Pseudomonas aeruginosa - What You Need to Know
A bug that grows in water pipes and can cause infections, especially in hospitals. Here's how to find it and deal with it.
What is Pseudomonas aeruginosa?
Pseudomonas aeruginosa is a type of bacteria that lives in water and soil. It loves warm water and can grow in pipes, taps, and shower heads. It forms a slimy layer (biofilm) that protects it from cleaning and chlorine.
Why is it a Problem?
For healthy people, Pseudomonas is usually harmless. But for people who are already ill - especially in hospitals and care homes - it can cause serious infections:
- Wound infections
- Chest infections
- Urinary tract infections
- Blood infections (sepsis)
This is why it is taken very seriously in healthcare settings.
Where Does It Grow?
Pseudomonas likes to grow in:
- Tap outlets (especially mixer taps)
- Flexible hoses
- Shower heads
- Dead legs (pipes that go nowhere)
- Scale build-up inside pipes
- Anywhere water sits still or is warm
How to Test for It
- Use a 250ml or 500ml sample bottle (with sodium thiosulphate if chlorinated).
- Do NOT clean or disinfect the tap before sampling.
- Do NOT flush - run the tap for 2-3 seconds only.
- Fill the bottle without touching the tap.
- Keep at 2-8 degrees C and get to lab within 24 hours.
Understanding Results
| Result | What It Means | What to Do | |---|---|---| | Not detected | Good | Keep monitoring as normal | | 1-10 CFU/100ml | Check the system | Investigate the outlet, clean tap and aerator, re-test | | Over 10 CFU/100ml | Bad - especially in healthcare | Take outlet out of use, disinfect, investigate source, re-test |
How to Get Rid of It
- Take the outlet out of use (in healthcare settings).
- Clean and disinfect the tap, flexible hoses, and shower head.
- Remove scale from inside the tap.
- Flush the outlet thoroughly.
- Check for dead legs and remove them.
- Replace the tap or flexible hose if it keeps coming back.
- Re-test after 2-7 days.
- Keep re-testing until you get two clear results in a row.
Warnings & Safety
Pseudomonas can cause serious infections in vulnerable people. In healthcare, take affected outlets out of use immediately. Always wear gloves when cleaning contaminated outlets.
Relevant Legislation
HTM04-01 Part B (Pseudomonas in healthcare), BS 8580 (Risk assessment)
