Dr Tom Makin, London 1st May 2014
  • May 2014

Slide contents

  • Waterborne pathogens
  • Sources of waterborne infection
  • Rotavirus
  • Norovirus infections in England and Wales
  • Cruise Ship Horizon
  • Oocysts - resistant to 50ppm chlorine
  • Each bather introduces 600,000 microorganisms !!
  • Salmonella bacterium
  • Biofilm
  • Aeromonas hydrophila, found in fresh and brackish water - rare cause of necrotising fasciitis
  • Necrotising fasciitis
  • NTB Mycobacteria spp (avium complex, marinum, kansasii)
  • S. maltophilia, grows better at 30 deg C
  • Pseudomonas aeruginosa
  • Otitis externa
  • Pseudomonas folliculitis
  • Pseudomonas keratitis (infection of the cornea)
  • Pseudomonas aeruginosa
  • Tap inserts
  • Tap aerators and water straighteners -
  • Courtesy of Mike Weinbren
  • Central venous
  • Journal of Hospital Infection vol 85, issue 2, pp106-111 October 2013
  • Legionella pneumophila
  • Admission
  • +1 year
  • Sustainable development
  • Legionnaires’ disease
  • Predominantly detects Pontiac strains of L. pneumophila sgp 1
  • Water stasis
  • High and low temperatures
  • ....but be aware of what lurks beneath!