Notes from a talk given at the European Congress of Clinical Microbiology & Infectious Diseases, 2011. Pseudomonas aeruginosa is a versatile environmental bacterial species that breeds in the nooks and crannies of spa and whirlpool baths. The skin infections it can cause are probably under-recognised, but where public health surveillance is in place, have appeared in small case clusters. Some states have active monitoring of spa bath hygiene measures.
- Hopkins, R.S. et al. Follicular dermatitis outbreak caused by Pseudomonas aeruginosa associated with a motel’s indoor swimming pool. Pub Health Reports 1981; 96: 246-9.
- Vogt, R. et al. Pseudomonas aeruginnosa skin infections in persons using whirlpool in Vermont. J Clin Microbiol 1982; 15: 571-4.
- Surveillance for water-borne disease outbreaks – United States, 1995-6. MMWR, 1998; 47 (SS-5), 1-34.
- Pseudomonas dermatitis/folliculitis associated with pools and hot tubs – Colorado and Maine, 1999-2000. MMWR, 2000; 49: 1087-91.
- Mena, K.D. & Gerba, C.P. Risk assessment of Pseudomonas aeruginosa in water. Rev Environ Contam Toxicol 2009; 201: 71-115.
- Hengge, U.R., Bardell, V. Green nails. Images in Clinical Medicine, NEJM, 2009; 360: 11.