50 °C. Therefore, the bacteria are rarely found in municipal water supplies. They tend to colonize warm water systems and point-of-use devices, particularly hot-water systems.
  • Isolation method. Legionella species are usually a very minor component of the total bacterial population in environmental samples and are rarely present in high numbers. Thus, it’s possible to get negative Legionella tests results if the bacteria in the sample were not concentrated prior to analysis.
  • Concentration: Legionella may be present in concentrations too low to be detected using culture methods.
Legionella tests
Legionella test

The cost of Legionella tests depends on the level of identification required. There are many labs that carry out Legionella tests but some if not most are not accredited.  To minimize false-positive results for Legionella tests, it’s important to use a qualified accredited laboratory.

Mold & Bacteria Consulting Laboratories (MBL) performs several Legionella tests every year. Currently we use cultural methods for Legionella identification. We’re accredited by the Canadian Association for Laboratory Accreditation (CALA) to ISO/IEC 17025:2005. MBL is also certified in the analysis of Legionella bacteria by the prestigious Environmental Legionella Isolation Techniques Evaluation (ELITE) program of the US Centers for Disease Control and Prevention (CDC).

For pricing please call 905-290-9101 in Ontario.

Filed Under: Bacteria, MBL Answers, Water Testing Tagged With: Bacteria, Legionella, legionella test

Health Hazards in Pools, Hot Tubs and Spas

Jackson Kung'u

Pools, hot tubs and spas occasionally get contaminated with harmful bacteria such as E. coli, Legionella pneumophila, Pseudomonas aeruginosa, Mycobacterium avium, Streptococcus and Salmonella. These bacteria are known to cause serious diseases in humans such as infection of the skin, eyes, ears, hair follicles, intestines and urinary tract.

More serious illnesses are the Legionaires’ Disease and Pontiac Fever acquired from inhaling airborne Legionella cells. This occurs when Legionella becomes airborne by way of aerosol mists produced in spas and hot tubs.

Legionella bacteria are able to survive in low temperatures, but thrive at temperatures between 20oC and 45oC. Legionella cannot survive at temperatures of 60oC and above.

Filed Under: Bacteria, Water Testing Tagged With: E. coli, Legionaires Disease, Legionella, Mycobacterium avium, pontiac fever, Pseudomonas aeruginosa, Salmonella, Streptococcus

Legionella Training Course

Jackson Kung'u

Legionella Training Course – MBL has developed a practical Legionella training course specifically for those involved in the management and control of Legionella including health and safety managers, engineers, building and facilities managers, and water treatment professionals.

Our professional Legionella training course examines a range of Legionella related issues including:

  • Legionella: Terms, Definitions and General Facts.
  • History of Legionnaires’
    disease.
  • Potable Water Systems & Methods of Disinfection.
  • Cooling Towers: Water Treatment & Legionella
  • Cooling Tower Guidelines and Legionella
  • Statutory and advisory regulations
    (based around Health Canada).
  • Legionella risk assessments.
  • Legionella Sampling and Testing
  • Appropriate precautionary measures.
  • Practical implementation of a structured risk management system.

For more details about the course, please call 905-290-9101

Filed Under: Bacteria, Training Tagged With: Legionella, Training

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