United States
                    Environmental Protection
                    Agency
Water Engineering
Research Laboratory
Cincinnati OH 45268
                    Research and Development
EPA-600/S2-84-166 Dec. 1984
<&ER&          Project  Summary
                    Injury and  the  Improved
                    Recovery of  Coliform Bacteria
                    in  Drinking  Water

                    Gordon A. McFeters, Mark W. LeChevallier, and Matthew J. Domek
                     A study was conducted to answer
                    basic questions about the fate and han-
                    dling of stressed indicator bacteria in
                    aquatic environments. The importance
                    of stressed indicator bacteria in asses-
                    sing water quality has been gaining at-
                    tention as microbiologists have discov-
                    ered the inaccuracy of present methods
                    and media for recovering indicator bac-
                    teria in water. The study examined the
                    effects of laboratory manipulations on
                    recovery of injured indicator bacteria.
                    These manipulations include exposure
                    to  diluents, choice of enumeration
                    medium, and membrane fitter surface
                    pore  morphology. Results indicated
                    that diluent composition was of little
                    importance, provided the diluent was
                    cold (4°C) and exposure was brief (<30
                    min.), and that the most commonly
                    used media recovered less than 30% of
                    an injured cell population.
                     Based on these results, a new  mem-
                    brane fitter medium,  m-T7, was de-
                    veloped that recovered 86%  to 99%
                    more laboratory-injured coliforms and
                    3 times more coliforms from drinking
                    water than did m-Endo medium. The
                    m-T7  medium also  recovered 43%
                    more verified coliforms from 67 surface
                    and drinking water samples than did
                    the standard m-Endo membrane fitter
                    technique.  The  medium  was also
                    evaluated for its effectiveness as a fecal
                    coliform medium. Recoveries of fecal
                    coliforms  on  m-T7 were  3.1  times
                    greater  than  the  standard  m-FC
                    method and 1.7 times greater than the
                    two-layer enrichment, temperature ac-
                    climation procedure.
                     Comparisons of verification  tech-
                    niques for the membrane fitter total
coliform method suggest that standard
procedures may result in significant un-
derestimations of indicator densities,
particularly in waters where coliforms
are stressed or injured.
  Laboratory and field data indicated
that copper at levels normally found in
drinking water  could injure coliform
bacteria. Study results showed that
90% injury could occur at copper con-
centrations of 0.050 mg/L.
  Studies were also initiated to investi-
gate the interactions between standard
plate count (SPC) bacteria and coliform
organisms.  A  significant  correlation
was observed between the initial SPC
level and the rate of coliform decline.
  This  Project Summary was devel-
oped by EPA's Water Engineering Re-
search  Laboratory,  Cincinnati, OH, to
announce key findings of the research
profect that is fully documented in a
separate report of the same title (see
Project Report ordering information at
back).

Introduction
  Indicator bacteria have been success-
fully used in this country for nearly 100
years to identify water that may contain
infectious agents. During this time, seri-
ous disease outbreaks associated with
water have decreased significantly be-
cause of disinfection, the acceptance of
improved engineering practices, waste-
water treatment facilities, and micro-
biological  surveillance.  However, dur-
ing the last decade a pronounced in-
crease has occurred  in both the number
of cases and outbreaks of waterborne
disease reported by the Center for Dis-
ease Control (CDC) in Atlanta, Georgia.

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At the same time, some experts believe
that as many as 90% of the outbreaks
are unreported, since many people fail
to associate their illness with contami-
nated drinking  water.  This increase
could simply be the result of improved
reporting,  or   it  could  be  a  real
phenomenon resulting from the over-
loading  of our treatment plants  with
source water of increasingly lower qual-
ity.
  The ultimate solution to this large and
complex problem depends  on the cor-
rectly directed efforts of federal, state,
and local authorities charged with the
responsibility   of  providing  drinking
water that is free from contamination.
The  microbiological facet of this task
largely  depends  on meaningful  epi-
demiological and surveillance informa-
tion, which in turn relies on the accurate
detection and   enumeration of  water-
borne indicator bacteria  within a rea-
sonable time. The basic microbiological
tools presently being used for this pur-
pose are inaccurate, however, because
many of the procedures recover only a
portion  of the  total population of indi-
cator bacteria present in the water.
  One of the basic problems underlying
this assessment dilemma concerns the
lack of understanding of what happens
to indicator bacteria in aquatic environ-
ments. It is now apparent that injured
indicator bacteria occur in almost every
aquatic environment. The proportion of
injured coliforms can range up to 90%
and more. Injury has  been defined as
the  sublethal   physiological   conse-
quence  of exposure to stresses which
cause a  loss in the ability  of microor-
ganisms to grow normally under condi-
tions satisfactory for untreated cells. In-
jury has also been described as reversi-
ble; that is, under proper conditions of
temperature and nutrients, injured or-
ganisms can repair the cellular lesion
and become indistinguishable from un-
stressed cells.  As a result, it is possible
to resuscitate   and enumerate injured
coliform bacteria.
  This study addresses  some of these
fundamental questions regarding stress-
ed indicator organisms in aquatic sys-
tems, including the following: how to
collect and handle samples that contain
injured coliform bacteria, how to enum-
erate injured total  and fecal coliforms,
how verification procedures influence
the  assessment  of   potable   water
supplies, and  how  various  physio-
chemical and  biological  parameters
cause  injury  to coliform  bacteria in
drinking water systems.
Results and Discussion

Sample Collection and Handling
  The way a water sample is collected
and handled before enumeration great-
ly influences the viability of injured bac-
teria in that sample. Sodium thiosulfate
is usually added to drinking water sam-
ples to neutralize any chlorine residual.
In addition, the results suggest that a
chelator such as EDTA should be rou-
tinely added to remove heavy metals,
particularly  if there  is  an  extended
period between sample collection and
enumeration.
  Laboratory manipulations involving
exposure to diluents may cause further
underestimations of bacterial densities
in surface water. If diluents  are main-
tained at  approximately refrigerator
temperatures  (about 4°C), their com-
positions and exposure times have min-
imal  impacts  on  enumeration  effi-
ciency.  However, substantially lower
enumeration  recoveries of injured bac-
teria have been associated with room
temperature  and extended  exposure
time (Figure  1). The  enrichment of di-
luents with low concentrations (0.05%
to 0.1%) of organic  material such as
peptone, gelatin, tryptone, or milk has
been demonstrated to be of value in the
enumeration  of stressed aquatic  bac-
teria.

Enumeration of Injured Total
and Fecal Coliform Bacteria
  New  membrane   filter  techniques
have  been proposed for enumerating
stressed total and fecal coliforms. Steps
taken in the formulation of a new selec-
tive agar medium (m-T7) have ensured
that it is selective and that it minimizes
the inhibition of stressed coliforms. The
formula  and  preparation instructions
for m-T7 agar appear  in Table 1. The
effectiveness of m-T7  agar  was dem-
onstrated when it recovered an average
of 43% more verified coliforms from 67
surface and  drinking  water samples
than  did the  standard m-Endo mem-
brane filter technique. Overall, m-T7
agar recovered significantly more (p <
0.05) coliforms than either the standard
m-Endo or m-Endo with lauryl tryptose
broth (LTB) resuscitation techniques. In
one drinking water sample, the m-T7
agar  enumerated 17  confirmed  coli-
forms, whereas  the  m-Endo  +  LTB
method recovered none.  From the 44
drinking water samples analyzed, m-T7
agar detected 2.7 times more coliforms
(a 63% increase) than the m-Endo re-
suscitation  technique and   nearly  3
              Minutes Exposed

Figure  1.   Effect of diluent composition
           and exposure time on the re-
            covery of injured (90%) and
           uninjured control^., colt suspen-
           sions at 24°C. The control line is
           an average of all data obtained
           when uninjured cells were ex-
           posed in each diluent. Diluents
           are 1.0% milk, 0.1% peptone.
           reagent-grade water, phosphate
           buffer,  and phosphate buffer
           amended with 0.1% peptone.
            Values are a mean of three
           experiment replications.
times more coliforms than the standard
m-Endo  method  (Table  2).  We  also
found that m-T7 agar recovered more
verified coliforms from drinking water
samples than did the m-Endo; m-Endo
+ LTB pad; m-Endo + lactose agar (LA)
overlay; m-T7 + proteose peptone #3,
lactose, and yeast extract (PLY) pad; or
m-T7 anaerobic techniques. In addition,
five collaborating laboratories reported
an average increase of 31% in coliform
recoveries from a  variety of contami-
nated  surface  and  sewage samples
using m-T7 agar  compared with  the
standard m-Endo method. Note that our
results  showed that  m-T7  agar per-
formed  best for the isolation of coli-
forms from drinking water.  Since m-T7
agar was specifically designed to re-
cover injured  coliforms from drinking
water, further  studies are needed to
evaluate its potential fully. Other inves-
tigators  interested in  coliform injury
will, it is hoped, use m-T7 and evaluate
the results in relation to other coliform
media.

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Tahiti.   Formulation of m-T7 Medium
       Ingredient?
                 Amount per Liter of
                   Distilled Water
  Proteose peptone #3
  Yeast extract
  Lactose
  Tergitol 7 (25% solutionJ
  Polyoxyethylene ether W1
  Brom thymol blue
  Brom cresol purple
  Agar
  Final pH*
                       59
                       3g
                      20 g
                        Ami
                       5g
                       0.1g
                       O.lg
                      15 g
                       7.4
'All ingredients were manufactured by Difco Laboratories except for polyoxyethylene ether
 W1 and brom cresol purple, which were manufactured by Sigma Chemicals, and tergitol 7,
 which was obtained from Baker Chemical Company.
"The medium was autoclaved at 121°C for 15 min and finalpH was adjusted aseptically to 7.4
 with 0.1 N NaOH. Additional selectivity may be obtained by aseptically adding 0.1 \t.g/ml
 penicillin G to the medium after autoclaving. Media prepared with penicillin G should be used
 within 1 week when stored at 4°C.
 Table 2.   Comparison of m-Endo and m- 77 Techniques

                                           Relative Coliform Counts
Medium
m-Endo
m-Endo + LTB pad"
m-Endo + LA overlay*
m-T7
m-T7 + PLY pad'
m-T7 — anaerobic
Drinking
Water
n' = 44
1.41
1.48
1.27
3.96*
3.85*
0.57
Surface
Water
n= 11
27.8
32.3**
32.8*
39.9*
40.3*
37.4*
Chlorinated
Surface Water
n = 12
13.6
14.2
22.6*
20.6*
25.2*
22.8*
'Number of samples.
bLauryl tryptose broth pad.
"Asterisk indicates a significantly greater value compared with m-Endo (p < .05).
dLactose agar overlay.
'Base composition of m- T7 containing proteose peptone #3, lactose and yeast extract.
  The problem of enumerating injured
fecal coliform bacteria has been recog-
nized by the 15th edition of Standard
Methods for the Examination of Water
and Wastewater in a new section en-
titled "Stressed  Organisms"  (section
no. 920).  Included  in this section are
various  resuscitation  techniques for
fecal coliforms. We compared the effec-
tiveness of m-T7 agar with some of the
proposed resuscitation  techniques for
the recovery of injured  fecal coliforms
from  chlorinated  sewage  effluents.
Though a limited number of samples
were examined,  m-T7  agar  preincu-
bated at 37°C for  8 h before transfer to
44.5°C  for  an additional 12  h  was
superior for the  recovery of verified
fecal coliforms compared with any of
the  resuscitation  techniques  tested.
This method (abbreviated m-T7 8 h,
37°C) produced counts 3.1 times greater
than the standard m-FC technique and
1.7 times greater than the two-layer en-
richment, temperature acclimation pro-
cedure.

Influence of Verification
Procedures
  When  routine coliform analyses of
drinking water samples yielded a high
percentage of typical presumptive coli-
forms that did not produce gas in LTB,
studies were initiated  to evaluate a
more  reliable  verification  procedure
and  to investigate whether injury to
coliform organisms affected their ability
to produce gas in LTB.  Comparison of
verification techniques  for  the  mem-
brane filter total coliform method were
made  using  the standard LTB  proce-
dure and the B-galactosidase and cyto-
chrome  oxidase  (B-gal/CO)  method
using coliforms isolated from 21  sur-
face and drinking water samples. Of the
682 presumptive coliforms tested from
all types of water samples, 577 (84.6%)
were   verified  using  the  B-gal/CO
method, whereas only 402 (58.9%) pro-
duced gas in LTB (Table 3). When verifi-
cation procedures included  the confir-
matory brilliant green-lactose-2% bile
broth (BGLB) step, the verification rate
dropped to 50.4%. Of the 146 presump-
tive  coliforms  tested  from  drinking
water samples,  119 (81.5%) were ver-
ified using the  B-gal/CO method, and
only 15 (10.3%) produced gas in LTB
(Table 3). More than 90% of the anaero-
genic lactose fermenters verified by the
B-gal/CO method were representative
of typical coliform genera (Escherichia,
Enterobacter, Klebsiella, or Citrobacter).
  A significant correlation existed be-
tween the level of injury and the percent
of verification (using LTB) of coliforms
from m-T7 agar  (r = -0.63; p <0.001).
This correlation may be related to some
irreversible  cellular injury involved  in
gas production from lactose, or it may
reflect  an   association  between an-
aerogenic coliforms and an increased
susceptibility to aquatic injury.


Sources of Injury to Coliform
Bacteria
  Injury  in  the aquatic  environment
may be related to a number of factors,
including time and  temperature of ex-
posure, disinfection levels, strain of or-
ganism, concentration of nutrients, and
possibly other undefined chemical and
physical parameters.  In addition, this
study establishes the role of copper and
heterotrophic plate count bacteria in the
injury process of coliforms in drinking
water.
  A combination of laboratory studies
and  field data  indicated that copper
present  at  concentrations  normally
found in drinking water could cause sig-
nificant  injury  to  coliform bacteria.
Though other metals such as cadmium,
lead,  and zinc were  also detected  in
drinking water samples, these metals or
combinations  of them were not as im-
portant in the injury process as copper
alone. Copper  has  been detected  in
65.2% of 380 finished  drinking water
supplies in  the  United States with a
mean concentration of 0.043 mg/L and
a range of 0.001 to  1.060 mg/L Results
indicate that 90% injury could occur in
coliform populations  within 2  days  at
copper concentrations near the national
mean (Figure 2). Statistical analyses  of
30 drinking  water samples  suggested
that pH, alkalinity, and temperature also
influenced the amount of injury, pre-
sumably  by  altering  the  chemical
species and activity of  the  dissolved

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Table 3.
Comparison of Verification Procedures in Drinking Water, Surface Water, and
Chlorinated Surface Water for Total Conforms.
                                     V-gal/CO Method"-"
                                                   L TB Procedure0
Source
Drinking
water
Chlorinated
surface water
Surface
water
Total
No. of No. of
Samples Presumptives
12 146
4 280
5 256
21 682
No. ONPG +
Co-
r/9
232
226
577
% ONPG +
Co~
81.5
82.8
88.3
84.6
No. Gas +
inLTB
15
190
197
402
% Gas +
inLTB
10.3
69.8
76.9
58.9
"fi-galactasidase and cytochrome oxidase method.
bONPG = o-nitrophenyl-$-D-galactopyranoside; CO = cytochrome oxidase.
CL TB = lauryl tryptose broth.
copper. Other factors such as total or-
ganic carbon levels and the species of
coliform present are thought to influ-
ence  injury  resulting   from  copper.
Physiologically,   copper-injured   cells
show impaired respiratory activity and
are unable to use oxygen during the re-
    99.9 r
     99
     90
      10
                       0.05 mg Cu/L
        0   1
                    345

                    Days
Figure 2.   Injury induced by copper at con-
           centrations within the national
           range for drinking water. Cells
            were injured by placing a
           washed suspension of E. coli
           /10a cfu/ml) in carbonate-buf-
           fered, reagent-grade water (pH
            7.0).  This suspension was
           amended with various levels of
            copper fas CuSOfSH^O) and
           incubated at 4°C for periods up
           to 7 days.
                              pair  process.  Sources  of copper in
                              drinking water include copper pipe ma-
                              terial, brass, faucets, and other attach-
                              ments.  Copper may also be introduced
                              as copper sulfate (which is used to treat
                              algal problems in reservoirs)  and as
                              trace contaminants added with floccula-
                              tion material. In addition, copper may
                              also  enter  water  from  geological
                              sources. This process may be especially
                              important in some areas (i.e., Montana)
                              where copper is naturally abundant.
                                Another source of coliform injury in
                              drinking water  results from biological
                              interactions. Some strains of  hetero-
                              trophic or standard plate count (SPC)
                              bacteria in drinking  water have  been
                              shown  to suppress coliform detection.
                              In addition, interactions of SPC bacteria
                              with  coliforms may also cause injury.
                              For example, experiments showed that
                              the interaction between Pseudomonas
                              maltophilia and f. coli produced little
                              decrease in viable counts over control
                              levels, but it produced 55% injury over
                              a 7-day period (Figure 3). The decline in
                              viable  bacteria  for  the  control  and
                              mixed coliform cultures was identical,
                              but  injury was observed only in the
                              mixed culture. Injury did not occur until
                              P. maltophilia levels reached 104to 105
                              colony  forming units (cfu)/ml. The ratio
                              of coliforms to P. maltophilia (1:104 to
                              105) in the above experiments where in-
                              jurious interactions occurred are similar
                              to the ratios for coliforms and SPC bac-
                              teria  in drinking water (coliforms = 1 to
                              10 cfu/100 ml; SPC > 500 cfu/ml) where
                              coliform  suppression  has   been  re-
                              ported. Attempts to detect bacteriocins
                              or antibiotic production by overlaying
                              irradiated SPC colonies with cultures of
                              four  different coliforms (E. coli, Kleb-
siella pneumoniae, Citrobacter freundii
and Enterobacter agglomerans) were
unsuccessful. Although  bacteriophage
could not be ruled out, a nutritional in-
teraction  between SPC and coliform
bacteria was thought to be more likely.
Such interactions are important, par-
ticularly when samples are transported
or stored or both.


Conclusions
  The  following conclusions  can  be
drawn from data obtained  from this
study:
  1. Injury to indicator bacteria can  re-
sult from a variety of sources, including
chlorine and other disinfectants, heat,
freezing, sunlight, pH, transition metals,
antagonistic plate count  organisms,
and possibly other undefined chemical
and physical parameters. Injured bac-
teria exist in every aquatic environment
examined thus far.
  2. A number of factors can influence
the extent or severity of injury, includ-
ing time and temperature of exposure,
strain of organism, physiological state,
concentration of nutrients, neutraliza-
tion technique (e.g., EDTA to neutralize
copper  effects), diluent,  and choice of
sample methodology.
  3. The use of m-T7 medium provides
an  effective alternative method that is
                                                                                   10
                                                                                  8   '•
 a
  10*
  s
  v*.
  o
   10
                                                                                                      P. maltophilia
                                                                                                    in Mixed Culture
                                                                                                            '. maltophilia
         /       3       5       7
                 Days

Figure 3.    Interaction between  Pseudo-
            monas maltophilia and E. coli.
             Number represents percent
            injury in E. coli population. No
            injury was observed in  the
            control culture.

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specifically designed for the enumera-
tion of injured total and fecal conforms.

Recommendations
  1. Water operators and managers
should become aware of the existence
[reality] of injured conforms. Injured in-
dicator bacteria exist  in every aquatic
environment studied thus far, and these
organisms may represent about half of
the coliforms present.
  2. Laboratories  examining  potable
water should perform parallel conform
analyses using m-Endo and m-T7 agars
to assess the occurrence and extent of
injured coliforms in their systems.
  3. Epidemiological   investigations
should be initiated to evaluate further
the significance of stressed indicator
bacteria  associated  with  waterborne
outbreaks.

Other Reports Based On This
Research
  McFeters,  G.A.,  S.C. Cameron  and
M.W.  LeChevallier. 1982.  Influence of
diluents, media and  membrane filters
on the detection of injured waterborne
coliform bacteria. Appl. Environ. Micro-
biol. 43:97-103.
  LeChevallier,  M.W., S.C. Cameron
and G.A. McFeters. 1983. New medium
for the improved recovery of coliform
bacteria from drinking water. Appl. En-
viron. Microbiol. 45:484-492.
  LeChevallier,  M.W., S.C. Cameron
and G.A.  McFeters.  1982.  A  new
medium for the improved recovery of
injured coliforms from drinking water.
Abstracts of the meeting  of the Amer.
Soc. for Microbiol., p. 218.
  LeChevallier,  M.W., S.C. Cameron
and G.A. McFeters. 1983.  Comparison
of verification procedures for the mem-
brane filter  total coliform technique.
Appl. Environ. Microbiol. 45:1126-1128.
  Domek, M.J., M.W.  LeChevallier and
G.A. McFeters.  1983. Evidence for the
role of heavy metals in the injury pro-
cess of coliforms in drinking  water.
Abstracts of the meeting  of the Amer.
Soc. for Microbiol., p. 261.
  LeChevallier,  M.W., S.C. Cameron
and G.A. McFeters. 1983.  Comparison
of verification procedures for the mem-
brane filter  total coliform technique.
Abstracts of the meeting  of the Amer.
Soc. for Microbiol., p. 236.
  LeChevallier,  M.W., P.E. Jakanoski,
A.K. Camper and G.A. McFeters. 1984.
Evaluation of m-T7 agar as a fecal coli-
form  medium.  Appl.  Environ.  Micro-
biol., submitted.
  Domek, M.J., M.W. LeChevallier, S.C.
Cameron and G.A. McFeters. 1984. Evi-
dence for the role of copper in the injury
process of coliforms in drinking water.
Appl. Environ. Microbiol., submitted.
  LeChevallier, M.W. and G.A. McFet-
ers.  1984.  Causes,  implications  and
methods for enumeration  of injured
coliforms in drinking water. J. Amer.
Water Works Assoc., submitted.
  The full report was submitted in ful-
fillment of Grant No.  R807092 by Mon-
tana State University under the spon-
sorship of the U.S. Environmental  Pro-
tection Agency.
  Gordon A. McFeters, Mark W. LeChevallier. and Matthew J. Domek are with
    Montana State University. Bozeman. MT 59717.
  Donald J. Reasoner is the EPA Project Officer (see below).
  The complete report, entitled "Injury and the Improved Recovery of Coliform
    Bacteria in Drinking Water." (Order No. PB 85-117 240; Cost $13.00, subject to
    change) will be available only from:
          National Technical Information Service
          5285 Port Royal Road
          Springfield. VA 22161
          Telephone: 703-487-4650
  The EPA Project Officer can be contacted at:
          Water Engineering Research  Laboratory
          U.S. Environmental Protection Agency
          Cincinnati, OH 45268
                                                                                     * U.S.OOVBWUCNTPnNTMQOn'ICeiMB- 559-111/10757

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