Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 A STUDY OF SOURCES OF MICROBIAL CONTAMINATION OF PACKAGED WATER J.O. Jeje K.T.Oladepo Department of Civil Engineering, ObafemiAwolowo University, Ile-ife, Nigeria Abstract: Cleanness is the real worth of any water, and anyone who is unappreciative of this quality incurs the wrath of water. Clean water apart from its physical appearance, is one that is free from all its acquire impurities necessary for a particular use. Chemically, water is a liquid substance in which two hydrogen atoms combine with one oxygen atom to produce a compound of formula H2O, the only form that is absolutely pure, but still may attract contaminants from its storage container through the process of leaching. This means that it is only the chemical formula that is absolutely pure and not the liquid water. Such level of purity may only be relevant as a chemical substance rather than as drinking water or water for other uses. In other words, the level of water purity depends on its desirability for use. Notwithstanding, water of satisfactory quality should in addition to its chemical and microbiological qualities be colourless, odourless, and tasteless. Keywords: Cleanness, nourishment, microbial contamination, packaged water Introduction In nature, water is not pure, but acquires contaminants from its surroundings and those arising from humans and animals as well as other biological activities. Therefore, the earth’s impurities from the soil, atmosphere, and the environment are freely present in natural waters. Macroscopic and microscopic organisms many of which are pathogenic together with organic and inorganic materials do contaminate bodies of water with amount depending on its source (Anon, 1982). . Generally, water is very vital for life and life processes, and its value spans domestic, agricultural, and industrial uses. Every aspect of human life requires water, with each application requiring special quality in order to achieve the preferred goal. Water for most 63 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 uses involves its bulk property of nutrition, hydration, cooling, carrier, or cleaning action as application in domestic, agricultural, industrial, and recreational activities. With such functions, the quality requirements for certain bulk waters are not very stringent. Consequently, water from springs streams, lakes, and rivers are very applicable in these broad areas of use. By far, the greatest use of water is for drinking. Clean drinkable water that is believed to cleanse, refresh, nourish, heal, and rejuvenate the body and the inner being is called the living water (Mendie, 2001). It is water imbued with immense spiritual essence coupled with its physic-chemical and physiological qualities; which enhances total health and imparts longevity to an individual. This type of water has strong religious connotation, but its adaptation into everyday use is for the purpose of designating drinking water having extreme level of purity and providing total nourishment for the body. Contaminants of packaged waters span the physical, chemical, and microbiological impurities and the magnitude of each depends on the level of controls of all factors influencing their manufacture (Mendie, 2001). The physical and chemical contaminants can easily be prevented at the pre-production stages, but the microbial contaminants need a disciplined effort sustained by a high level of hygienic sanitation. Generally, the application of Good Manufacturing and automated process (GMAP) guidelines will reduce to the barest minimum the level of defects found in such products. Most impurities in packaging water originate from the raw water, but may persist in the purified water due to poor or inadequate purification techniques. Extrinsic contaminants however emanate from the environments in which the water is produced. The macro-environment consists of the production and filling atmosphere, operatives, and the processing equipment, while the micro-environment involves that provided by the primary water container. The following sources require rigid controls to avert product contamination. Water being the major component in packaged water can also serve as a very significant source of contamination. Product contamination may arise directly from the process water, or indirectly from the operatives, cleaning operations, packaging materials, or cross-contamination from the wet areas of floors, sinks and drains to the processing equipment (Baird and Petrie, 1981). . The various methods of purification have their unique ways of inviting contaminations, but the final product must meet the standard requirements for its intended use. Sources of microbial contamination of the following PW are discussed in this paper. 64 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 Distilled water immediately after condensation is sterile, and with proper aseptic collection and storage precautions will maintain this state. In parenteral industry, distilled water is often maintained at 800c and circulated around a ring system. This practice maintains the quality of the water by destroying any vegetative organisms that enter as chance contaminants thereby preventing the generation of pyrogen. This system though effective in parenteral industry is far too expensive; however, for large-scale manufacture of other packaged waters (Lec, 1991). Water produced by reverse osmosis can be sterile and pyrogen-free as it is forced by osmotic pressure through a semi-permeable membrane, which allows only substances of molecular weight less than 250 daltons to diffuse through. Post ro contamination can occur because of ingress of microorganisms downstream of the membrane into the storage vessel of distribution system. Purified water prepared by deionization is the most common form of process water for non-sterile pharmaceutical, food, and cosmetic products. Deionization, method has perhaps the highest potential for contamination. The source of water for the production of DI water normally municipal water of potable quality, bore hole or well. DI water systems may involve some combinations of the following units, all of which can harbor microorganisms. (a) Carbon filters (b) Water softeners (c) Cation and anion exchangers as either twin or mixed beds and (d) A storage and distribution system (Heiering, 1970); (Hunter and Burge, 1993); (Jackman, 1980). Carbon filters are effective in removing chlorine, oxygen, and lower molecular weight hydrocarbons; but are less effective in removing high molecular weight organic materials such as humic and fulvic acids which are common to surface water supplies. Carbons filters are usually included to minimized irreversible fouling of the deonizing resins; and organic molecules adsorbed onto, and retained within the activated carbon particles will support microbial growth. In most instances, the highest numbers of contaminating organism occurs towards the bottom of the bed because residual chlorine is removed in the top portion. Organisms normally recorvered from carbon filters include: Coliforms, arthrobacter, alcaligenes, micrococcus, corynebacter, and pseudomonaspecies (Favero, Carson, Bond, andPerterson, 1971). . Water softener are required when the raw water has a high calcium and magnesium contents. They are generally more prone to microbial contamination than cation or anion exchange resins since the latter are regenerated with strong acid and alkali, which have strong bactericidal effects. Sodium chloride regeneration solutions for the softeners do not provide 65 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 the necessary periodic bactericidal effects. Infact, the brine make-up tanks are usually contaminated with halophiles and other salt-tolerant organisms unless adequate precautions are in place (Baird and Shooter, 1978). Ion-Exchange Resins,when properly maintained do not present much problem of microbial contamination. However, after a prolonged period of inactivity or the presence of certain type of organic material in the input water may introduce the problem of microbial contamination. Organism s most associated with deionizers areAcinetobacter, Alcaligenes, and Pseudomonas species (Baird and Shooter, 1978). Incorporation of UV lamps operating at 254nm may used to control the microbial load provided they are correctly sized to cope with the flow rate, optical clarity, and the expected bioburden of the water. In addition, the filtration of the deionized water through 0.45 or 0.20 microns membrane filters s widely used to reduce microbial burden. Other problems of ion-resins are the shedding of particles or resin fines into the process water clogging of Millipore membrane filters. Water purification systems must have the capacity to supply the volume needed at the rate required, including peak exigencies. The greater the volume of water required per unit time, the larger and more expensive generally, the water purification equipment which permits storage of purified water purification equipment. The use of storage tanks compliments the installation of smaller processing equipment which permits storage of purified water at period of low demands for availability during intervals of high usage. Water storage tanks are mainly stainless steel. Polythene storage tanks which is fashionable in the third world countries has not been well studied particularly for the release of extractives into the purified water and should be used with care (Craun and McCbe,1993). . Generally, water storage tanks have been known to contribute to the problem of organisms’ profileration particularly when they are not completely full as their walls are susceptible to such growths. The inclusions of UV light into the ceiling of tanks have been shown to produce low organisms counts. Also, to minimize microbial proliferation, he contents of water storage tanks should be circulated at a rate of about two turnovers per hour. Particulate matter generation during storage of water arising from improper pretreatments or post ozone treatment can be controlled by adequate filtration. Results and Discussion A typical atmospheric air sample (Table 1) shows that particles ≤1µm constitute about 99% of the total particulate load, but only 3% by weight that is significant in air filtration system. With an atmospheric particulate concentration in the range 10 8-1013m-3, and a viable66 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 nonviable percentage of between 0.0005-0.02%, which may be higher in tropical conditions, this level of contamination, is totally unacceptable in packaged water production. It therefore demands the use of a clean room for production. The viable particulate matters include bacteria, moulds, and yeasts particularly those that can tolerate desiccation and drought. Even though the air is not their natural environment. As it contains no nutrient and moisture in a form that can be utilized for growth and reproduction, Table 1: Size distribution of a typical atmospheric dust sample Particle size Proportionate Percent particle Range (µm) particle count Count Percent by weight by (%w/w) number(%) 10-30 10000 0.005 28 5.0-10 35000 0.175 52 3.0-5 500000 0.250 11 1.0-3 214000 1.070 6 0.5-1 1352000 6.780 2 0-0.5 18280000 91.720 1 microorganisms commonly isolated from the air are the spore formers e.gbacillus sppand Clostridium spp; the non-sporing bacteria Staph.spp, Streptococcus spp, and Corynebacterspp; Moulds e.g. Penicilliumspp, Clasdoporiumspp, Aspergillusspp, Mucorspp as well as yeasts. The type and number of microorganism found in the atmosphere depends on the activity in the environment; and the amount of dust generated, such as during filling and sealing of water containers. A water production factory that involves many operatives in manual operations such as filling and sealing will surely have a higher aerial microbial count than a semi or fully automatic plant with fewer personnel. In fact, a dirty and untidy room will also exhibit higher count compared to a clean room. Factor such as temperature and humanity that impinges on the comfort of the operatives will also affect level of microorganisms in the production environment positively. A controlled damp environment usually contains fewer organisms than a dry one, hence, the need for adequate airconditioning rather than fans in water factories. 67 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 Microorganisms are carried into the atmosphere suspended on particles of dust, skin scales, clothing or droplets of moisture, following talking, sneezing or coughing. The size of the particles to which the organisms are attached in addition to humidity of the air determines the rate at which they will settle out. Unattached microbes will settle down gradually, the rate being dependent upon air currents caused by ventilation, air extraction, convection currents, and the activity in the rooms. Packaging materials e.g LDPE, bottles, etc generate a lot of dust bearing microorganisms, which consequently contaminate the final products. Most particles in an uncontrolled environment range in size from 0.1-1µm and are small enough to be retained almost indefinitely. Larger particles of about 3µm however interfere with gravitational fall (Table 2). However, as draughts or movements of occupants disturb the air, sedimentation is reduced, fresh dust become air-borne and level of contamination of product increases. Table 2: Sedimentation rates of individual spherical particles of unit density in air at 200C. Diameter (µm) Rate of fall(mm/s) 0.2 0.00225 1 0.035 10 3.0 100 250.0 1000 3850.0 i.e. a 1µm particle takes about an hour to fall 125 mm Microbiologically, the quality of the manufacturing air can be determined quickly using Agar settling method. Here, petridish containing nutrient agar are exposed to the atmosphere for a given period of time. This method relies upon microorganism or dust particles bearing them to settle on the surface of nutrient agar. Air sampling methods e.g using slit, centrifugal or membrane filter sampler are more accurate and reliable. Each method depends on a measured volume of sucked air from the atmosphere that impinges on a nutrient agar; or drawn through membrane filter which is then in areas of low microbial contamination, particularly if samples are taken close to the working areas. 68 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 For sterile products such as Water for infections, which are not terminally sterilized by autoclaving, the microbial contents of manufacturing air should be very low about < 10 cfu/ml organisms per 1000 liters of air, i.e Class A (M1.5-2.0) clean room of preservatives, they can be manufactured in Class100 (M3.5) clean rooms i.e 100 particles per 3.5 liters of air. Packaged drinking water production that requires no preservative, are not terminally sterilized, will therefore be prepared in either Class 10 or 100 clean rooms to prevent aerial contamination depending on the type. There is no definitive method of class determination or how to establish the air cleanliness level. However, the European standard contains in addition to the particles counts per unit volume, the corresponding limit for viable microorganisms in cfu/m 3 (Table 3). The filling and sealing of packaged drinking water should be performed in a grade B environment with grade C background, whilst the handling and filling of small and large volume parenterals should be done in grade A environment with grade B background. Equipment used in packaged water production should not pose a threat of particulate contamination. In addition, adequate facilities should be put in place to create particulate-free controlled environment. This is the main objective of clean room provision. Table 3: Air classification for manufacture of packaged water based on European community GMP guide Grade Max. permitted number of particle per Max. permitted number of viable m3 ≥ shown below microorganisms (cfu/m3) 0.5µm 5µm A 3500 None < B 3500 None 5 C 350000 2000 100 D 3500000 20000 500 The operation of clean rooms depends on adequate air filtration, and particles of 0.5 microns or larger are removed using High Efficiency Particulate Air (HEPA) filters, Aseptic facility for packaged water production requires air having very low concentration of 0.5um particles, and the absence of 5up particles. Practically, air of this quality will be free from viable contaminants, since microorganisms are almost consistently linked with larger, inanimate particles that protect them from dehydration in the atmosphere. High-level particle 69 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 extraction is achieved through coarse filtration stage or electrostatic field method followed by HEPA filters.Filtered air may be used to purge the whole room or it may be confined to a specific area as in laminar flow hood where operations can be carried out in a gentle current of air. In order to enhance efficiency, all filters must be kept dry, since moisture can aid movement of microorganisms through damp filters; and the integrity of air filtration panels must be checked regularly. Air fumigation is occasionally applied to keep microbial level low. Agents such as propylene glycol at 0.05mg/1 and quaternary ammonium compounds at 0.075% have produced good results. Ultraviolet irradiation at 240-280nm wavelength is used to reduce bacterial contamination of air, but within a short distance, though certain spores are known to be resistant to such treatment. Most often, production and filling equipment is purchased with little consideration for easy cleaning and hygienic considerations are frequently neglected in most locally fabricated equipment. Equipment should be made of materials capable of withstanding conventional cleaning methods such as disinfectant treatment and stream. Water filling and sealing equipment should be made up of stainless steel instead of iron, which will impart rust particles into the process water. Hoses, that are old and rotten, and equipment with crevices are very difficult to clean and sanitize properly. Water pumps that are old or rusted constitute a major source of contamination. The rails, gaskets and other fittings should be regularly cleaned and sanitized. Unsuitable and inefficient equipment provides reservoir for microbial contamination because of faulty design, and products made with them readily acquire these contaminants. The presence of personnel and their movements or activities correlates air-borne microbial contamination. Fewer operatives should be located within production floor, or filling cubides should be created for individual operators. Manually produced drinking water creates more incentives for microbial contamination compared to automatic or semiautomatic filling production lines. Improper cleaning methods for plastic bottles or bags may introduce contaminants. A high microbial quality for water rinses for containers is desirable and should contain <10cfu/ml to eliminate product contamination may be encountered include: poor supervision, poor hygiene design of equipment and layout, rapid staff turnover, changes in cleaning procedure introduced to reduce cost. Primary packaging material has a dual role in containing the material and in preventing contamination with microorganism and ingress of volatile gases that may result in spoilage. The packaging can also act as a source of microbial contamination if not properly sanitized. In practice, when used for non-sterile products, of preserved liquid, the packaging 70 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 often contributes significantly to the total bio-burden of the product. The microflora of packaging material is dependent upon both its composition and storage conditions. Plastic materials such as polythene, polypropylene, and polyvinyl chloride plastics have smooth impression surfaces, and carry low surface microbial counts. The process of creating water bags may introduce a lot of incidental organisms, which may be resistant to sanitization.Improper storage, packing and transportation in any unhygienic packaging material or conveying vehicle may introduce mould spores. Generally, plastic bottles are more prone to contamination with sporing bacilli and moulds. Moist heat or chemicals should be sued to sterilized or sanitize the primary packaging containers approximately before use. By far the greatest source of transfer of microorganisms to water products is through the operatives. Particularly in manual factories employing large number of water bag makers and filters, the preponderance to contamination cannot be quantified. Apart from the sheer level of activity on the production and filling floors, which generates aerial contaminants, the operatives are directly associated with transfer of contaminants to products. Resident skin flora including Staphylococusspp, Diphtheroids, Mimaspp, and Akaligenesspp are common contaminants of packaged drinking water. In fatty and waxy skin lipophilic yeasts, mainly Pityrosporumovale from the scalp and P. orbicular from the glabrous skin. Dermatophytes such as Epidermophyton spp.Microsporonspp, and Tricbopbytonspp, as well as saprophytes from ear secretions are possible contaminants, including the tribe Enterobacteriaceae, Clostridium spp Bacillus spp, enterococci, micrococci and streptococci. Large number of droplets expelled from the respiratory tract by coughing and sneezing may contain organisms from the nose, mouth, throat, and lungs. Healthy carriers often spread Staph. aureus, Strep. Pyrogenes, Strep. vividians, and even Mycobacterium tuberculosis through this route. Furthermore, contaminants from nasal passages and ear secretions e.g. Staph.aureus, Strep.salivarus, Haemopbilus influenza, and K. pneumonia continually pose veritable reservoir of infections that constitute potential culprits for product contamination. The nose fingering, ear or scalp scratching habits, deteriorations in personal hygiene, and inadequate conveniences in the factory are inimical to production of wholesome product. A comprehensive training programme in personal hygiene in addition to regular medical checkups including food handlers tests certification and provision of hygienic industrial conveniences for operatives are fundamental inclusions of GMAP in water industry. Because of the proliferation of PDW products, serious concern has been expressed on their quality and safety. Most particularly, are the qualities of the satcheted-packaged water in which a lot of indignation have been expressed as to their unwholesomeness. Indeed, the 71 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 literature is replete with reports on disease outbreaks associated with packaged drinking water6. Many of these reports implicate gastroenteritis including diarrhea, typhoid fever, dysentery, and cholera. Cholera outbreak in Portugal traceable to the consumption of bottled mineral water in which 48 persons died and 2467 bacteriological confirmed hospitalized cases11. Also of concerned are the potentials for contamination by pathogens such as Giandia, Cryptosporidium, and enteric viruses that cannot be easily isolated from water, even when such water has been suspected. Even when analytical facilities are available, large volumes of water are required thus making the routine sampling of bottled water from retail outlets impracticable. Viruses such as hepatitis A and poliovirus have been shown to survive for longer than 120 days in bottled mineral water (Jurank, Taylor, and Feachem, (1998). There have also been outbreaks of giardiasis due to gross water contamination (Craun and McCbe 1993). Autochthonous water flora such as Pseudomonas spp can also cause disease in humans. Ps.cepaciais increasingly identified as a cause of serious chest infections in children with cystic fibrosis. Straints of Pseudomonas spp isolated from bottled water in Boston, U.S.A. were shown to be resistant to several antimicrobial agents. A pigmented water pathogen, Flabobacteriummeningoseticum has been associated with severe generalized sepsis in infants (Parker, 1972). . Any microorganism can contaminate and survive in packaged water. However, those commonly isolated are resident within the production environment. Coliform organisms are seldom found in good quality packaged water, all the same, regular testing should be carried out to detect their survival being a primary indicator organism for low quality water products. Drinking water is not expected to be sterile; water products devoid of microbial contaminants should be the desired choice. Most water samples studied contain contaminants, ranging from Staph aureus, Micrococcus species, Bacillus subtilis, and Sal. Typhi. Others include V.cholera, B. cereus, B. licbeniformis, Escberichia coil, Pseudomonas aerugiosa, Klebsiellaaerogenes, Streptococcus species, and Chromobacter species, 20% for E. coli and Klebsiellaaerogenes respectively, and 7% Pseudomonas species. Staphylococci were present in 3% of the total samples. No salmonella species was isolated. Other workers have isolated pathogenic fungi, animal parasites and viruses . Instances of typhoid infection traceable to the consumption of these water-based products have equally been reported (Mendie, 2002); (Millership andChattopadhyay, 1980); (Scott and Bloom, 1990). Most isolates frequently found in packaged drinking waters occur in very small number of 5-200 cfu/ml, an indication of possible extrinsic contamination, and due to growth in poorly nutritive medium. Fewer 72 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 cases have been known to produce heavy growths of the contaminants particularly with Ps. Aeruginosa and Bacillus subtilisisolates. Generally, it has been found that water stored at 8oC produced significantly (P<0.05) lower counts of the contaminants compared to the ones stored at 370C or 250C (Fig.1-5), a similar trend which was also observed with pH changes at these temperatures. This is in conformity with established fact that storage of products at lower temperature less than 100C hinders growths and proliferation of microorganisms but enhances the stability of any product not sensitive to cold. One peculiar observation of growths of contamination in PDW samples is the peak and through contours manifested by bacterial contaminants. including Bacillus subtilis, Escberichia coli, Microbial contaminants Klebsiellaaerogenes, andPseudomonasaeruginosa, which could have been introduced extrinsically all showed similar pattern of growth profiles (Figs 1-5). For these organisms, growth progressed from few colonies, rose to a peak, and then declined to zero. With he exception of Staphylococcus aureus (Fig 4) which may have been introduced intrinsically due to poor water treatment and purification techniques, their initial counts increased significantly (P<0.05) to about cfu/ml, and then decreasing finally towards zero. Fig.1: : variations in growth of Bacillus subtilis in pacckaged water stored in polythene bags Fig. 2: : variations in growth of Escherichia coli in pacckaged water stored in polythene bags 73 Transnational Journal of Science and Technology Fig. 3: Fig. 4: variations in growth of Klebsiella aerogenes in pacckaged water stored in polythene bags October 2012 edition vol.2, No.9 Fig. 4: variations in growth of staph. Aureus in pacckaged water stored in polythene bags Fig. 5: variations in growth of pseudomonas aeruginosa in pacckaged water stored in polythene bags For each microbial contaminant studied at a particular storage temperature, it was generally observed that the highest number of survivors were recorded on the 10 th – 12th day of sampling, then decreased progressively towards zero, Thereafter, rising again towards the 4th week (Figs 1-d,5). Since drinking water contains no preservatives and has poor nutritive quality, it is only non-exacting organisms that can survive in such products if poorly prepared. The cyclical pattern of growth seen here may be due to marginal survival on the debris of dead organisms hitherto present in the packaged water. This is a characteristic feature of post kinetic phase of decline, the so-called phase of survival. It is important to note that potable water should be produced with the quality target of containing nil microorganisms, since it has now been established that they can actually grow over stipulated limit when stored at ambient temperatures. In this regard therefore, all standards that are geared towards sustaining and enhancing good manufacturing practice 74 Transnational Journal of Science and Technology should be vigorously pursued. October 2012 edition vol.2, No.9 Ps. Aeruginosa in particular poses a serious challenge to the quality of packaged waters, as it has been found to proliferate even in distilled water. Acknowledgement Authors hereby gratefully acknowledge the assistance of the management and staff of the Central Science Laboratory, ObafemiAwolowo University, Ile-Ife. They made painstaking effort to prepare samples from the various bottled and sachet water-types used to determine various parameters. References: Anon I.E. (1982). The bacteriological examination of drinking water supplies HMSO, London. Mendie, U.E. (2001). Health implications of drinking contaminated water. Workshop on packaged water, fruit juices, and other water-based drinks organised by NAFDAC, 21st – 22ndjune, 2001. Baird, R.m., and Petrie, P.S. (1981).A study of microbiological contamination of oralmedicaments. Pharm. J. 226: 10 – 11. Lec, R.J. (1991). The microbiology of drinking wate. Med. Lab. Sci. 48: 303-313. Heiering, H. 1970). People the key to contamination control. Contam. Control 9: 18-20. Hunter, P.R. and Burge, S.H. (1993) The microbiology of bottled water. J. Appl. Bact. 74: 345- 352. Jackman, D.L. 1980). Trouble shooting your pharmaceutical water systems.Pharm. Eng. 8:22- 28. Favero, M.S., Carson, L.A., Bond, W.W. and Perterson, N.|J. (1971). Pseudomonas aeryginosa growth in distilled water from hospitals. Science 173: 8336-838. Baird, R.M., and Shooter, R.A.(1978). Pseudomonas aeruginosa infections associated with use of contaminated medicaments. Br.med. J. 2: 349-350. Craun, G.F., and McCbe J. (1993). Review of the causes of water-borne desease outbreaks. J. amer. Water Works Assoc. 65; 74-84. Blake, P.A.(1991). Cholera in Portugal, 1974, Transmission by bottled mineral water. Am. J.Epidemiol. 105: 344-348. Jurank, D.D., Taylor, F.B. and Feachem, R.G. (1998).Drinking water turbidity and gastrointestinal illness.Epidemiol. 9;264-270. 75 Transnational Journal of Science and Technology October 2012 edition vol.2, No.9 Parker, M.T. (1972).The clinical significance of the presence of microorganisms in pharmaceutical and cosmetic preparations.J.Soc. Chem. 23; 415-426. Mendie, U.E. (2002). Cyclical growths of contaminants in drinking water packaged in polythene bag. Nig. J. Pharm. 33: 27-32. Millership, S.E., N. and Chattopadhyay, B. (1980).colonization of patients in and intensivetreatment unit with gram-negative flora; the significance of the oral route. J. Hosp.Infect. 7: 226-235. Scott, E. and Bloom field, S.F. (1990). The survival and tensfer of microbial contaminationvia cloths, hands, and utensils. J. Appl. Bacteriol. 68: 271-278. 76
© Copyright 2026 Paperzz