Wide diversity of fungal species found in wellwater for human consumption
an analytical cross-sectional study
Keywords:
Water quality, Water wells, Fungi, ChlorineAbstract
BACKGROUND: Fungi are ubiquitous in the environment. They are able to grow in water and many of them may be opportunistic pathogens. OBJECTIVE: The aims were to identify fungi in registered wells (RWs) and nonregistered wells (NRWs) that tap into groundwater; and to correlate the results from physicochemical assays on this water (free residual chlorine and pH) with the presence of fungi. DATA AND SETTING: Analytical cross-sectional quantitative study on groundwater wells in São José do Rio Preto, São Paulo, Brazil. METHODS: 52 samples of 500 ml of water were collected from RWs and 107 from NRWs. These were sent to a microbiology laboratory to identify any fungi that were present. In addition, free residual chlorine and pH were measured immediately after sample collection. Several statistical analysis tests were used. RESULTS: Fungal contamination was present in 78.8% of the samples from RWs and 81.3% from NRWs. Fil-amentous fungi were more prevalent than yeast in both types of wells. There was no significant difference in presence of fungi according to whether chloride and pH were within recommended levels in RWs; or according to whether pH was within recommended levels in NRWs. Furthermore, there was no statistical difference in the levels of fungal contamination between RWs and NRWs. CONCLUSION: Both RWs and NRWs are potential reservoirs for many types of fungi. Many of these may be-come opportunistic pathogens if they infect immunosuppressed individuals. Furthermore, this study confirms that fungi are able to grow even when chlorine and pH parameters are within the standards recommended.
Downloads
References
World Health Organization (WHO). Guidelines for Drinking-water Quality. 4th edition. Geneva: WHO; 2011. ISBN: 9789241548151.
Ferguson AS, Layton AC, Mailloux BJ, et al. Comparison of fecal indicators with pathogenic bacteria and rotavirus in groundwater. Sci Total Environ. 2012;431(1):314-22. PMID: 22705866; doi: 10.1016/j. scitotenv.2012.05.060.
Hirata R, Conicelli BP. Groundwater resources in Brazil: a review of possible impacts caused by climate change. An Acad Bras Ciênc. 2012;84(2):297-312. PMID: 22634744.
Oliveira HM, Santos C, Paterson RR, Gusmão NB, Lima N. Fungi from a Groundwater-Fed Drinking Water Supply System in Brazil. Inter J Environ Res Public Health. 2016;13(3). pii: E304. PMID: 27005653; doi: 10.3390/ijerph13030304.
Kadaifciler DG, Demirel R. Fungal biodiversity and mycotoxigenic fungi in cooling-tower water systems in Istanbul, Turkey. J Water Health. 2017;15(2):308-20. PMID: 28362312; doi: 10.2166/wh.2017.274.
Anaissie EJ, Stratton SL, Dignani MC, et al. Pathogenic Aspergillus species recovered from a hospital water system: a 3-year prospective study. Clin Infect Dis. 2002;34(6):780-9. PMID: 11850861; doi: 10.1086/338958.
Anaissie EJ, Stratton SL, Dignani MC, et al. Pathogenic molds (including Aspergillus species) in hospital water distribution systems: a 3-year prospective study and clinical implications for patients with hematologic malignancies. Blood. 2003;101(7):2542-6. PMID: 12468437; doi: 10.1182/ blood-2002-02-0530.
Zhou ZY, Hu BJ, Qin L, et al. Removal of waterborne pathogens from liver transplant unit water taps in prevention of healthcare-associated infections: a proposal for a cost-effective, proactive infection control strategy. Clin Microbiol Infect. 2014;20(4):310-4. PMID: 23879308; doi: 10.1111/1469-0691.12299.
American Public Health Association (APHA). Standard methods for examination of water and wastewater. 23nd revised ed. Washington, DC: American Public Health Association; 2012.
Hoog GS, Guarro J, Gené J, et al. Atlas of clinical fungi. Utrecht, Netherlands: CBS; 2000.
Yarrow D. Methods for the isolation and identification of yeasts. In: Kurtzman CP, Fell JW, editors. The Yeasts: A Taxonomic Study. Amsterdam, Netherlands: Elsevier; 1998. ISBN-13: 9780080542690.
Fatahinia M, Zarei-Mahmoudabadi A, Shokri H, Ghaymi H. Monitoring of mycoflora in outdoor air of different localities of Ahvaz, Iran. J Mycol Med. 2018;28(1):87-93. PMID: 29402620; doi: 10.1016/j.mycmed.2017.12.002.
Iijima Y, Fujioka N, Uchida Y, et al. Invasive pulmonary aspergillosis mimicking organizing pneumonia after mTOR inhibitor therapy: A case report. Int J Infect Dis. 2018;69:75-7. PMID: 29408183; doi: 10.1016/j. ijid.2018.01.033.
Kadaifciler DG, Ökten S, Sen B. Mycological contamination in dental unit waterlines in Istanbul, Turkey. Braz J Microbiol. 2013;44(3):977-81. PMID: 24516467; doi: 10.1590/S1517-83822013000300049.
Koh AY, Köhler JR, Coggshall KT, Van Rooijen N, Pier GB. Mucosal damage and neutropenia are required for Candida albicans dissemination. PLoS Pathog. 2008;4(2):e35. PMID: 18282097; doi: 10.1371/journal.ppat.0040035.
Kadaifciler DG, Demirel R. Fungal contaminants in man-made water systems connected to municipal water. J Water Health. 2018;16(2):244-52. PMID: 29676760; doi: 10.2166/wh.2018.272.
Pereira VJ, Marques R, Marques M, Benoliel MJ, Barreto Crespo MT. Free chlorine inactivation of fungi in drinking water sources. Water Res. 2013;47(2):517-23. PMID: 23164218; doi: 10.1016/j.watres.2012.09.052.
Sisti M, Brandi G, De Santi M, Rinaldi L, Schiavano GF. Disinfection efficacy of chlorine and peracetic acid alone or in combination against Aspergillus spp. and Candida albicans in drinking water. J Water Health. 2012;10(1):11-9. PMID: 22361698; doi: 10.2166/wh.2011.150.
Prest EI, Hammes F, van Loosdrecht MC, Vrouwenvelder JS. Biological Stability of Drinking Water: Controlling Factors, Methods, and Challenges. Front Microbiol. 2016;7:45. PMID: 26870010; doi: 10.3389/ fmicb.2016.00045.