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Dose-response algorithms for water-borne Pseudomonas aeruginosa folliculitis
Journal article   Open access   Peer reviewed

Dose-response algorithms for water-borne Pseudomonas aeruginosa folliculitis

D. J. Roser, B. Van Den Akker, S. Boase, C. N. Haas, N. J. Ashbolt and S. A. Rice
Epidemiology and infection, v 143(7), pp 1524-1537
01 May 2015
PMID: 25275553
url
https://doi.org/10.1017/s0950268814002532View
Published, Version of Record (VoR)Open Access (License Unspecified) Open
url
https://doi.org/10.1017/S0950268814002532View
Published, Version of Record (VoR) Open

Abstract

Infectious Diseases Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
We developed two dose-response algorithms for P. aeruginosa pool folliculitis using bacterial and lesion density estimates, associated with undetectable, significant, and almost certain folliculitis. Literature data were fitted to Furumoto & Mickey's equations, developed for plant epidermis-invading pathogens: N-l = A ln(1 + BC) (log-linear model); P-inf = 1-e((- rcC)) (exponential model), where A and B are 2.51644 x 10(7) lesions/m(2) and 2.28011 x 10(-11) c.f.u./ml P. aeruginosa, respectively; C = pathogen density (c.f.u./ml), N-l = folliculitis lesions/m(2), P-inf = probability of infection, and r(C) = 4.3 x 10(-7) c.f.u./ml P. aeruginosa. Outbreak data indicates these algorithms apply to exposure durations of 41 +/- 25 min. Typical water quality benchmarks (approximate to 10(-2) c.f.u./ml) appear conservative but still useful as the literature indicated repeated detection likely implies unstable control barriers and bacterial bloom potential. In future, culture-based outbreak testing should be supplemented with quantitative polymerase chain reaction and organic carbon assays, and quantification of folliculitis aetiology to better understand P. aeruginosa risks.

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Web of Science research areas
Infectious Diseases
Public, Environmental & Occupational Health
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