Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens

IntroductionThe persistence of opportunistic premise plumbing pathogens (OPPPs) in drinking water plumbing systems poses a significant public health risk that is receiving increasing attention yet remains poorly understood. This study investigated the co-occurrence of OPPPs and the influence of buil...

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Main Authors: Claire Hayward, Kirstin E. Ross, Melissa H. Brown, Richard Bentham, Muhammad Atif Nisar, Jason Hinds, James Xi, Harriet Whiley
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575789/full
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author Claire Hayward
Claire Hayward
Kirstin E. Ross
Melissa H. Brown
Melissa H. Brown
Richard Bentham
Muhammad Atif Nisar
Jason Hinds
Jason Hinds
James Xi
Harriet Whiley
Harriet Whiley
author_facet Claire Hayward
Claire Hayward
Kirstin E. Ross
Melissa H. Brown
Melissa H. Brown
Richard Bentham
Muhammad Atif Nisar
Jason Hinds
Jason Hinds
James Xi
Harriet Whiley
Harriet Whiley
author_sort Claire Hayward
collection DOAJ
description IntroductionThe persistence of opportunistic premise plumbing pathogens (OPPPs) in drinking water plumbing systems poses a significant public health risk that is receiving increasing attention yet remains poorly understood. This study investigated the co-occurrence of OPPPs and the influence of building infrastructure properties on their prevalence.MethodsDrinking water and biofilm samples were collected from hospitals and private residences across Australia to investigate the abiotic and biotic factors contributing to the growth and proliferation of OPPPs.ResultsQuantitative polymerase chain reaction assays revealed that 41% of samples tested positive for Pseudomonas aeruginosa, 26% for Staphylococcus aureus, 26% for Legionella spp., 24% for Legionella pneumophila, and 14% for Acinetobacter baumannii. Furthermore, free-living amoebae, including Vermamoeba vermiformis (46%) and Acanthamoeba spp. (25%), were frequently detected, with Acanthamoeba spp. demonstrating a significant positive correlation with all bacterial OPPPs. Overall, results indicated a statistically higher prevalence of OPPPs in residential properties and in biofilms. However, building characteristics, including stagnation, hot water system type, and building age, had inconsistent influences on individual OPPP prevalence.DiscussionThese results emphasize the need to incorporate risk assessments regarding the complex factors within the premise plumbing environment that contribute to pathogen persistence, to inform evidence based targeted preventative strategies for at-risk populations. These findings are particularly critical for individuals receiving healthcare at home, as inconsistent water treatment and monitoring in residential settings may increase their risk of exposure to OPPPs.
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spelling doaj-art-834e2b6c9b1b49b28fad08e7c6579c2b2025-08-20T02:27:10ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-05-011610.3389/fmicb.2025.15757891575789Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogensClaire Hayward0Claire Hayward1Kirstin E. Ross2Melissa H. Brown3Melissa H. Brown4Richard Bentham5Muhammad Atif Nisar6Jason Hinds7Jason Hinds8James Xi9Harriet Whiley10Harriet Whiley11Future Industries Institute, University of South Australia, Mawson Lakes, SA, AustraliaEnvironmental Health, College of Science and Engineering, Flinders University, Bedford Park, SA, AustraliaEnvironmental Health, College of Science and Engineering, Flinders University, Bedford Park, SA, AustraliaCollege of Science and Engineering, Flinders University, Bedford Park, SA, AustraliaARC Training Centre for Biofilm Research and Innovation, Flinders University, Bedford Park, SA, AustraliaBuilt Water Solutions, Clarendon, SA, AustraliaEnvironmental Health, College of Science and Engineering, Flinders University, Bedford Park, SA, AustraliaARC Training Centre for Biofilm Research and Innovation, Flinders University, Bedford Park, SA, AustraliaEnware Australia Pty Ltd., Caringbah, NSW, AustraliaEnware Australia Pty Ltd., Caringbah, NSW, AustraliaEnvironmental Health, College of Science and Engineering, Flinders University, Bedford Park, SA, AustraliaARC Training Centre for Biofilm Research and Innovation, Flinders University, Bedford Park, SA, AustraliaIntroductionThe persistence of opportunistic premise plumbing pathogens (OPPPs) in drinking water plumbing systems poses a significant public health risk that is receiving increasing attention yet remains poorly understood. This study investigated the co-occurrence of OPPPs and the influence of building infrastructure properties on their prevalence.MethodsDrinking water and biofilm samples were collected from hospitals and private residences across Australia to investigate the abiotic and biotic factors contributing to the growth and proliferation of OPPPs.ResultsQuantitative polymerase chain reaction assays revealed that 41% of samples tested positive for Pseudomonas aeruginosa, 26% for Staphylococcus aureus, 26% for Legionella spp., 24% for Legionella pneumophila, and 14% for Acinetobacter baumannii. Furthermore, free-living amoebae, including Vermamoeba vermiformis (46%) and Acanthamoeba spp. (25%), were frequently detected, with Acanthamoeba spp. demonstrating a significant positive correlation with all bacterial OPPPs. Overall, results indicated a statistically higher prevalence of OPPPs in residential properties and in biofilms. However, building characteristics, including stagnation, hot water system type, and building age, had inconsistent influences on individual OPPP prevalence.DiscussionThese results emphasize the need to incorporate risk assessments regarding the complex factors within the premise plumbing environment that contribute to pathogen persistence, to inform evidence based targeted preventative strategies for at-risk populations. These findings are particularly critical for individuals receiving healthcare at home, as inconsistent water treatment and monitoring in residential settings may increase their risk of exposure to OPPPs.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575789/fullopportunistic premise plumbing pathogensbiofilmsfree living amoebadrinking waterhealthcare associated infections
spellingShingle Claire Hayward
Claire Hayward
Kirstin E. Ross
Melissa H. Brown
Melissa H. Brown
Richard Bentham
Muhammad Atif Nisar
Jason Hinds
Jason Hinds
James Xi
Harriet Whiley
Harriet Whiley
Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
Frontiers in Microbiology
opportunistic premise plumbing pathogens
biofilms
free living amoeba
drinking water
healthcare associated infections
title Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
title_full Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
title_fullStr Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
title_full_unstemmed Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
title_short Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens
title_sort microbial risks in drinking water systems persistence and public health implications of opportunistic premise plumbing pathogens
topic opportunistic premise plumbing pathogens
biofilms
free living amoeba
drinking water
healthcare associated infections
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575789/full
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