Inactivation of Clostridium difficile in Sewage Sludge by Anaerobic Thermophilic Digestion
2015
Xu, Changyun | Salsali, Hamidreza | Weese, Scott J | Warriner, Keith
There has been an increase in community-associated Clostridium difficile infections (CDI) with biosolids derived from waste water treatment being identified as one potential source. The current study evaluated the efficacy of thermophilic digestion to decrease levels of C. difficile ribotype 078 associated with sewage sludge. Five isolates of C. difficile 078 were introduced (final density of 5 log CFU/g) into digested sludge and subjected to anaerobic digestion at mesophilic (36 or 42°C) or thermophilic (55°C) temperatures for up to 60 days. It was found that mesophilic digestion at 36°C did not result in significant reduction in C. difficile spore levels. In contrast performing thermophilic sludge digestion reduced endospore levels at a rate of 0.19 - 2.68 log CFU/Day depending on the strain tested. The mechanism of lethality was indirect by stimulating germination then inactivating the resultant vegetative cells. Acidification of sludge by addition of acetic acid (6 g/L) inhibited the germination of spores regardless of the sludge digestion temperature. In conclusion, thermophilic digestion can be applied to reduce C. difficile in biosolids thereby reducing the environmental burden of the enteric pathogen.
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