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.