Free-living amoebae and their associated bacteria in Austrian cooling towers: a 1-year routine screening

Ute Scheikl1, Han-Fei Tsao2, Matthias Horn2

  • 1Institute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, Austria.

Insights

Free-living amoebae (FLA) are common in cooling towers and can harbor Legionella. A new screening method detected FLA in most samples, improving detection of Legionella bacteria.

Area of Science:

  • Environmental microbiology
  • Public health microbiology

Background:

  • Free-living amoebae (FLA) are ubiquitous environmental microorganisms.
  • FLA can host bacterial pathogens like Legionella pneumophila, enhancing their infectivity.
  • Cooling towers are known reservoirs for Legionella and sources of Legionnaires' disease outbreaks.

Purpose of the Study:

  • To develop and implement a screening system for host amoebae in routine Legionella monitoring.
  • To assess the prevalence of FLA and Legionella in cooling tower systems.
  • To evaluate the impact of organic burden on Legionella screening methods.

Main Methods:

  • Development of a real-time PCR-based screening system for FLA groups.
  • Parallel screening of three cooling towers over one year for FLA and Legionella using culture and molecular methods.
  • Assessment of sample suitability for standard Legionella screening based on organic load.

Main Results:

  • 83.3% of cooling tower samples tested positive for FLA, with Acanthamoeba being the dominant genus.
  • 69.7% of samples were unsuitable for standard Legionella screening due to high organic content.
  • Legionella spp. were detected in 25% of samples by culture and 50% by molecular methods; intracellular bacteria were observed in amoebal isolates.

Conclusions:

  • Integrating FLA screening into routine Legionella monitoring is crucial for understanding pathogen transmission in cooling towers.
  • FLA are prevalent in cooling towers and can impact the effectiveness of standard Legionella detection methods.
  • A novel PCR-based FLA screening system offers a valuable tool for environmental surveillance.

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