| BMC Microbiology | |
| Comparing methods of determining Legionella spp. in complex water matrices | |
| Guillermo Rodríguez2  Roberto Fernández-Lafuente6  Inmaculada Solís5  Carmen Bayón3  Eva María Alejandres3  Francisco Javier Castro3  Juan Carlos Montero4  Álvaro Díaz-Flores1  | |
| [1] Departamento de Microbiología General III, Facultad de Ciencias Biológicas, Universidad Complutense de Madrid, Campus Moncloa, Madrid, 28040, Spain;Biótica, Bioquímica Analítica, S.L, Science and Technology Park of Jaume I University, Campus RiuSec - Espaitec 2, planta baja, Castellón de la Plana, E12071, Spain;Laboratorio Regional de Salud Pública Consejería de Sanidad y Consumo/Comunidad de Madrid, C/ Sierra del Alquife N 8, 2 Planta, Madrid, 28053, Spain;Instituto de Ciencias de la Salud Ctra, de Extremadura Km. 114, Talavera de la Reina, 45600, Spain;Iproma, S.L, Cno.de la Raya 46, Castellón, 12005, Spain;Departamento de Biocatálisis, Instituto de Catálisis y Petroleoquímica, Consejo Superior de Investigaciones Científicas, Campus UAM-CSIC, Madrid, 28049, Cantoblanco, Spain | |
| 关键词: Magnetic particles; Environmental samples; Detection; Legionella; | |
| Others : 1212055 DOI : 10.1186/s12866-015-0423-7 |
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| received in 2014-11-18, accepted in 2015-04-15, 发布年份 2015 | |
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【 摘 要 】
Background
Legionella testing conducted at environmental laboratories plays an essential role in assessing the risk of disease transmission associated with water systems. However, drawbacks of culture-based methodology used for Legionella enumeration can have great impact on the results and interpretation which together can lead to underestimation of the actual risk. Up to 20% of the samples analysed by these laboratories produced inconclusive results, making effective risk management impossible. Overgrowth of competing microbiota was reported as an important factor for culture failure. For quantitative polymerase chain reaction (qPCR), the interpretation of the results from the environmental samples still remains a challenge. Inhibitors may cause up to 10% of inconclusive results. This study compared a quantitative method based on immunomagnetic separation (IMS method) with culture and qPCR, as a new approach to routine monitoring of Legionella.
Results
First, pilot studies evaluated the recovery and detectability of Legionella spp using an IMS method, in the presence of microbiota and biocides. The IMS method results were not affected by microbiota while culture counts were significantly reduced (1.4 log) or negative in the same samples. Damage by biocides of viable Legionella was detected by the IMS method. Secondly, a total of 65 water samples were assayed by all three techniques (culture, qPCR and the IMS method). Of these, 27 (41.5%) were recorded as positive by at least one test. Legionella spp was detected by culture in 7 (25.9%) of the 27 samples. Eighteen (66.7%) of the 27 samples were positive by the IMS method, thirteen of them reporting counts below 103 colony forming units per liter (CFU l−1), six presented interfering microbiota and three presented PCR inhibition. Of the 65 water samples, 24 presented interfering microbiota by culture and 8 presented partial or complete inhibition of the PCR reaction. So the rate of inconclusive results of culture and PCR was 36.9 and 12.3%, respectively, without any inconclusive results reported for the IMS method.
Conclusion
The IMS method generally improved the recovery and detectability of Legionella in environmental matrices, suggesting the possibility to use IMS method as valuable indicator of risk. Thus, this method may significantly improve our knowledge about the exposure risk to these bacteria, allowing us to implement evidence-based monitoring and disinfection strategies.
【 授权许可】
2015 Díaz-Flores et al.; licensee BioMed Central.
【 预 览 】
| Files | Size | Format | View |
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| 20150613020943127.pdf | 505KB | ||
| Figure 1. | 20KB | Image |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Brenner DJ, Steigerwalt AG, McDade JE. Classification of the Legionnaires’ disease bacterium: Legionella pneumophila, genus novum, species nova, of the family Legionellaceae, familia nova. Ann Intern Med. 1979; 90:656-8.
- [2]Fraser DW, Tsai TR, Orenstein W, Parkin WE, Beecham HJ, Sharrar RG et al.. The field investigation team. Legionnaires’ disease: description of an epidemic of pneumonia. N Engl J Med. 1977; 297:1189-97.
- [3]McDade JE, Shepard CC, Fraser DW, Tsai TR, Redus MA, Dowdle WR. Legionnaire’s disease: Isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med. 1977; 297:1197-210.
- [4]Friedman H, Yamamoto Y, Klein TW. Legionella pneumophila Pathogenesis and Immunity. Semin PediatrInfect Dis. 2002; 13:273-9.
- [5]Gilmour MW, Bernard K, Tracz DM, Olson AB, Corbett CR, Burdz T et al.. Molecular typing of a Legionella pneumophila outbreak in Ontario. Canada J Med Microbiol. 2007; 56(3):336-41.
- [6]Modi A, Gardner J, Lighton L, Coetzee N. Pontiac fever outbreak associated with a spa-pool. Euro Surveill. 2008; 13(30):1-2.
- [7]Alleron L, Merlet N, Lacombe C, Frère J. Long-term survival of Legionella pneumophila in the viable but nonculturable state after monochloramine treatment. Curr Microbiol. 2008; 57:497-502.
- [8]Berry D, Xi C, Raskin L. Microbial ecology of drinking water distribution systems. Curr Opin Biotechnol. 2006; 17:297-302.
- [9]Gagnon GA, RandJL O’LKC, Rygel AC, Chauret C, Andrews RC. Disinfectant efficacy of chlorite and chlorine dioxide in drinking water biofilms. Water Res. 2005; 39:1809-17.
- [10]Thomas V, Bouchez T, Nicolas V, Robert S, Loret J, Lévi Y. Amoebae in domestic water systems: resistance to disinfection treatments and implication in Legionella persistence. J Appl Microbiol. 2004; 97:950-63.
- [11]Rhoads WJ, Pruden A, Edwards MA. Anticipating challenges with in-building disinfection for control of opportunistic pathogens. Water Environ Res. 2004; 86(6):540-9.
- [12]Alyssa P, Ellen AW, Ruth LB. Legionellosis on the rise: a review of guidelines for prevention in the United States. J Public Health Manag Pract. 2014; 00:1-10.
- [13]Legionella and the prevention of legionellosis. World Health Organization, Geneva-Switzerland; 2007.
- [14]Samendra PS, Masaaki K, Charles PG, Ian LP. Rapid detection technologies for monitoring microorganisms in water. Biosens J. 2014; 3:109.
- [15]Water quality - detection and enumeration of Legionella . International Standards Organisation (International Organization for Standardization), Geneva, Switzerland; 1998.
- [16]Water quality - detection and enumeration of Legionella - Part 2: Direct membrane filtration method for waters with low bacterial count. International Standards Organisation (International Organization for Standardization), Geneva, Switzerland; 2004.
- [17]Borges A, Simões M, Martínez-Murcia A, Saavedra MJ. Detection of Legionella spp. in natural and man-made water systems using standard guidelines. J Microbiol Res. 2012; 2(4):95-102.
- [18]Maria SG, Nuno FA, Sandra AW, Maria JV, Charles WK. Interaction of Legionella pneumophila and Helicobacter pylori with bacterial species isolated from drinking water biofilms. BMC Microbiol. 2011; 11:57. BioMed Central Full Text
- [19]Akira O, Naoyuki K, Koji Y, Keizo Y. Factors Influencing Survival of Legionella pneumophila serotype 1 in hot spring water and tap water. Appl and Environ Microbiol. 2003; 69(5):2540-7.
- [20]Al-Sulami AA, Al-Taee AMR, Yehyazarian AA. The effect of Aeromonas spp. on the growth of Legionella pneumophila in vitro. Air Water Borne Diseases. 2013; 2:108.
- [21]Lee TC, Vickers RM, Yu VL, Wagener MM. Growth of 28 Legionella species on selective culture media: a comparative study. J Clin Microbiol. 1993; 31(10):2764-8.
- [22]Hussong D, Colwell RR, O’Brien M, Weiss E, Pearson AD, Weiner RM et al.. Viable Legionella pneumophila not detectable by culture on agar media. Viable Legionella pneumophila not detected by culture on agar media. Biotechnol. 1987; 5:947-50.
- [23]Cotuk A, Dogruoz N, Zeybek Z, Kimiran-Erdem A, Ilhan-Sungur E. The effects of Pseudomonas and Aeromonas strains on Legionella pneumophila growth. An of Microbiol. 2005; 55(3):219-24.
- [24]Chenga YW, Raphael CYC, Wong PK. Disinfection of Legionella pneumophila by photocatalytic oxidation. Water Res. 2007; 41:842-52.
- [25]Lee JV, Lai S, Exner M, Lenz J, Gaia V, Casati S et al.. An international trial of quantitative PCR for monitoring Legionella in artificial water systems. J Appl Microbiol. 2011; 110:1032-44.
- [26]Touron-Bodilis A, Pugnard C, Frenkiel-Lebossé H, Hallier-Soulier S. Usefulness of real-time PCR as a complementary tool to the monitoring of Legionella spp. and Legionella pneumophila by culture in industrial cooling systems. J Appl Microbiol. 2011; 111:499-510.
- [27]Whiley H, Taylor M. Legionella detection by culture and qPCR: comparing apples and oranges. Crit Rev Microbiol. 2014; Early online: 1-10, doi:10.3109/1040841X.2014.885930 [Epub ahead of print].
- [28]Krojgaard LH, Krogfelt KA, Albrechtsen HJ, Uldum SA. Detection of Legionella by quantitative-polymerase chain reaction (qPCR) for monitoring and risk assessment. BMC Microbiol. 2011; 11:254. BioMed Central Full Text
- [29]Delgado-Viscogliosi P, Solignac L, Delattre JM. Viability PCR, a culture-independent method for rapid and selective quantification of viable Legionella pneumophila cells in environmental water samples. Appl Environ Microbiol. 2009; 75:3502-12.
- [30]Ditommaso S, Ricciardi E, Giacomuzzi M, Arauco Rivera SR, Ceccarelli A, Zotti CM. Overestimation of the Legionella spp. load in environmental samples by quantitative real-time PCR: pretreatment with propidium monoazide as a tool for the assessment of an association between Legionella concentration and sanitary risk. Diagn Microbiol Infect Dis 2014, http://dx.doi.org/10.1016/j.diagmicrobio.2014.09.010.
- [31]Fittipaldi M, Nocker A, Codony F. Progress in understanding preferential detection of live cells using viability dyes in combination with DNA amplification. J Microbiol Methods. 2012; 91(2):276-89.
- [32]Troxell B, Volk C, McKillip JL, Warnes CE. Legionella pneumophila occurrence in waters of east central Indiana. ProcIndiana Acad Sci. 2010; 119(1):25-34.
- [33]Levi K, Smedley J, Towner KJ. Evaluation of a real-time PCR hybridization assay for rapid detection of Legionella pneumophila in hospital and environmental water samples. Clin Microbiol Infect. 2003; 9(7):754-8.
- [34]Wilson IG. Inhibition and facilitation of nucleic acid amplification. Appl Environ Microbiol. 1997; 63(10):3741-51.
- [35]Safarik I, Horska K, Pospiskova K, Safarikova M. Magnetic techniques for the detection and determination of xenobiotics and cells in water. Anal Bioanal Chem. 2012; 404(4):1257-73.
- [36]Allegra S, Girardot F, Grattard F, Berthelot P, Helbig JH, Pozzetto B et al.. Evaluation of an immunomagnetic separation assay in combination with cultivation to improve Legionella pneumophila serogroup 1 recovery from environmental samples. Appl Microbiol. 2011; 110:952-61.
- [37]Reidt U, Geisberger B, Heller C, Friedberger A. Automated immunomagnetic processing and separation of Legionella Pneumophila with manual detection by Sandwich ELISA and PCR amplification of the ompS gene. J Lab Autom. 2011; 16(2):157-64.
- [38]Keserue HA, Baumgartner A, Felleisen R, Egli T. Rapid detection of total and viable Legionella pneumophila in tap water by immunomagnetic separation, double fluorescent staining and flow cytometry. Microb Biotechnol. 2012; 5(6):753-63.
- [39]Rodríguez G, Bedrina B, Jiménez M. Validation of the Legipid® Bioalarm Legionella Assay. J AOAC Int. 2012; 95:1440-51.
- [40]Rodríguez G, Bedrina B, Jiménez M. Method modification of the Legipid® Legionella fast detection test kit. J AOAC Int. 2014; 97(5):1403-9.
- [41]Shelton BG, Flanders WD, Morris GK. Legionnaires’ disease outbreaks and cooling towers with amplified Legionella concentrations. Curr Microbiol. 1994; 28(6):359-63.
- [42]Castilla J, Barricarte A, Aldaz J, Garcia CM, Ferrer T, Pelaz C et al.. A large Legionnaires’ disease outbreak in Pamplona, Spain: early detection, rapid control and no case fatality. Epidemiol Infect. 2008; 136(6):823-32.
- [43]Rangela KM, Delclosa G, Emerya R, Symanski E. Assessing maintenance of evaporative cooling systems in legionellosis outbreaks. J Occup EnvironHyg. 2011; 8(4):249-65.
- [44]Haupt TE, Heffernan RT, Kazmierczak JJ, Nehls-Lowe H, Rheineck B, Powell C et al.. An outbreak of Legionnaires disease associated with a decorative water wall fountain in a hospital. Infect Control Hosp Epidemiol. 2012; 33(2):185-91.
- [45]Whiley H, Keegan A, Fallowfield H, Ross K. Uncertainties associated with assessing the public health risk from Legionella. Front Microbiol. 2014; 5:1-8.
- [46]Shevchuk O, Jäger J, Steinert M. Virulence properties of the Legionella Pneumophila cell envelope. Front Microbiol. 2011; 2(74):1-12.
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