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Where is Acanthamoeba most common?

Published in Waterborne Pathogen 3 mins read

Acanthamoeba is most commonly found in diverse water sources, including tap water, swimming pools, hot tubs, and showers, and its infections are often linked to improper contact lens hygiene.

Widespread Presence in Water Sources

Acanthamoeba are microscopic, free-living amoebae that are ubiquitous in various environments. They thrive particularly well in water sources that people frequently come into contact with. These include both natural bodies of water and treated water systems.

Key environments where Acanthamoeba are commonly found include:

  • Tap water: This includes water directly from faucets, used for washing, showering, and even contact lens rinsing.
  • Swimming pools: Despite chlorination, Acanthamoeba can persist in pool environments, especially if water treatment is not optimal.
  • Hot tubs: The warm, moist environment of hot tubs can also be conducive to the presence of these amoebae.
  • Showers: Water from showerheads can contain Acanthamoeba, posing a risk, particularly to contact lens wearers.
  • Lakes, rivers, and oceans: Natural water bodies are also common habitats for these organisms.
  • Soil: Acanthamoeba are also found in soil, which can lead to contamination of water sources.

Connection to Contact Lens Use

While Acanthamoeba is present in many water sources, the most common way it leads to human infection, specifically a severe eye infection called Acanthamoeba keratitis, is through improper contact lens care. Failure to follow contact lens care instructions, such as rinsing lenses with tap water or using homemade saline solutions, can introduce the amoeba directly to the eye, where it can cause a serious infection.

Preventing Acanthamoeba Infections

Minimizing exposure to Acanthamoeba, especially for contact lens users, is crucial. Practical insights and solutions include:

  • Never use tap water with contact lenses: This includes rinsing, storing, or cleaning lenses or lens cases with tap water, distilled water, or any non-sterile water.
  • Use only sterile contact lens solution: Always use fresh, commercially prepared, sterile contact lens solution recommended by your eye care professional.
  • Clean and replace lens cases regularly: Discard old solution and clean your lens case with fresh solution daily, allowing it to air dry. Replace your lens case at least every three months.
  • Wash and dry hands: Always wash your hands thoroughly with soap and water and dry them completely with a clean towel before handling contact lenses.
  • Avoid swimming or showering with contact lenses: Remove contact lenses before entering pools, hot tubs, showers, or any body of water.
  • Adhere to prescribed wearing schedules: Do not wear lenses longer than recommended by your eye care professional.

Understanding the widespread presence of Acanthamoeba in water environments and taking diligent preventive measures, especially concerning contact lens hygiene, is essential for avoiding severe infections. For more information on preventing Acanthamoeba infections and maintaining eye health, consult reliable sources such as the Centers for Disease Control and Prevention and the National Eye Institute.