"Hot tub" Folliculitis from a nonchlorinated children's pool

Pseudomonas aeruginosa isolation from dog grooming products used by private owners or by professional pet grooming salons: prevalence and risk factors

BACKGROUND

Pseudomonas aeruginosa is the most commonly isolated bacterium from skin lesions of dogs with post-grooming furunculosis (PGF). It is frequently found in human hair and skin care products, and may pose a health risk to consumers. Information regarding the prevalence of P. aeruginosa contamination of dog grooming products is lacking.

OBJECTIVES

To investigate the prevalence of P. aeruginosa contamination in nonmedicated dog grooming products after either home or professional use in pet grooming salons, and to identify risk factors that may be associated with contamination.

MATERIALS AND METHODS

Of 117 bottles of grooming products sampled for bacterial culture, 97 were used by pet grooming salons and 20 were used by private individuals. The following suspected risk factors were recorded: bottle size, relative remaining volume, content dilution, expiration date and ingredient list.

RESULTS

Pseudomonas aeruginosa was isolated from 14 of 117 samples [11.97%, 95% confidence interval (CI) 6.97-19.3%]. Diluted products were contaminated significantly more often compared to undiluted products (odds ratio = 15.5, 95%CI 2.05-117.23; P < 0.01). None of the other variables was significantly associated with P. aeruginosa contamination.

CONCLUSIONS AND CLINICAL RELEVANCE

Pseudomonas aeruginosa contamination of dog grooming shampoos and conditioners was significantly associated with product dilution. Contaminated grooming products may predispose dogs to severe bacterial skin infections such as PGF.

Disinfection of Therapeutic Spa Waters: Applicability of Sodium Hypochlorite and Hydrogen Peroxide-Based Disinfectants

The microbial water quality of therapeutic pools operating without disinfection is recurrently compromised, posing a risk to bathers’ health. The complex composition of such waters and the sensitivity of their therapeutic components hinder the use of traditional chlorine-based disinfectants. The present study aimed to investigate the applicability of a hydrogen peroxide-based disinfectant in therapeutic water in comparison with hypochlorite. Disinfection efficacy, byproduct formation, and the fate of therapeutic components were tested for both disinfectants under laboratory conditions, applying different doses and contact times. Disinfection efficacy was found to be matrix-dependent, especially that of hydrogen peroxide against Pseudomonas aeruginosa (a 10- to 1000-fold difference). Hypochlorite treatment presented a significant chemical risk through the generation of byproducts, mainly brominated and iodinated compounds and combined chlorine. Of the alleged therapeutic components, sulfide ions were eliminated (≥86% loss) by both disinfectants, and hypochlorite reacted with iodide ions as well (≥70% removal). Based on their composition, only 2% of Hungarian therapeutic waters can be treated by chlorination due to high concentrations of ammonia and/or organic compounds. Hydrogen peroxide is applicable to 82% of the waters, as the presence of sulfide ions is the only limiting factor. Due to the matrix effect, close control of residual disinfectant concentration is necessary to ensure microbial safety.

The Yin and Yang of Skin Microbiota in "Swimmer Acne"

Cutibacterium acnes (C. acnes) is an organism implicated in the pathogenesis of acne. Despite regular immersion in antimicrobial chlorine, adolescent swimmers suffer from acne and tend to be resistant to standard therapies. Given the presence of Pseudomonas within swimming facilities, we hypothesized that "swimmer acne" is potentially driven by a different microbial mechanism. In this study, we aimed to examine the microbial dynamics of C. acnes and Pseudomonadaceae, a family of Gram-negative bacteria (includes Pseudomonas aeruginosa), in swimmers and its potential contribution to pathogenesis of acne in this population. Using fluorescence photography that measures the Coproporphyrin III (CPIII), we quantitated an absolute abundance of C. acnes present on the face of each participant pre- and post-swimming. In addition, 16S rRNA gene sequencing was utilized to assess relative abundance of the skin microbiota on each participant pre- and post-swimming. 16 swimmers (8 girls and 8 boys) completed the study. Seven had acne on the face. The CPIII fluorescence levels decreased for all swimmers after 1 hour of swimming (p-value <0.001). In contrast, relative abundance of C. acnes remained unchanged, while that of Pseudomonadaceae increased after swimming (p-value = 0.027). Comparing the relative abundances of Pseudomonadaceae before swimming, there was a significant increase in variance from the mean in acne group as compared to no acne group (p-value <0.001). Taken together, we conclude that the skin dysbiosis resulting from repeated decolonization and colonization of C. acnes and Pseudomonadaceae, respectively, can potentially be associated with the pathogenesis of acne in swimmers.

[Hot tub lung: A case report]

Hot tub lung is a type of hypersensitivity pneumonitis caused by inhalational exposure to the Mycobacterium avium complex. We report the case of a 14-year-old boy presenting dyspnea with hypoxemia, whose medical history and clinical course helped make the diagnosis. Infectious causes were considered first, and antibiotics were initiated without success. Further questioning and explorations led to discussing a hypersensitivity pneumonitis diagnosis. Relapse after exposure to a hot tub enabled us to confirm hot tub lung. Hypersensitivity pneumonitis is a rare cause of pulmonary disorder, especially in children. It should be discussed with unusually severe and progressive cough or dyspnea. Further explorations should therefore be undertaken (CT, fibroscopy). Taking a precise medical history allows early diagnosis, leading to a quick withdrawal from the allergenic source and appropriate treatments.

A Case of Congenital Folliculitis Caused by Pseudomonas aeruginosa in a Preterm Neonate

Intrauterine infections are associated with life-threatening neonatal conditions such as sepsis, intracranial hemorrhage, and chronic lung disease. Herein we present a case of generalized congenital folliculitis caused by Pseudomonas aeruginosa in a preterm neonate of 27 weeks gestational age successfully treated with antibiotics. Folliculitis is an important manifestation of intrauterine P. aeruginosa infection, and prompt, effective treatment is crucial to ensuring a good prognosis.