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Related Experiment Videos

Pseudomonas dermatitis associated with a swimming pool.

P Thomas, M Moore, E Bell

    JAMA
    |February 22, 1985
    PubMed
    Summary
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    A Pseudomonas aeruginosa outbreak linked to swimming pool contamination caused skin and eye infections in 80% of dude ranch visitors. The bacterial infection led to prolonged illness and a significant recurrence rate among affected individuals.

    Area of Science:

    • Environmental Health
    • Infectious Diseases
    • Public Health

    Background:

    • Recreational water venues can harbor pathogens.
    • Swimming-associated illnesses pose a public health risk.
    • Pseudomonas aeruginosa is a common cause of waterborne infections.

    Purpose of the Study:

    • To investigate an outbreak of papular rashes and eye/ear inflammation among dude ranch visitors.
    • To identify the causative agent and source of the outbreak.
    • To determine risk factors associated with illness.

    Main Methods:

    • A case-control study involving interviews with 224 dude ranch visitors.
    • Microbiological cultures of water and clinical specimens.
    • Statistical analysis to identify associated activities.

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    Main Results:

    • 117 (80%) visitors reported papular rashes or eye/ear inflammation.
    • Swimming was significantly associated with illness after controlling for other activities.
    • Pseudomonas aeruginosa serotype O 11 was isolated from the pool water and patient lesions.
    • Mean illness duration was 14.5 days with a 24% recurrence rate.

    Conclusions:

    • Contaminated swimming pool water was the likely source of the Pseudomonas aeruginosa outbreak.
    • Swimming in contaminated recreational water is a risk factor for P. aeruginosa infections.
    • Prompt identification and remediation of contaminated water sources are crucial to prevent outbreaks.