Clostridium difficile contamination of public tap water distribution system during a waterborne outbreak in Finland

Scandinavian Journal of Public Health

Volumn 41, Issue 5, 2013, Pages 541-545

  Kotila, Saara M ^a   Kuusi, Markku ^a   KÃnÃnen, Eija ^a   Virolainen, Anni ^a   PitkÃnen, Tarja ^a   Miettinen, Ilkka T ^a   Brazier, Jon ^b   Eerola, Erkki ^c   Jalava, Jari ^d   Laine, Janne ^a   Vuento, Risto ^e  

^a NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^b UNIVERSITY HOSPITAL OF WALES   (United Kingdom)

^c Medical Microbiology and Immunology   (Finland)

^d Antimicrobial Resistance Unit   (Finland)

^e TAMPERE UNIVERSITY HOSPITAL   (Finland)

Author keywords

Clostridium difficile infection; Clostridium difficile spores; PCR ribotyping; waterborne outbreak

Indexed keywords

ARTICLE; CLOSTRIDIUM DIFFICILE; CLOSTRIDIUM DIFFICILE INFECTION; CLOSTRIDIUM DIFFICILE SPORES; CLOSTRIDIUM INFECTION; DISEASE TRANSMISSION; EPIDEMIC; FECES; FINLAND; HUMAN; ISOLATION AND PURIFICATION; MICROBIOLOGY; PCR RIBOTYPING; POLYMERASE CHAIN REACTION; RIBOTYPING; WATER SUPPLY; WATERBORNE OUTBREAK;

CLOSTRIDIUM DIFFICILE INFECTION; CLOSTRIDIUM DIFFICILE SPORES; PCR RIBOTYPING; WATERBORNE OUTBREAK;

CLOSTRIDIUM DIFFICILE; CLOSTRIDIUM INFECTIONS; DISEASE OUTBREAKS; FECES; FINLAND; HUMANS; POLYMERASE CHAIN REACTION; RIBOTYPING; WATER MICROBIOLOGY; WATER SUPPLY;

EID: 84878498808     PISSN: 14034948     EISSN: 16511905     Source Type: Journal    
DOI: 10.1177/1403494813481648     Document Type: Article

References (25)

1. Riley T.V. Wetherall F. Bowman J. et al. Diarrheal disease due to Clostridium difficile in general practice. Pathology 1991;23:346–9.
2. Bauer M.P. Goorhuis A. Koster T. et al. Community-onset Clostridium difficile-associated diarrhoea not associated with antibiotic usage – two case reports with review of the changing epidemiology of Clostridium difficile-associated diarrhoea. Neth J Med 2008;66:207–11.
3. Wilcox M.H. Mooney L. Bendall R. et al. A case-control study of community-associated Clostridium difficile infection. J Antimicrob Chemother 2008;62:388–96.
4. Rodriguez-Palacios A. Stampfli H.R. Duffield T. et al. Clostridium difficile PCR ribotypes in calves, Canada. Emerg Infect Dis 2006;12:1730–6.
5. Pirs T. Ocepek M. Rupnik M. Isolation of Clostridium difficile from food animals in Slovenia. J Med Microbiol 2008;57:790–2.
6. Indra A. Lassnig H. Baliko N. et al. Clostridium difficile: a new zoonotic agent? Wien Klin Wochenschr 2009; 121: 91–95.
7. al Saif N. Brazier J.S. The distribution of Clostridium difficile in the environment of South Wales. J Med Microbiol 1996;45:133–7.
8. Simango C. Prevalence of Clostridium difficile in the environment in a rural community in Zimbabwe. Trans R Soc Trop Med Hyg 2006;100:1146–50.
9. Zidaric V. Beigot S. Lapajne S. et al. The occurrence and high diversity of Clostridium difficile genotypes in rivers. Anaerobe 2010;16:371–5.
10. Accident Investigation Board. Entry of treated wastewater into the drinking water network in Nokia, Finland on 28–30 November 2007. Helsinki, Finland: Onnettomuustutkintakeskus [Accident Investigation Board]; 2009.
11. Maunula L. Klemola P. Kauppinen A. et al. Enteric Viruses in a Large Waterborne Outbreak of Acute Gastroenteritis in Finland. Food Environ Virol 2009;1:31–36.
12. Rimhanen-Finne R. Hanninen M.L. Vuento R. et al. Contaminated water caused the first outbreak of giardiasis in Finland, 2007: a descriptive study. Scand J Infect Dis 2010;42:613–9.
13. Laine J. Huovinen E. Virtanen M.J. et al. An extensive gastroenteritis outbreak after drinking-water contamination by sewage effluent, Finland. Epidemiol Infect 2010;15:1–9.
14. Lienemann T. Pitkanen T. Antikainen J. et al. Shiga toxin-producing Escherichia coli O100:H(-): stx2e in drinking water contaminated by waste water in Finland. Curr Microbiol 2011;62:1239–44.
15. Kuusi M. Ruotsalainen E. Laine J. et al. Food- and water-borne outbreaks. In: Ed. Hulkko T. Lyytikäinen O. Kuusi M. (eds). Infectious diseases in Finland 2007. Helsinki, Finland: National Public Health Institute, 2008, p. 18–9. Available at: http://urn.fi/URN:NBN:fi-fe201204193291
16. Miettinen I.T. Lepistö O. Pitkänen T.M. et al. Waterborne outbreak caused by massive waste water contamination in drinking water distribution network. 15th Health Related Water Microbiology Symposium; 31 May–5 June 2009. Naxos, Greece, 2009.
17. International Organization for Standardization. ISO 6461–2 Water quality. Detection and enumeration of the spores of sulfite-reducing anaerobes (clostridia). Part 2:Method by membrane filtration. Geneva, Switzerland: International Organization for Standardization, 1986.
18. O'Neill G.L. Ogunsola F.T. Brazier J.S. et al. Modification of a PCR Ribotyping Method for Application as a Routine Typing Scheme for Clostridium difficile. Anaerobe 1996;2:205–9.
19. Stubbs S.L. Brazier J.S. O'Neill G.L. et al. PCR targeted to the 16S-23S rRNA gene intergenic spacer region of Clostridium difficile and construction of a library consisting of 116 different PCR ribotypes. J Clin Microbiol 1999;37:461–3.
20. Medema G.J. Shaw S. Waite M. et al. Catchment characterization and source water quality. In: Ed. Dufour A. Snozzi M. Koster W. (eds). Assessing microbial safety of drinking water: improving approaches and methods. London, UK: IWA Publishing, 2003. pp. 111–58.
21. Ferguson C.M. Charles K. Deere D.A. Quantification of Microbial Sources in Drinking-Water Catchments. Crit Rev Environ Sci Tech 2009;39:1–40.
22. Hrudey S.E. Hrudey E.J. Safe drinking water: Lessons from recent outbreaks in affluent nations. London, UK: IWA Publishing, 2004.
23. Payment P. Godfree A. Sartory D. Clostridium. In: Ed. Bitton G. (ed) Encyclopedia of environmental microbiology. New York, NY: Wiley, 2002, pp. 861–71.
24. Barbut F. Mastrantonio P. Delmee M. et al. Prospective study of Clostridium difficile infections in Europe with phenotypic and genotypic characterisation of the isolates. Clin Microbiol Infect 2007;13:1048–57.
25. Hulkko T. Lyytikäinen O. Kuusi M. et al. Infectious Diseases in Finland 2008; Report 12 / 2009. National Institute for Health and Welfare, 2009. Available from: http://urn.fi/URN:NBN:fi-fe201205085095