title: Parameters predictive of Legionella contamination in hot water systems: association with trace elements and heterotrophic plate counts.
abstract: The contamination of hot water samples with Legionella spp. was studied in relation to temperature, total hardness, trace element concentrations (iron, zinc, manganese, and copper) and heterotrophic plate counts (HPC) at both 22 and 37 °C. Factor analysis and receiver operating characteristic (ROC) curves were used to establish the cut-off of water parameters as predictors for Legionella contamination. Legionella spp. was isolated in 194 out of 408 samples (47.5%), with Legionella pneumophila being the most common (92.8%). After multiple logistic regression analysis, the risk for legionellae colonisation was positively associated with Mn levels >6 μg l(-1), HPC at 22 °C >27 CFU l(-1), and negatively with temperature >55 °C and Cu levels >50 μg l(-1). Multiple regression analysis revealed that Legionella spp. counts were positively associated with Mn, HPC at 37 °C and Zn and negatively associated with temperature. Only 1 out of the 97 samples (1%) having a Mn concentration, an HPC at 22 °C and an HPC at 37 °C below the respective median values exhibited a Legionella spp. concentration exceeding 10(4) CFU l(-1)vs. 41 out of the 89 samples (46.1%) with the three parameters above the medians. Our results show a qualitative and quantitative relationship between Legionella spp., the Mn concentration and heterotrophic plate counts in hot water samples from different buildings, suggesting that these parameters should be included in a water safety plan. The role of manganese in biofilm formation and its possible involvement in the mechanisms favouring Legionella survival and growth in water niches should be investigated further.
authors.affiliation: Department of Public Health Sciences, University of Modena and Reggio Emilia, Via Campi 287, I-41125 Modena, Italy.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Bargellini
authors.forename: Isabella
authors.initials: I
authors.lastname: Marchesi
authors.forename: Elena
authors.initials: E
authors.lastname: Righi
authors.forename: Angela
authors.initials: A
authors.lastname: Ferrari
authors.forename: Stefano
authors.initials: S
authors.lastname: Cencetti
authors.forename: Paola
authors.initials: P
authors.lastname: Borella
authors.forename: Sergio
authors.initials: S
authors.lastname: Rovesti
mesh_terms: D015169:Colony Count, Microbial; D052836:Heterotrophic Processes / Q000187:drug effects*; D006358:Hot Temperature; D007875:Legionella / Q000302:isolation & purification*; D016014:Linear Models; D008345:Manganese / Q000494:pharmacology; D015999:Multivariate Analysis; D014131:Trace Elements / Q000494:pharmacology*; D014871:Water Microbiology; D014876:Water Pollution / Q000032:analysis*
chemical_list: D014131:Trace Elements; D008345:Manganese