Abstract

Few if any of the 20 million people who visit hydropathic facilities each year in Germany, France, Portugal, Switzerland, Italy, Greece, Russia, Hungary, and other European countries, in search of the supposedly health-enhancing properties of thermae, read the literature of applied microbiology. If they did so, however, they could encounter some disturbing news. For there, in a paper by Olga Cardoso and colleagues at the University of Coimbra in Portugal in Letters in Applied Microbiology (53:518, 2011), they would find robust evidence that the opportunistic pathogen Pseudomonas aeruginosa lurks in biofilms in thermae, with both an inherent and environmental likelihood of developing multiple antibiotic resistance.

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