BIOFILM COMPOSITION AND THRESHOLD CONCENTRATION FOR GROWTH OF LEGIONELLA PNEUMOPHILA ON SURFACES EXPOSED TO FLOWING WARM TAP WATER WITHOUT DISINFECTANT

ABSTRACT

Legionella pneumophila in potable-water installations poses a potential health risk, but quantitative information about its replication in biofilms in relation to water quality is scarce. Therefore, biofilm formation on surfaces of glass and chlorinated polyvinyl chloride (CPVC) in contact with tap water at 34-39°C was investigated under controlled hydraulic conditions in a model system inoculated with biofilm-grown L. pneumophila. The biofilm on glass (average steady-state concentration: 23 ± 9 pg ATP cm^-2) exposed to treated aerobic groundwater [0.3 mg C liter^-1; 1 μg assimilable organic carbon (AOC) liter^-1] did not support growth of the organism that also disappeared from the biofilm on CPVC (49 ± 9 pg ATP cm^-2) after initial growth. L. pneumophila attained 4.6 log CFU cm^-2 in the biofilm on glass (1055 ± 225 pg ATP cm^-2) and CPVC (2755 ± 460 pg ATP cm^-2) exposed to treated anaerobic groundwater (7.9 mg C liter^-1; 10 μg AOC liter^-1). An elevated biofilm concentration and growth of L. pneumophila were also observed with tap water at the laboratory. The Betaproteobacteria Piscinibacter and Methyloversatilis and amoeba-resisting Alphaproteobacteria predominated in the clones and isolates retrieved from the biofilms. In the biofilm, the Legionella colony counts correlated significantly with total cell count (TCC), heterotrophic plate count, ATP concentration and Vermamoeba vermiformis. This amoeba was rarely detected at biofilm concentrations < 100 pg ATP cm^-2 A threshold concentration of approx. 50 pg ATP cm^-2 (TCC = 1 x10⁶ to 2 x10⁶ cells cm^-2) was derived for growth of L. pneumophila in the biofilm.

IMPORTANCE Legionella pneumophila is the etiologic agent in more than 10,000 cases of Legionnaires' disease that are annually reported worldwide and in most of the drinking-water associated disease outbreaks reported in the US. The organism proliferates in biofilms on surfaces exposed to warm water in engineered fresh-water installations. The investigation with a test system supplied with different types of warm drinking water without disinfectant under controlled hydraulic conditions showed that treated aerobic groundwater (0.3 mg liter^-1 of organic carbon) induced a low biofilm concentration that supported no or very limited growth of L. pneumophila. Elevated biofilm concentrations and L. pneumophila colony counts were observed on surfaces exposed to two types of extensively-treated groundwater containing 1.8 and 7.9 mg C liter^-1 and complying with the microbial water quality criteria during distribution. Control measures in the warm tap water installations therefore are essential for preventing growth of L. pneumophila.