title: Microbiological quality of indoor and outdoor swimming pools in Greece: investigation of the antibiotic resistance of the bacterial isolates.
abstract: During 1997-2005, the microbiological quality and susceptibility of bacterial isolates of swimming pool waters were investigated. A total of 462 water samples were collected from three indoor swimming pools (a teaching pool, a competition public pool, a hydrotherapy pool) and two outdoor swimming pools (a hotel semi-public and a residential private pool) in Northwestern Greece. All water samples were analyzed for the presence of bacteria, protozoa and fungi and susceptibility tests were performed for the bacterial isolates. Sixty-seven percent of the examined water samples conformed to the microbiological standards and 32.9% exceeded at least one of the indicated limits. Out of 107 bacterial isolates, 38 (35.5%) resistant strains were detected. Multi-resistant Pseudomonas alcaligenes, Leuconostoc, and Staphylococcus aureus (isolated from the teaching pool), Staphylococcus wernerii, Chryseobacterium indologenes and Ochrobactrum anthropi (isolated from the competition pool), Pseudomonas aeruginosa, P. fluorescens, Aeromonas hydrophila, Enterobacter cloacae, Klebsiella pneumoniae and S. aureus (isolated from the hydrotherapy pool) and A. hydrophila (isolated from the hotel pool) were detected. The swimming pool with the poorest microbiological quality (THC 500 cfu/ml in 12.1% of the samples, P. aeruginosa counts 1500 cfu/100 ml in 6% of the samples) and the highest prevalence of multi-resistant isolates (73.6%) was the hydrotherapy pool. No Cryptosporidium or Giardia cysts and no Legionella, Mycobacteria and Salmonella were detected, but there were isolations of Candida albicans, Aspergillus spp., Mucor spp., Alternaria spp., Rhizopus spp., Trichophyton spp., and Penicillium spp.
authors.affiliation: Food, Water, Environmental Microbiology Unit, Medical School, University of Ioannina, 45110 Ioannina, Greece. cpapadop@cc.uoi.gr
authors.forename: Chrissanthy
authors.initials: C
authors.lastname: Papadopoulou
authors.forename: Vangelis
authors.initials: V
authors.lastname: Economou
authors.forename: Hercules
authors.initials: H
authors.lastname: Sakkas
authors.forename: Panagiota
authors.initials: P
authors.lastname: Gousia
authors.forename: X
authors.initials: X
authors.lastname: Giannakopoulos
authors.forename: Catherine
authors.initials: C
authors.lastname: Dontorou
authors.forename: George
authors.initials: G
authors.lastname: Filioussis
authors.forename: Helen
authors.initials: H
authors.lastname: Gessouli
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Karanis
authors.forename: Stamatina
authors.initials: S
authors.lastname: Leveidiotou
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D002175:Candida / Q000302:isolation & purification; D024881:Drug Resistance, Bacterial; D006090:Gram-Negative Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D006094:Gram-Positive Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D006115:Greece; D006875:Hydrotherapy / Q000592:standards; D008826:Microbial Sensitivity Tests; D013551:Swimming Pools / Q000592:standards; D013696:Temperature; D014867:Water / Q000032:analysis* / Q000592:standards; D014871:Water Microbiology / Q000592:standards
chemical_list: D000900:Anti-Bacterial Agents; D014867:Water