Do variations in nasal irrigation recipes and storage effect the risk of bacterial contamination?

OBJECTIVE: Make-at-home nasal irrigation solutions are often recommended for treating chronic rhinosinusitis. Many patients will store pre-made solution for convenient use. This study investigated the microbiological properties of differing recipes and storage temperatures. METHOD: Three irrigation recipes (containing sodium chloride, sodium bicarbonate and sucrose) were stored at 5oC and 22oC. Further samples were inoculated with Staphylococcus aureus and Pseudomonas aeruginosa. Sampling and culturing were conducted at intervals from day 0-12 to examine for bacterial presence or persistence. RESULTS: No significant bacterial growth was detected in any control solution stored at 5oC. Saline solutions remained relatively bacterial free, with poor survival of inoculated bacteria, which may be related to either lower pH or lower osmolality. Storing at room temperature increased the risk of contamination in control samples, particularly from pseudomonas. CONCLUSION: If refrigerated, pre-made nasal irrigation solutions can be stored safely for up to 12 days without risking cross-contamination to irrigation equipment or patients.

The dissipation of phosphorus in sewage and sewage effluents.

Of the 41 kt of phosphorus reaching the sewage works in England and Wales 15 kt is removed in sewage sludge and the remainder is disposed of to rivers. 60% of the sewage sludge is now used as fertilizer and this proportion will no doubt increase in the future. The total use of sewage sludge, however, represents only about 5% of the current annual usage of artificial phosphorus fertilizer. At present there is no general economic incentive to make better use of the phosphorus in effluents. Phosphorus removal is expensive--about 2--3 pence/m3. If all the sewage effluents in England and Wales were to be so treated the cost would be about 100--150 million pounds annually, that is about 50% of the present costs of sewage treatment. In certain cases, but rarely in the UK, phosphate is removed, not to conserve phosphorus but to minimize the problems it creates in the environment. The phosphorus removed has little value as fertilizer. Alternative methods of using the phosphorus in effluents by the production and harvesting of crops of algae or aquatic plants have so far proved uneconomic. However, these methods need to be reviewed periodically as they may in the future become economically more attractive, especially in warmer climates where plant growth can be maintained throughout the year.