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. ------- 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. ------- 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 ------- 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. ------- 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 ------- United States Environmental Protection Agency Center for Environmental Research Information Cincinnati OH 45268 BULK RATE POSTAGE & FEES PAI EPA PERMIT No. G-35 Official Business Penalty for Private Use $300 PS 0000329 U i» tNVlR PROTECTION KEblUN 5 LJbRARr 230 i> UEAR00RN STKEET CMiCAGO 1U 60604 ------- |