Environmental Protection Technology Series
Taxonomy of  Klebsiella yneumoniae
Isolated from Pulp/Paper
     Wastewater
                                    
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                      RESEARCH REPORTING SERIES
Research reports of the Office of Research and Development,
U.S. Environmental Protection Agency, have been grouped into
five series.  These five broad categories were established to
facilitate further development and application of environmental
technology.  Elimination of traditional grouping was consciously
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related fields.  The five series are:

          1.   Environmental Health Effects Research
          2.   Environmental Protection Technology
          3.   Ecological Research
          4.   Environmental Monitoring
          5.   Socioeconomic Environmental Studies

This report has been assigned to the ENVIRONMENTAL PROTECTION
TECHNOLOGY STUDIES series.  This series describes research
performed to develop and demonstrate instrumentation, equipment
and methodology to repair or prevent environmental degradation from
point and non-point sources of pollution.  This work provides the
new or improved technology required for the control and treatment
of pollution sources to meet environmental quality standards.

                         EPA REVIEW NOTICE

This report has been reviewed by the National Environmental
Research Center—Corvallis, and approved for publication.  Mention
of trade names or commercial products does not constitute endorsement
or recommendation for use.

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                                          EPA-660/2-75-024
                                          JUNE 1975
           TAXONOMY OF KLEBSIELLA  PNEUMQNIAE
      ISOLATED FROM PULP/PAPER MILL  WASTEWATER
                   Martin D. Knittel
Pacific Northwest Environmental Research  Laboratory
      National  Environmental Research  Center
               Corvallis, Oregon   97330
                 Program Element 1BB037
                ROAP 21  AZX/Task No.  055
       NATIONAL  ENVIRONMENTAL RESEARCH  CENTER
         OFFICE  OF RESEARCH AND DEVELOPMENT
        U.S.  ENVIRONMENTAL PROTECTION AGENCY
               CORVALLIS, OREGON 97330
          For sale by the Superintendent of Documents, U.S. Government
                Printing Office, Washington, D.C.  20402

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                               ABSTRACT

Klebsiella pneumonlae, a coliform bacterium, has been isolated from pulp
and paper wastewater effluents.  It represents as much as 80% of the
total coliform bacteria present and was found able to grow in sterilized
wastewater samples.

A taxonomic comparison of isolates from the environment and from various
other sources revealed no difference among the cultures.  Both the
environmental and the pathogenic cultures of K. pneumoniae exhibited the
same biochemical properties.

The deoxyribonucleic acid base (DNA) composition comparison of these
same isolates showed they all exhibited a guanine plus cylosine base
composition of 56% j^ 1.4%, and all cultures examined fell within this
range.  A more detailed study of the DNA hybridization revealed that
isolates from both pulp mills and pathogenic sources had from 92 to 100%
homology to the reference culture.  One pulp mill isolate had only 41%
homology, which indicates some K^ pneumoniae from pulp mills may be
phenotypically similar but genetically dissimilar from known K. pneumoniae.
It was concluded from this study that:  (1) coliform bacteria with IMViC
profiles of --++ should not be disregarded since some may be K. pneumoniae,
and (2) K. pneumoniae found in clinical or from environmental sources
are biochemically and genetically related.

This report was submitted in fulfillment of ROAP 21 AZX/Task No. 055
by the Pacific Northwest Environmental Research Laboratory.  Work was
completed as of June 1973.

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                              CONTENTS








Sections                                             Page





I.    Conclusions                                      1





II.   Recommendations                                  2





III.  Introduction                                     3





IV.   Methods and Materials                            5





V.    Results                                          8





VI.   Discussion                                      26





VII.  References                                      29

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                               FIGURES

No.                                                           Page

1          Three Dimensional Plot of Total                      9
          Coliform Densities of a Pulp Mill

2         Three Dimensional Plot of Fecal                     10
          Coliform Densities of a Pulp Mill

3         Growth Curve of K. pneumom'ae in                    12
          Sterilized Wastewater from a Pulp
          Mill

4         Bar Graph of Total Coliforms and                    13
          K_. pneumom'ae Densities of Various
          Wastewater Sources of a Pulp Mill

5         Diagrammatic Drawing of Molecular                   22
          Structure of Deoxyribonucleic Acid

6         Thermal Denaturation Curve of Purified              23
          Deoxyribonucleic Acid
                                  IV

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                               TABLES


No.                                                       Page

1          Effluent Coliform Content from                  11
          Different Pulping Process

2         Cultural Reactions of Environmental             16
          and Reference Cultures of K. pneumoniae

3         Differentiation of K. pneumoniae and            17
          Enterobacter Species

4         Cultural Compairson of Environmental            18
          K. pneumoniae to Other Species of
          Klebsiella

5         Source and Serological Types of                 19
          Environmental K. pneumoniae

6         Tm and G + C% of DNA from Klebsiella            24
          pneumoniae Isolates from Pulp Mills

7         Relative Reassociation of Human and             25
          Pulp Mill Klebsiella Deoxyribonucleic
          Acid

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                           SECTION I
                          CONCLUSIONS

     The oriqin and health significance of K_. pneumoniae in pulp and
paper wastewater effluents remains to be determined.  Several  important
facts must be considered concerning the occurrence of coliform bacteria
in these wastewaters.

     (a)  The coliforms discharged into the water course from  pulp and
     paper wastewater effluents cause a degradation of the bacteriological
     water quality and may act to mask the occurrence of other sources of
     coliforms.

     (b)  The nutrient levels of these pulp mill wastewaters v/ere in
     sufficient quantity to support the growth of coliforms.

     (c)  The K. pneumoniae isolated from pulp and paper wastewaters
     were taxonomically indistinguishable from K_. pneumoniae obtained
     from clinical sources.

     (d)  Those cultures obtained from both wastewater and clinical
     sources were genetically identical by virtue of their having 92 to
     100% of DMA homology.  One strain tested showed only 41%  homology
     to reference DNA indicating that some isolates were phenotypically
     identical to K. pneumoniae, but were genetically dissimilar.

     (e)  The question of pathogenicity of these environmental sources
     has not been proven or disproven, but remains to be answered.

     (f)  Finally, it is concluded that until K_. pneumoniae in pulp and
     paper mill wastewater effluents are shown to be non-pathogenic,
     disinfections or other bacterial control methods should be practiced
     on these effluents.

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                           SECTION II
                         RECOMMENDATIONS

The origin of K. pneumoniae in pulp mill wastewaters has not yet been
resolved.  IK. pneumoniae can be of fecal origin and there is some evidence
to suggest this may be true in this case since fecal coliforms can also
be found in these same wastes.  Proof of fecal origin would require an
indepth study tracing the origin of coliforms during the various stages
of manufacturing within the plant.  The outcome of this study would
identify point sources of contamination within the plant.  Once identified,
point source control might be used instead of controlling the coliforms
in the total mill effluent.  Control of coliforms at the source would be
more manageable than in the treatment system.

The occurrence of coliforms, and K_. pneumoniae specifically, has been
identified by Duncan and Razzel (4) as being ubiquitous and, therefore,
their presence in pulp mill effluents are of no significance.  It is
necessary in the overall understanding and control of coliforms to trace
their source in nature.  The significance of K_. pneumoniae can be more
intelligently assessed if the origin is established, especially if the
origin can be established as fecal; then the probability of the presence
of other pathogenic organisms is also relatively high, and K_. pneumoniae
assumes a new priority of importance.

Additional research should be undertaken to answer the following questions:
     (1)  What is the source or growth site within the industrial plant
     and are the organisms present of true fecal origin?
     (2)  Are IK. pneumoniae pathogenic and is their presence a hazard
     to human health?

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                              SECTION III
                             INTRODUCTION

In 1970 a water sampling study was conducted on some rivers and streams
in the Pacific Northwest.  The study found a high number of coliform
bacteria present in surface waters downstream from pulp and paper plants
(Bauer, 1970 unpublished, 17 and 18).  As a result of this study, further
work was done which traced the source of the coliforms to the effluent
wastewaters of this industry.  A taxonomic analysis of the coliform
cultures revealed that the majority were of an  Indole, methyl red,
Voges-Proskauer, and citrate (IMViC)* profile of --++.  In previous
sanitary microbiology methods, coliform with this IMViC type were discarded
as being of soil or plant origin and of no particular sanitary signi-
ficance.  However, these IMViC types were further identified as Klebsiella
pneumoniae by the Enteric Bacteriology Laboratory of the U.S. Public
Health's Center for Disease Control (CDC) at Atlanta, Georgia.  This
finding raised the questions as to whether the  presence of K. pneumoniae
posed a health hazard, and what was the significance of coliforms and
fecal coliforms in these industrial wastewater  effluents.

K. pneumoniae was originally isolated from infected lungs by Friedlander
(1882).  K. pneumoniae has since been found to  be the cause of other
human diseases:  urinary tract infections (Edmondson and Sanford, 1967),
bacteremia (Steinhouer et al., 1966), osteomyelitis (Forman, 1963) and
meningitis (Spicak, et al, 1957). to name only  a few.  The point to be
stressed is K. pneumoniae is a human pathogen and can be found in the
intestinal flora of many humans (Thone, 1970).  K. pneumoniae has also
been found to cause infections in cattle.  Braman et al. (1973) found it
to be a causative agent in bovine mastitis.
*IMViC = four basic tests used to differentiate coliform bacteria.   I =  Indole,
M = methyl red, V = Voges-Proskauer, C  =  citrate.

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Until recently, it was difficult to separate K_. pneumoniae from  E_^
aerogenes because of close physiological similarities.  Ewing  (1963)
developed a classification scheme that makes it possible to distinguish
between these two species but it is not widely used by sanitary  bacter-
iologists at this time.  Thus, identifying K. pneumoniae in pulp and
paper wastewater has been confusing because of the reclassification of
Aerobacter aerogenes to Enterobacter aerogenes and moving Enterobacter,
Klebsiella and Serratia from the Escherichieae tribe  (Bergy's Manual) to
a new tribe Klebsielleae.

The objectives of this research were to resolve the taxonomy of j<^
pneumoniae found in pulp and paper wastewater effluents and to determine
if it is genetically related to K.  pneumoniae obtained from human  patients
with K. pneumoniae infections.

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                              SECTION IV
                         METHODS AND MATERIALS

CULTURES

K. pneumonlae were isolated from samples of pulp mill effluent by
filtering it through a sterile 0.45 y membrane filter and placing the
membrane on an Endo LES agar (Difco).  After 24 hours of incubation at
35°C, colonies on the membrane were transferred to triple sugar iron
(TSI) agar slants.  These cultures were incubated for 24 hours at 35°C,
and those showing an acid slant and butt with gas, but no H?S, were
inoculated into additional media for biochemical classification.   All
cultures that grew on citrate, produced acetyl methylcarbinol (Voges-
Proskauer positive), were non-motile, ornithine decarboxylase negative,
indol phenol oxidase negative and gram negative rod-shaped bacteria were
identified as Klebsiella pneumom'ae.  Several cultures were submitted to
the U. S. Public Health Center for Disease Control (CDC), Atlanta,
Georgia, for confirmation.  Their classification confirmed the above
procedure.

Additional cultures of K. pneumoniae were obtained from the American
Type Culture Collection (ATCC), Washington, D.C., and from Dr. John
Matsen of the University of Minnesota Medical School, Minneapolis,
Minnesota.

CLASSIFICATION

The identification of the environmental isolates of K. pneumoniae and
the media and reagents used were those recommended by Edwards and Ewing
(1972).

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CAPSULE DEMONSTRATION AND TYPING

Capsule production was enhanced by passing the culture into the medium
recommended by Hoogerheide (1939).  After 24 hours of growth, a drop of
the culture was mixed with a drop of india ink and a thin smear made on
a slide.  After the film dried, it was counter stained with basic fuchsian
dye.  The capsule was a clear halo in the particles of india ink around
the red stained cell.

Capsular antigen types were determined with capsular antiserum obtained
from Difco, Detroit, Michigan.  These cultures were also submiited to
the U.S. Public Health Center for Disease Control, Atlanta, Georgia, for
confirmation.

COLIFORM AND FECAL COLIFORM DETERMINATIONS

Total and fecal coliforms were estimated using the Millipore membrane
method described in Standard Methods for the Examination of Water And
Wastewater (1971).

DEOXYRIBONUCLEIC ACID BASE COMPOSITION

Deoxyribonucleic Acid (DNA) was isolated and purified from packed cell
masses of K.  pneumonaie using the method of Marmur (1961) and later by a
method suggested by Anderson and Ordal  (1972).

The DNA base composition was determined by observing the thermal denatur-
ation of a sample of DNA and finding the Tm values for the sample according
to Deley and Schell (1963).  The percentage of guanine and cytosine
composition of the DNA sample was calculated from the Tm value using the
formula of Marmur and Doty (1962) which is:

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                         %G+C - (Tm-69.3)
                                   0.42
where %G+C = precent guanine + cytosine content of the DNA and Tm is
midpoint of thermal denaturation curve.  The value 69.3 is the mid-point
of the thermal denaturation curve of pure adenine + thymine polymer.
The value 0.42 is the slope of the empirical curve.

DEOXYRIBONUCLEIC ACID - DEOXYRIBONUCLEIC ACID HOMOLOGY DETERMINATION

Homo logy of DNA was carried out using the membrane filtration methods of
Anderson and Ordal  (1972).

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                               SECTION V
                                RESULTS

Samples were taken on four consecutive days to determine the occurrence
and variation of coliforms in the stages of treatment of pulp and paper
wastewater.  Figure 1 is a three dimensional graph of the results.  The
date of sampling is plotted on the horizontal  axis, the number of coliform
bacteria found are plotted on the vertical  axis and the third dimension
is the place of sampling.  The number of coliforms increase about two
orders of magnitude as the waste progresses from the primary influent to
the secondary effluent.   The day-to-day variation of numbers of coliforms
at any sampling point remained consistent within an order of magnitude.
The intake or processing water contained less  than 100 coliforms per
milliliter on any day sampled, but the primary influent waste stream
contained approximately 10,000 coliforms per milliliter.  This 99.0%
increase suggests that the majority of the coliforms are coming from
areas within the pulp mill itself because the  wastewater entering the
settling basin contains several  thousand coliforms per milliliter.

The daily variation of fecal  coliforms content is presented in Figure 2.
The response surface of the graph shows that the number of fecal coliforms
varies from day to day, but is always greater  in the aeration basin.
The fecal coliform content of the intake water was low and it appeared
that the fecal coliforms originate from within the mill.

The data in Figures 1 and 2 suggest that the coliforms are growing in
the waste during the treatment process.  This  observation was tested by
sterilizing (autoclaved at 121°C) samples of wastewater entering the
secondary aeration basins and inoculating sub-samples with purified
cultures of K. pneumoniae and a  fecal coliform originally isolated from
a sample of the secondary wastewater effluent.  An unsterilized sample
of the same waste was also included.  This sample would represent the

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                                                  CD
                                       Secondary Effluent
                                 Secondary Influent
                           Primary Effluent   o>
                     Primary  Influent
10/18       10/19        10/20
           Date of  Sampling
10/21
                Source Water
        Figure 1.   Three  Dimensional Plot  of Total
                    Coliform  Densities of a Pulp Mill

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                                                                             Effluent Aeration Basin
                                                                       Influent Aeration Basin
                                                                Effluent  Settling Pond
                                                          Influent  Settling  Pond
10/18       10/19       10/20        10/21
                 Date of Sampling
                                                    Intake Water
Figure  2.   Three  Dimensional  Plot of  Fecal
            Coliform Densities of a  Pulp Mill
                                            10

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increase or decrease in the indigenous coliform population.  The results
are presented in Figure 3.  The curve with the solid circles shows that
over the period of incubation the indigenous population (in the unsterilized
sample) increased by one order of magnitude.  The coliforms have enough
nutrients and can compete with the other microorganisms for these nutrients.
The inocula of both the fecal coliform (open squares) and K. pneumoniae
grow more rapidly than fecal coliform culture in this waste; this may be
why it becomes the predominant coliform in this type of wastewater.

The numbers of K.pneumonaie and total coliform population were determined
in the various waste streams of the pulp mill.  These data are shown in
Figure 4.  K. pneumoniae constitutes approximately 70 percent of the
coliform population of these waste streams.  There is a large increase
in coliform and K. pneumoniae populations during the time of retention
in the aeration basins (secondary treatment).  This supports the above
observation of growth in sterilized wastewater.  The presence of coliforms
and the identification of K. pneumoniae in this pulp mill effluent led
to the examination of other types of pulping processes for coliforms in
general and K. pneumoniae specifically.  These data are presented in
Table  1.  The lowest K. pneumoniae percentage was found in the effluent
from a defiberization plant.  The highest percentage was in the effluent
from an ammonia base sulfite mill.  A wider sampling of pulping processes
by Bauer (unpublished results) resulted in similar findings.

                                TABLE 1
       EFFLUENT COLIFORM CONTENT FROM DIFFERENT PULPING PROCESSES
                                                            Percent
                                                          Total Coliforms
Type of Pulping                         Coliforms          confirmed as
   Process	   per milliliter        K. pneumoniae

Kraft
Sulfite (Ammonium)
Sulfite (Ammonium)
Defiberization
Total
6.8 x 103
1.6 x 104
3.9 x 104
3.2 x 103
Fecal
5.4 x 102
3.0 x 101
1.4 x 101
1.0 x 102

60 percent
70 percent
--
30 percent
                                     11

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o
o
    10
8
    10
           Indigenous
           Coliforms^
    /•
    10'
    10'
                   pneumoniae^
                       ~.C. Positive
                    Fecal Conforms
       0      10    20     30    40

                 Time (hours)
         Figure 3.  Growth Curve of K. pneumoniae in
                Sterilized Wastewater from a Pulp
                Mill
                      12
                                    50

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    ICT
 CD
I  io4
 CD
 Q.
 O
QQ
    10'
    10'
                      Total Conforms
              I
J K. pneumoniae
                                 O)
                        Ld
                     Ld
                Primary      Secondary

       Figure 4.  Bar Graph of Total Coliforms and
                K^ pneumoniae Densities of Various
                Wastewater Sources of a Pulp Mill
                        13

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It was pointed out in the introduction that K. pneumoniae has an IMViC
formula of --++ and was confused with E. aerogenes (previously Aerobacter
aerogenes) because they can utilize many of the same substrates, such as
lactose, xylose, mannitol, etc.  The characteristics which were previously
used to distinguish K^ pneumonia_e_ from E^ aerogenes were: lack of motility,
and production of a capsule.  There were, however, some non-motile
strains of £_._ aerogenes that could be confused with K^ pneumoniae and
often the origin of the culture was the final  determining factor in
identification.  For instance, if isolated from water it was classified
as E. aerogenes.  However, if the same culture was isolated from an
infected lung, it was classified as K. pneumoniae.  The reorganization
of the classification and the inclusion of additional cultural tests by
Edwards and Ewing (1972) now makes it possible to distinguish these two
species with confidence.

Cultures representing different types of pulping operations were collected
and several chosen for a comprehensive taxonomic evaluation to determine
if they were K. pneumoniae.  The classification scheme of Edwards and
Ewing (6) was followed.

The cultures all produced acetyl methyl carbinol in a buffered glucose
medium (Voges-Proskauer positive) and could utilize citrate as a sole
source of carbon.  At the same time, all were negative for the methyl
red test and most were unable to produce indole from tryptophane.
According to the classification key mentioned above, this would place
the cultures in the Klebsielleae tribe.  Further cultural tests showed
that these isolates were able to grow in the presence of KCN, produced
the enzyme urease, and did not produce H~S.  This confirmed the placement
of the isolates in the Klebsielleae tribe.

This tribe contains the genera Enterobacter, Klebsiella, Serratia and
Pectobacterium.  The genus Pectobacterium contains all of the Entero-
bacteriaceae that are pectolytic and do not grow above 35°C.  The unknowns
                                  14

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all grew well at 35-37°C, were pectolytic negative and therefore, belonged
to one of the other three genera within the tribe.

The unknown isolates were tested for their reactions in a variety of
substrates.  At the same time, comparison cultures of known K. pneumoniae
obtained from the American Type Culture Collection (ATCC), Center for
Disease Control (CDC) and isolates from patients in hospitals were
included.  Table 2 lists the reaction of K. pneumoniae.  Comparing
various groups to the key reveals that each conforms to the expected
reaction for the classification of K. pneumoniae and where the substrate
reaction is variable (i.e., sucrose, or dulcitol) the groups also show
variability.  This comparison of environmental isolates to the classifi-
cation key and to known K. pneumoniae cultures from different sources
shows that the classification of the coliforms isolated from pulp and
paper wastewaters as K. pneumoniae is valid.

The comparison of the pulp mill obtained K. pneumoniae and two species
of Enterobacter in the same substrates is shown in Table 3.  The Entero-
bacter aerogenes and E. Cloacae were both obtained from the ATCC.  The
three species share the same reaction to the various media employed in
their differentiation, however, K. pneumoniae can be distinguished from
the Enterobacter species by its inability to decarboxylate ornithine and
its lack of motility.  All of the isolates obtained from the various
environmental sources are ornithine decarboxylate negative and are non-
motile.  Therefore, they are placed in the genus Klebsiella.

The genus Klebsiella contains three species, K. pneumoniae, K. ozaenae
and K. rhinoschleromatis  Table 4 shows the tests that are used to
distinguish K. pneumoniae from the other two species.  K. pneumoniae is
methyl red negative, will grow on citrate and is universally able to
decarboxylate the amino acid lysine.  A comparison of the media reactions
in Table 4 will indicate that the Klebsiella sp. isolated from the pulp
                                  15

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                                TABLE 2

      CULTURAL REACTIONS OF ENVIRONMENTAL AND REFERENCE CULTURES

                           OF K. PNEUMONIAE

Percent Positive Reaction
Test Key
Indole -(+)
Methyl Red
V. P.1 +
Citrate +
H2S
Urea +
KCN +
Motility
Gelatin
Lysine +
Arginine
Ornithine
Phenylalanine
Malonate +
Glucose +
2
Lactose d
Sucrose d
Mannitol +
Dulcitol d
Pulp Mill
0
0
100
100
0
99+
100
0
0
100
0
0
0
100
100
100
100
100
50
ATCC3
25
0
100
100
0
100
100
0
0
100
0
0
0
100
100
100
75
100
50
CDC3
0
0
100
100
0
100
100
0
0
100
0
0
0
100
100
100
100
100
0
Hospital3
0
0
100
100
0
66
100
0
0
100
0
0
0
100
100
100
100
100
33
1  Voges-Proskauer reaction for production  of acetyl  methyl  carbinol

2  d = variable reaction,  most positive,  some negative.
3 number of isolates from each group
  pulp mill 16 total, 7 calcium base sulfite pulp mill
                      4 kraft pulp processes
                      5 defiberization pulp process
  ATCC - American Type Culture Collection  - 3 total
  CDC    Center for Disease Control  - 3  total
  Hospital    J. Matsen, University of Minnesota,  School  of Medicine
             Minneapolis, Minnesota  - 3  total
                                    16

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                                TABLE 3
       DIFFERENCIATION OF K. PNEUMONIAE AND ENTEROBACTER SPECIES
Test

Indole
M.R.
V.P.
Citrate
Motility

Urea
Lysine
Arginine
Ornithine
Glucose (Gas)
Lactose
Sucrose
Mannitol
Dulcitol
K. pneumoniae
"[^environment)
     Enterobacter
Aerogenes           Cloacae
  (ATCC)             (ATCC)
                                   17

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                                TABLE 4
       CULTURAL  COMPARISON OF  ENVIRONMENTAL  KLEBSIELLA  PNEUMONIAE
                    TO OTHER  SPECIES OF KLEBSIELLA
Test
               K^ pneumoniae
                environment
Klebsiella
Ozaenae
    Klebsiella
rhinoschleromatis
Indole
Methyl Red
V.P.
Citrate
Urease
KCN
Motility
Gelatin
Lysine
Arginine
Ornithine
Phenylalanine
Malonate
Glucose
Lactose
Sucrose
Manni tol
Dulcitol
                                         + or -
                                          - or +
                                            d
                                            D
                                                                   +
                      (+)* or -
                        + or (+)
Approximately 6 percent of all K. pneumoniae isolated will be positive
 for production of Indole
9
^d = various strains given different reactions
3+ or - most positive a few may be negative
4(+)   delayed positive

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                          TABLE 5
SOURCE AND SEROLOGICAL TYPES OF ENVIRONMENTAL K.  PNEUMONIAE

Isolate IMViC
Number Formula
004 --++
008 --++
012 --++
037 --++
045 --++
050 --++
084 — ++
093 — ++
094 --++
113 --++
116 --++
118 --++
131 --++
132 --++
Place of
Isolation
Pulp Mill
River
Pulp Mill
Pulp Mill
Pulp Mill
Pulp Mill
Pulp Mill
Pulp Mill
Pulp Mill
Pulp Mill
Defiberization
Defiberization
ATCC
ATCC
Capsule Serological
Type
7
35
8
No capsule
52
8
7
7
32
60
No capsule
3
64
3
                              19

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mills are different from those of ozaenae and rhinoschleromatis and
match the reaction expected of a culture of K. pneumoniae.  The results
of the cultural comparison in various media have shown that the lactose
positive IMViC --++ cultures isolated from pulp and paper wastewater are
indistinguishable from other K. pneumoniae cultures.  When these same
cultures were serologically typed with anti-Klebsiella pneumoniae capsule
antisera, it was found that they were serologically divided into several
types.  This confirmed that those cultures that had the same cultural
reactions as defined for K. pneumoniae also possessed  cap'sular antigens
that would react with the K. pneumoniae capsular antisera.  The source
and serological types of some of the K. pneumoniae cultures obtained
from environmental sources are presented in Table 5.  There is a spread
in serological types with most appearing as the low types and predominantly
7 and 8.  Clinically, the low serological types are most often isolated
from infections.

The cultures obtained from the environment were found to be nutritionally
and serologically identical to other K. pneumoniae.  Another phase of
the study was to determine the guanine and cytosine base composition of
the deoxyribonucleic acid (DNA) from these pulp mill isolates of K_^
pneumoniae.

DNA is the molecule of a cell containing the genetic information governing
all activities of the cell.  The DNA molecule is a polymer of four
molecules known as nucleic acid bases.  The DNA molecule is composed of
two strands of these nucleic acid bases held together in a double-
stranded-helical configuration by weak hydrogen bonds between the nucleic
acid bases.  Figure 5 is a schematic drawing of a molecule of DNA to
show the base pairing and strand bonding.  (It is known that the nucleic
acid base guanine always pairs with the base cytosine and adenine pairs
only with thymine.  The number of hydrogen bonds between guanine and
cytosine is three whereas the number between adenine and thymine is only
two.)
                                   20

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When a purified sample of DNA is heated, the double stranded molecule
will separate into single strands.  As this happens, there is a hyper-
chromatic shift in the optical density taken at 260 nm.  The amount of
energy required to separate guanine and cytosine is greater than that
required to separate adenine and thymine.  Therefore, the richer the DNA
in guanine and cytosine the more energy (heat) is required to cause the
strands to separate.  When the change in optical density of a solution
of DNA is plotted as a function of temperature, a sigmoid curve is
obtained as shown in Figure 6.  The mid-point of this curve is the
temperature at which one-half of the DNA is in the single stranded
state.  This mid-point value is the Tm value of the DNA.  Because the Tm
value of DNA is dependent upon the G+C percent, it can be used to calculate
the average guanine plus cytosine percentage (G+C percent).   (See formula,
Methods and Materials Section.)

The DNA of similar bacteria have a similar G+C percent.  Therefore, the
DNA of all bacteria of a like species should share a similar G+C percent.
DNA was extracted and purified from a number of K. pneumoniae cultures
obtained from various environmental sources and culture collections and
%G+C base composition determined as described above.  The data are shown
in Table 6.  Several cultures were isolated or obtained from the same
source and values averaged.  (The values appearing as +_ behind the
values are the statistical variation around the mean within a 95% confi-
dence limit).  All fall within a +_0.5°C which is well within the error
of the method.  The overall G+C percent of all groups, calculated from
the Tm value, is 56.4 percent +_ 1.4 percent and is comparable to the
values of 55 to 57 that have been reported for K. pneumoniae (Hill (10)
and Starr and Mandel (20)).

Regardless of the origin of the culture, the results show if, it meets
the nutritional criteria of the classification scheme, there is no
difference in the DNA base composition, thus the cultures are related
                                   21

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                DNA  Structure
 P04
                                     P04
deoxyribose
   31
Adenine                Thymine
 I          >^~~
       Hydrogen Bonds
eoxyribose
        3'
 P04
         Guanine    	
deoxyribose
                                     P04
                       Cytosine
                               i
                              deoxyribose
 P04
         Thymine     	Adenine
deoxyribose
                                     P04
                               •
                              deoxyribose
 P04
 Figure 5. Diagrammatic Drawing of Molecular

       Structure of Deoxyribonucleic Acid
      P04
                       22

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o
CO
OJ
 o
 c
 o
_Q

 O
 CO
JQ
 o>
    1.3
    1.2
•§  «-0
o:
   0.9
         A_A ||8 =92.2

         0—0 131 =  93.0

         D—D 141 =  93.5
     AAA
A  o
      oo
           AA-A'   /
                                 DDd
           n-nn-o
      80             90

            Temperature  (°C)
         100
       Figure 6. Thermal Denaturation Curve of Purified

              Deoxyribonucleic Acid.
                     23

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  and are  K. pneumonias.  The Tin value and G+C percent of DNA  and  E^
  aerogenes  (Table 6) have been found to be 92.1C and 54.3  percent,  respec-
  tively.  These values are  lower than those reported here  for K.  pneumoniae
  (Starr and Mandel, 20), however similar to those reported in the literature
  (Hill, 10).  The similarity of G+C percent shows the two  species are
  closely  related, which  is  borne out by the similarity  in  their nutrition
  and physiology.  However,  the difference in the Tm values also shows
  that  K.  pneumoniae and  E.  aerogenes are separate and distinct species  of
  bacteria.

                                TABLE 6
        Tm AND G+C% OF DNA  FROM KLEBSIELLA PNEUMONIAE ISOLATES
FROM PULP MILLS
Source
Rivers
Pulp Mill A
Pulp Mill B
Pulp Mill C
ATCCa
Human
Average all groups K.
Ent. aerogenes
Average
Tm (C°)
92.7 + 0.2
92.3 +_ 0.5
93.1 + 0.5
92.4 + 0.2
93.1 +_ 0.4
92.9 + 0.5
pneumoniae 93.1 + 0.6
92.1 + 0.6
G+C%
57.7 + 0.7
57.3 + 0.5
56.5 + 1.0
54.9 +_ 0.5
56.6 + 0.9
56.2 + 1.0
56.4 + 1.4
54.3% +1.0
aAmerican Type Culture Collection, used as a reference
  Culture obtained from hospital  infection, used as a reference.
                                   24

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   The G+C base composition similarity between the environmental K. pneumoniae
   and the other K.  pneumoniae cultures revealed that all  were related.  A
   more precise test of their relatedness is the determination of DNA
   homology among the various cultures.  Using the technique of Anderson
   and Ordal  (1), the percent of DNA duplex formation between the culture
   obtained from an  infection and cultures from the environment and ATCC
   was tested.

   The results  (Table 7) revealed that the DNA from human K. pneumoniae
   bound to the DNA  of cultures from a pulp mill and ATCC to the same
   degree as it bound to its homologous DNA.  These data are further supported
   by similar findings of Knittel and Seidler (13).  They used an optical
   method of DNA-DNA renaturation.  The standard DNA was the ATCC type
   strain, 13882 of  K. pneumoniae.  Seven pulp mill isolates of K. pneumoniae
   were tested  and 6 of the 7 showed from 81 to 90% of its DNA in common
   with the type species.  One of the 7 showed only 32% of its DNA was
   similar to the type strain, pointing out that there may be some K^
   pneumoniae that are phenotypical ly the same as the type strains of K^
   pneumoniae,  but are genetically unrelated.  That is, they could be
   biotypes of  K. pneumoniae.
                                   TABLE 7
                  RELATIVE REASSOCIATION OF HUMAN AND PULP
                    MILL KLEBSIELLA DEOXYRIBONUCLEIC ACID

Origin
Human
Human
Pulp Mill
Pulp Mill
Pulp Mill
Strain
Number
141a
131
116
006
94
%
Reassociation
100
100
100
92
41
areference deoxyribonucleic acid
                                     25

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                              SECTION VI
                              DISCUSSION

The coliforms in the wastewater from pulp and paper mills are composed
of as much as 80 percent K. pneumoniae.  There seems to be little relation-
ship between the type of pulping operation and the occurrence of K_._
pneumoniae or coliforms in general.

The coliforms grow during the treatment operation.  If samples are taken
of the wastewater on consecutive days, there is a 10 and sometimes 100-
fold increase in coliforms by the time the waste has passed through the
secondary treatment system.  When samples of secondary influent wastewater
are sterilized and inoculated with either fecal coliform or K. pneumoniae
there is growth of cells during the incubation period.   At the same
time, the indigenous population of coliforms in an unsterilized sample
also shows an increase in numbers (Figure 2).  The significance of these
observations is that there are sufficient sources of carbon and nitrogen
available in the wastewater to support the growth of coliform bacteria.
Therefore, it is possible that other intestinal borne pathogenic bacteria
could also grow.

Additional observation indicates that the major source of coliforms
appears to be from within the mill.  The intake water to the mill contains
some coliforms, <100/100 while the wastewater effluent from the mill
into the primary treatment ponds contains several thousand per 100 ml of
sample.  The exact location of these intra-mill sources are unknown.

As pointed out earlier, as much as 80 percent of the coliforms are j^
pneumoniae.   This percentage remains fairly constant at all sampling
points at a  particular mill.  The reason for this is unclear at this
time and further research work is necessary.
                                  26

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An extensive cultural comparison of several of the gram negative rod
shaped bacteria from these pulp mill wastewaters has confirmed they are
K. pneumoniae.  This observation is further supported by the comparison
of the G+C percent of the DNA from these same cultures, and the same
relationship holds if the cultures are compared to known stock cultures
from clinical infections or ATCC cultures.  Regardless of where the
culture was obtained it showed the same reactions in the various media
used for classification and conformed to the criteria outlined for the
classification of K. pneumoniae.  The results of the DNA-DNA Duplex
experiments provide a firm basis that the K^ pneumoniae bacteria in the
pulp mill are the same as those found in human infections.

There is some doubt as to the sanitary significance of total coliform
counts on wastewater because the method counts a number of lactose
                                                      (19)
fermenting bacteria that may not indicate fecal originv   .  The presence
of K. pneumoniae in these waters presents a possible public health
hazard, especially when it represents such a high percentage of the
total coliform count.  A review of the literature (12), has shown that
there has not been a case of K. pneumoniae infection that can be traced
to a waterborne source.  The present study, however, confirmed that the
K. pneumoniae isolated from environmental sources is indistinguishable
from K. pneumoniae obtained from clinical infections, or from stock
cultures of known K. pneumoniae, and all meet the criteria for the
classification of K. pneumoniae.

The presence of a potential pathogenic bacterium in pulp and paper mill
wastewaters leads to the question if it is a hazard to public health.
Whereas this study has confirmed that K. pneumoniae found in this environment
is the same, both culturally and genetically, as those found in clinical
infections, the study does not answer the question of its pathogenicity
and public health hazard.  It does say that the potential to cause
infection is present.  When the total number of K. pneumoniae discharged
                                  27

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                                                 1 5
per day is calculated, it is found to be 2.1 x 10   K. pneumoniae per
day.  With this number of K. pneumoniae being discharged to a receiving
stream each day the risk to public health should be high even with an
organism of low pathogenic capability.   At the same time the bacteriological
quality of the receiving stream is also being degraded below the point
of discharge.   This would make it difficult to determine other sources
of coliform contaminations.   When masked by this number of K. pneumoniae,
this potential public health hazard and degradation of bacteriological
water quality should be controlled at its source by disinfection or
other means.
                                  28

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                             SECTION VII
                             REFERENCES

1.  Anderson, R. S. and E. J. Ordal.   1972.  Deoxyribonucleic Acid
    Relationships Among Varine Vibrios.  J. Bact. 109:696-706.

2.  Braman, S. K., R. J. Eberhart, M. A. Asbury, and G. J. Hermann.
    1973.  Capsular Types of Klebsiella pneumoniae associated with
    Bovine Mastitis.  Amer. Vet. Med. Assoc. 162:190-1111.

3.  Deley, J. and J. Schell.  1963.  Deoxyribonucleic,Acid Composition
    of Acetic Acid Bacteria.  J. Gen. Microbiology 33:243-253.

4.  Duncan, D. W. and W. E. Razzel.  1972.  Klebsiella  Biotypes Among
    Coliforms Isolated from Forest Environments and Farm Produce, App.
    Microbiology 24:933-938.

5.  Edmondsen, E. B. and J. P. Sanford.  1972.   The Klebsiella-
    Enterobacter (Aerobacter)-Serratia group, A Clinical and Bacter-
    iological Evaluation.  Medicine 46:223.

6.  Edwards, P-  R. and W. H. Ewing.  1972.  Identification of Entero-
    bacteriaceae.  Third Edition.  Burgess Publishing Co., Minneapolis,
    Minnesota.  362 pp.

7.  Ewing, W. H.  1963.  An Outline of Nomenclature for the Family
    Enterobacteriaceae.  Int. Bull. Bact.   Nomen. Tas.  13:95-110.

8.  Farman, J.  1963.  Friedlander's Osteomyelitis (Report on three
    cases).  South African Med.  J. 37:351.

9.  Friedlander, C.  1882.  Uber Die Schizomycetan bei  der acuten
    Fribrosen Pneumonia.  Arch.  Pat.  Anat. Physio!. Klin. Med.  87:319.
                                   29

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10.  Hill, L. R.  1966.  An Index to Deoxyribonucleic Acid Base Compo-
     sitions of Bacterial Species.   J.  Gen. Microbiol. 44:419-437.

11.  Hoogerheide, J. C.  1939.  Studies on Capsule Formation.  1. The
     Conditions under Which Klebsiella  pneumoniae (Friedlander's
     Bacterium) Forms Capsules.   J.  Bact.  38:367-371.

12.  National Council for Air and Stream Improvement, Inc.  1972.
     Klebsiella pneumoniae infection.   A Review with Reference to the
     Water-Borne Epidemiological  Significance of _K.  pneumoniae Presence
     in the Natural  Environment.   Tech. Bull. 254.   260 Madison Ave.
     New York, New York.

13.  Knittel, M. D.  and R.  J. Seidler.   1974.  Biochemical and Genetic
     Comparison of Klebsiella pneumoniae from Pulp Mills and Clinical
     Sources.  American Society  for  Microbiology.  Proceedings,   p.  41.

14.  Marmur, J.  1961.   A Procedure  for Isolation of Deoxyribonucleic
     Acid from Microorganisms.  J. Molec.  Biol.  3:208-218.

15.  Marmur, J. and  P.  Doty.   1962.   Determination of Base Composition
     of Deoxyribonucleic  Acid from  Its  Thermal  Denaturation Temperature.
     J. Molec.  Biol. 5:109-118.

16.  Ordal, E.  and P. Mayers.  1973.  University of  Washington,  Department
     of Microbiology, Seattle, Washington.   Personal  communication and
     Unpublished data.

17.  National  Council for Air and Stream Improvement, Inc.  1971.
     Recent Field Studies of  Sanitary Water Quality  in Receiving Waters.
     Technical  Bulletin No.  246.   260 Madison Avenue, New York,  New
     York.   70 pp.

18.  Spicak, A. P.,  G.  M. Eisenberg, W. Weiss and H.  F.  Flippin.
     1957.   Klebsiella  Meningitis.   American Journal  of Medicine 22:865.
                               30

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19.   American Public Health Association.   1971.   Standard Methods
     for Examination of Water and Wastewater, 13th Edition,  1015 18th
     Street, Washington, D.C.  pp.  678-685.

20.   Starr, M. P.  and M. Mandel.   1969.   DNA Base Composition and
     Taxonomy of Phytopathogenic  and Other Enterobacteria.   J.  Gen.
     Microbiol.  56:113-123.

21.   Steinhouer, B.  W., T.  C. Eickhoff,  J. W. Kislak and  M.  Finland.
     1966.  The Klebsiella-Enterobacter-Serratia Division,  Clinical
     and Edpidemiological Characteristics.  Ann. Int.  Med.  65:1180.

22.   Thone, B. T.   1970.  Klebsiella in  Faeces.   Lancet 2:1033.
                                31

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                                    TECHNICAL REPORT DATA
                             (Please read Instructions on the reverse before completing)
 1. REPORT NO.

  EPA~660/2-75-024
 4. TITLE AND SUBTITLE
   Taxonomy of Klebsiella  pneumoniae Isolated  from
   Pulp/Paper Mill Wastewater
                                                            3. RECIPIENT'S ACCESSI ON-NO.
                                                            5. REPORT DATE
                                                                 June  1975
              6. PERFORMING ORGANIZATION CODE
 7. AUTHOR(S)

    Martin D. Knittel
                                                            8. PERFORMING ORGANIZATION REPORT NO.
 9. PERFORMING ORGANIZATION NAME AND ADDRESS

    Pacific NW Environmental  Research Laboratory
    200  SW 35th Street
    Corvallis, Oregon   97330
              10. PROGRAM ELEMENT NO.
                  1BB037
              11. CONTRACT/GRANT NO.
 12. SPONSORING AGENCY NAME AND ADDRESS
    Industrial Waste Treatment Research Program
    Pacific NW Environmental  Research Laboratory
    200  SW 35th Street
    Corvallis, OR  97330	
                                                             13. TYPE OF REPORT AND PERIOD COVERED
                 Final,  9/71 to 6/73
              14. SPONSORING AGENCY CODE
 15. SUPPLEMENTARY NOTES
 16. ABSTRACT
   K.  pneumojriae isolated  from pulp mills was  compared to clinical  isolates of
   K_.  pneumoniae.  Cultures  found to be identical  in biochemical  reaction in various
   media  and conformed  to  the recognized schemes  of classification  of  K.  pneumoniae.

   Nucleic acid base composition comparison  of these isolates showed  that all  exhibited
   a  G+C% base composition of 56%;+1.4%, and  all  cultures examined fell  within this
   range.   A study of the  heterologous binding capability between DNAs  of these
   cultures revealed that  isolates from both  the  environment and  pathogenic reference
   had  a  base sequence  from  80 to 100% in common.   This confirms  the  earlier results
   that pulp mill isolates are the same as clinical isolates.
                                KEY WORDS AND DOCUMENT ANALYSIS
                  DESCRIPTORS
b.IDENTIFIERS/OPEN ENDED TERMS  C. COSATI Field/Group
   Klebsiella  pneumoniae
   Pulp mill waste waters
   Taxonomy of K^_ pneumoniae
   DNA Base Ratio:Homology
                            Microbiology
 B. DISTRIBUTION STATEMEN1
   Distribution unlimited
                                               19. SECURITY CLASS (This Report)
                                                                          21. NO. OF PAGES
                                                                                31
20. SECURITY CLASS (This page)
                           22. PRICE
EPA Form 2220-1 (9-73)
                              if U S GOVERNMENT PRINTING OFFICE I975—698-985 /IO REGION 10

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