The presence of invertebrates in drinking water distribution systems, particularly Chironomidae larvae, has raised concerns among the general public. This study aimed to comprehensively address the issue of larvae breakout in water filtration systems and provide potential solutions to prevent their escape into the water supply. The research investigated various factors contributing to larvae breakout, including the type of filtration column, sand depth, pretreatment methods, and the effective size and uniformity coefficient of sand media. Experimental results revealed that the GAC column, primarily utilized for adsorption, was ineffective in retaining Chironomidae larvae, leading to their escape within a short period. Similarly, the sand filter column, with a design that is currently widely used with sand specifications of an effective size of 0.7 mm and a uniformity coefficient of 1.7, failed to act as a barrier for larvae. Increasing the height of the sand media and applying a pretreatment method, which was expected to prevent larvae from entering the treated water, yielded unsatisfactory results. Our research results show that reducing the uniformity coefficient to 1.5 while maintaining an effective size of 0.7 mm proved to be important in preventing the release of larvae into treated water. The Sand/GAC and Sand/Anthracite systems, by maintaining adjusted media sand specifications, also succeeded in retaining larvae in the filtration system. Additionally, this study emphasized the importance of following the recommended backwash procedure, consisting of specific steps involving air flow, a combination of air and water flow, and final water flow. This sequence effectively removed contaminants, turbidity, and Chironomidae larvae from the filtration media, ensuring improved water quality and system performance. The findings of this study provide valuable insights and recommendations for water treatment plants to address the issue of larvae breakout and enhance water quality.