Research Article
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Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples

Year 2025, Volume: 9 Issue: 2, 333 - 343, 29.12.2025
https://doi.org/10.32571/ijct.1780205

Abstract

Thermal springs have been used for therapeutic purposes in Türkiye for centuries and remain popular for both health-related treatments and recreational activities. However, the increasing use of thermal pools without strict hygiene measures has been associated with rising incidences of infections such as folliculitis, dermatitis, otitis, conjunctivitis, and respiratory, genitourinary, and gastrointestinal infections. In this study, 24 water and air samples from eight indoor spa pools were examined, yielding 205 fungal isolates. Microfungal counts ranged from 5 to 1,228 cfu/m³ in air and 2,000 to 228,000 cfu/m³ in water. The isolates belonged to genera including Aspergillus, Penicillium, Alternaria, Paecilomyces, Mucor, Rhizopus, Fusarium, Pythium, and others. The fungal community was dominated by Penicillium (35%) and Aspergillus (29%). Among the 69 Aspergillus isolates, medically important species such as A. fumigatus, A. terreus, A. niger, and A. flavus were detected. These findings demonstrate that thermal pools may serve as reservoirs for opportunistic fungi, underscoring the need for molecular surveys and stricter monitoring to minimize public health risks.

Ethical Statement

Since the article does not contain any studies with human or animal subject, its approval to the ethics committee was not required.

Supporting Institution

Kutahya Health Sciences University

Project Number

TSA-2020-28

Thanks

We would like to thank Prof. Dr. Merih KIVANÇ for her consultancy support for our study.

References

  • Abbot, S.P., 2002. Mycotoxins and indoor moulds. Indoor Environment Connections, 3(4), 14-24. Adamowicz, M.M., Kubera, L., Jankowiak, E., & Dembowska, E., 2019. Microbial diversity of bioaerosol inside sports facilities and antibiotic resistance of isolated Staphylococcus spp. Aerobiologia, 35, 731-42. https://doi.org/10.1007/s10453-019-09613-y
  • Agababova, M., Hon, C.Y., 2018. Pilot study: Assessment of the presence of mold in indoor swimming pools. Environmental Health Review, 61(2), 35–38. https://doi.org/10.5864/d2018-009
  • Alim, A., Hakgüdener, Y., Poyraz, O., 2002. Investigation of Legionella pneumophila in thermal pool waters of hot springs in the Central Anatolia Region. Microbiology Bulletin, 36(3–4), 237–246.
  • Ayanbimpe, G.M., Danjuma, W. S., Okolo, M. O., 2012. Relationship between fungal contamination of indoor air and health problems of some residents in Jos. in: Sunil Kumar & Rakesh Kumar (Eds.), Air quality - monitoring and modeling. InTech. pp. 1-18. https://doi.org/10.5772/32160
  • Barnett, H.L., Hunter, B.B., 1999. Illustrated genera of imperfect fungi (4th ed.). APS Press, USA.
  • Brandi, G., Sisti, M., Paparini, A., Gianfranceschi, G., Schiavano, G.F., Santi, M., Santoni, D., Magini, V., Romano-Spica, V., 2007. Swimming pools and fungi: An environmental epidemiology survey in Italian indoor swimming facilities. International Journal of Environmental Health Research, 17(3), 197–206. https://doi.org/10.1080/09603120701254862
  • European Environment and Health Information System. 2007. Children living in homes with problems of damp (Fact Sheet No. 3.5, Code RPG3_Hous_Ex2).
  • Goldstein, M.F., Dvorin, D.J., Dunsky, E.H., Lesser, R.W., Heuman, P.J., Loose, J.H., 1992. Allergic Rhizomucor sinusitis. Journal of Allergy and Clinical Immunology, 90(3), 394–404. https://doi.org/10.1016/S0091-6749(05)80020-X
  • Gots, R.E., Layton, N.J., 2003. Indoor health: Background levels of fungi. Journal of Occupational Health and Hygiene, 64(4), 427–438. https://doi.org/10.1080/15428110308984836
  • Groot, J., Nielsen, E.T., Nielsen, T.F., Andersen, P.K., Pedersen, M., Sigsgaard, T., Loft, S., Nybo Andersen, A. M., Keller, A., 2023. Exposure to residential mold and dampness and the associations with respiratory tract infections and symptoms thereof in children in high-income countries: A systematic review and meta-analyses of epidemiological studies. Paediatric Respiratory Reviews, 48, 47-64. https://doi.org/10.1016/j.prrv.2023.06.003
  • Hanbakhsh, H., Diba, K., & Hazarti, K., 2004. Study of fungal contamination of indoor public swimming pools. Iranian Journal of Public Health, 33(1), 60–65.
  • Hasenekoğlu, İ., 1991. Soil moulds (Vol. 7). Atatürk University Publications, Faculty of Education Publications, Erzurum.
  • Hawksworth, D.L., Crous, P.W., Redhead, S.A., 2011. The Amsterdam declaration on fungal nomenclature. IMA Fungus, 2, 105–112. https://doi.org/10.5598/imafungus.2011.02.01.14
  • Holden, K.A., Lee, A.R., Hawcutt, D.B., Sinha, I.P., 2023. The impact of poor housing and indoor air quality on respiratory health in children. Breathe, 19(2), 230058. https://doi.org/10.1183/20734735.0058-2023
  • J.D., Laflamme, A.M., Sobol, Y., Lafontaine, P., Greenhalgh, R., 1988. Fungi and fungal products in some Canadian houses. International Biodeterioration, 24(2), 103–120. https://doi.org/10.1016/0265-3036(88)90053-X
  • Klich, M.A., 2002. Identification of common Aspergillus species. Centraalbureau voor Schimmelcultures. Knutsen, A.P., Bush, R.K., Demain, J.G., Denning, D.W., Dixit, A., Fairs, A., Greenberger, P.A., Kariuki, B., Kita, H., Kurup, V.P., et al., 2012. Fungi and allergic lower respiratory tract diseases. Journal of Allergy and Clinical Immunology, 129(2), 280–291. https://doi.org/10.1016/j.jaci.2011.12.970
  • Maaranen, J., Hugg, T.T., Paciência, I., Jaakkola, M.S., Jaakkola, J.K.J., Rantala, A.K., 2025. Home dampness and molds and occurrence of respiratory tract infections in the first 27 years of life: the Espoo Cohort Study. American Journal of Epidemiology, kwaf200. https://doi.org/10.1093/aje/kwaf200
  • Mavridou, A., Pappa, O., Papatzitze, O., Dioli, C., Kefala, A.M., Drossos, P., Beloukas, A., 2018. Exotic tourist destinations and transmission of infections by swimming pools and hot springs: A literature review. International Journal of Environmental Research and Public Health, 15(12), 2730. https://doi.org/10.3390/ijerph15122730Miller,
  • Mias, C., Theunis, J., Noharet J., Baradat S., C. Satgé, C., Bes Vuillermoz D., Houcine, A., Chlasta, J., Stennevin, A., Doat, G., Bessou-Touya, S., Duplan, H., 2025. 0474 Sensitive skin and low mineralized thermal spring water: Biomechanical and microbiota benefits. Journal of Investigative Dermatology, 145(8), S81.
  • Rafiei, A., Amirrajab, N., 2010. Fungal contamination of indoor public swimming pools, Ahwaz, southwest of Iran. Iranian Journal of Public Health, 39(3), 124–128.
  • Robins, C., Morell, J. 2007. Mold housing and wood. Western Wood Products Association. Oregon. Samson, R. A., Houbraken, J., Thrane, U., Frisvad, J. C., Andersen, B., 2010. Food and indoor fungi. CBS-KNAW Fungal Diversity Centre, Utrecht.
  • Sarmadian, H., Hazbavi, Y., Didehdar, M., 2020. Fungal and parasitic contamination of indoor public swimming pools in Arak, Iran. Journal of the Egyptian Public Health Association, 95, 8. https://doi.org/10.1186/s42506-020-0036-3
  • Savcı, Ü., Şahin, M., 2019. Investigation of fungal flora in hammams, Turkish baths: A field study. Journal of Surgery and Medicine, 3(9), 640–643. https://doi.org/10.28982/josam.611224
  • Sime, A.D., Abbott, L.L., Abbott, S.P., 2002. A mounting medium for use in indoor air quality spore-trap analyses. Mycologia, 94(6), 1087–1088. https://doi.org/10.1080/15572536.2003.11833165
  • Straus, D.C., Wilson, S.C., 2006. Respiratory trichothecene mycotoxins can be demonstrated in the air of Stachybotrys chartarum-contaminated buildings. Journal of Allergy and Clinical Immunology, 118, 760. https://doi.org/10.1016/j.jaci.2006.06.025
  • Velikova, E., 2025. Sustainable Use of Mineral Springs as. Sustainable Development of Water and Environment: Proceedings of ICSDWE 2024.
  • Viegas, C., Alves, C., Carolino, E., Rosado, L., Silva Santos, C., 2010. Prevalence of fungi in indoor air with reference to gymnasiums with swimming pools. Indoor and Built Environment, 19(5), 555–561. https://doi.org/10.1177/1420326X10380120
  • Xiao, H., Yang, J., Lou, H., Luo, M., 2025. Potential respiratory hazards of fungal exposure in the residential indoor environment: A systematic review. Atmospheric Pollution Research, 16(10), 102634. https://doi.org/10.1016/j.apr.2025.102634
  • Yarita, K., Sano, A., Murata, Y., Takayama, A., Takahashi, Y., Ohori, Y., Kamei, K., Miyaji, M., Nishimura, K., 2007. Pathogenicity of Ochroconis gallopava isolated from hot springs in Japan and a review of published reports. Mycopathologia, 167, 135–147. https://doi.org/10.1007/s11046-007-9034-7
  • Yeşiltaş, H.K., 2024. Thermal bridge in the building, energy loss and environmental effects. International Journal of Chemistry and Technology, 8(1), 1-9. https://doi.org/10.32571/ijct.1208607
  • Yılmaz Sarıözlü, N., Demirel, R., Kıvanç, M., 2012. Microbial population of hot spring waters in Eskişehir/Turkey. Anadolu University Journal of Science and Technology C - Life Sciences and Biotechnology, 2(1), 31–39.

Year 2025, Volume: 9 Issue: 2, 333 - 343, 29.12.2025
https://doi.org/10.32571/ijct.1780205

Abstract

Project Number

TSA-2020-28

References

  • Abbot, S.P., 2002. Mycotoxins and indoor moulds. Indoor Environment Connections, 3(4), 14-24. Adamowicz, M.M., Kubera, L., Jankowiak, E., & Dembowska, E., 2019. Microbial diversity of bioaerosol inside sports facilities and antibiotic resistance of isolated Staphylococcus spp. Aerobiologia, 35, 731-42. https://doi.org/10.1007/s10453-019-09613-y
  • Agababova, M., Hon, C.Y., 2018. Pilot study: Assessment of the presence of mold in indoor swimming pools. Environmental Health Review, 61(2), 35–38. https://doi.org/10.5864/d2018-009
  • Alim, A., Hakgüdener, Y., Poyraz, O., 2002. Investigation of Legionella pneumophila in thermal pool waters of hot springs in the Central Anatolia Region. Microbiology Bulletin, 36(3–4), 237–246.
  • Ayanbimpe, G.M., Danjuma, W. S., Okolo, M. O., 2012. Relationship between fungal contamination of indoor air and health problems of some residents in Jos. in: Sunil Kumar & Rakesh Kumar (Eds.), Air quality - monitoring and modeling. InTech. pp. 1-18. https://doi.org/10.5772/32160
  • Barnett, H.L., Hunter, B.B., 1999. Illustrated genera of imperfect fungi (4th ed.). APS Press, USA.
  • Brandi, G., Sisti, M., Paparini, A., Gianfranceschi, G., Schiavano, G.F., Santi, M., Santoni, D., Magini, V., Romano-Spica, V., 2007. Swimming pools and fungi: An environmental epidemiology survey in Italian indoor swimming facilities. International Journal of Environmental Health Research, 17(3), 197–206. https://doi.org/10.1080/09603120701254862
  • European Environment and Health Information System. 2007. Children living in homes with problems of damp (Fact Sheet No. 3.5, Code RPG3_Hous_Ex2).
  • Goldstein, M.F., Dvorin, D.J., Dunsky, E.H., Lesser, R.W., Heuman, P.J., Loose, J.H., 1992. Allergic Rhizomucor sinusitis. Journal of Allergy and Clinical Immunology, 90(3), 394–404. https://doi.org/10.1016/S0091-6749(05)80020-X
  • Gots, R.E., Layton, N.J., 2003. Indoor health: Background levels of fungi. Journal of Occupational Health and Hygiene, 64(4), 427–438. https://doi.org/10.1080/15428110308984836
  • Groot, J., Nielsen, E.T., Nielsen, T.F., Andersen, P.K., Pedersen, M., Sigsgaard, T., Loft, S., Nybo Andersen, A. M., Keller, A., 2023. Exposure to residential mold and dampness and the associations with respiratory tract infections and symptoms thereof in children in high-income countries: A systematic review and meta-analyses of epidemiological studies. Paediatric Respiratory Reviews, 48, 47-64. https://doi.org/10.1016/j.prrv.2023.06.003
  • Hanbakhsh, H., Diba, K., & Hazarti, K., 2004. Study of fungal contamination of indoor public swimming pools. Iranian Journal of Public Health, 33(1), 60–65.
  • Hasenekoğlu, İ., 1991. Soil moulds (Vol. 7). Atatürk University Publications, Faculty of Education Publications, Erzurum.
  • Hawksworth, D.L., Crous, P.W., Redhead, S.A., 2011. The Amsterdam declaration on fungal nomenclature. IMA Fungus, 2, 105–112. https://doi.org/10.5598/imafungus.2011.02.01.14
  • Holden, K.A., Lee, A.R., Hawcutt, D.B., Sinha, I.P., 2023. The impact of poor housing and indoor air quality on respiratory health in children. Breathe, 19(2), 230058. https://doi.org/10.1183/20734735.0058-2023
  • J.D., Laflamme, A.M., Sobol, Y., Lafontaine, P., Greenhalgh, R., 1988. Fungi and fungal products in some Canadian houses. International Biodeterioration, 24(2), 103–120. https://doi.org/10.1016/0265-3036(88)90053-X
  • Klich, M.A., 2002. Identification of common Aspergillus species. Centraalbureau voor Schimmelcultures. Knutsen, A.P., Bush, R.K., Demain, J.G., Denning, D.W., Dixit, A., Fairs, A., Greenberger, P.A., Kariuki, B., Kita, H., Kurup, V.P., et al., 2012. Fungi and allergic lower respiratory tract diseases. Journal of Allergy and Clinical Immunology, 129(2), 280–291. https://doi.org/10.1016/j.jaci.2011.12.970
  • Maaranen, J., Hugg, T.T., Paciência, I., Jaakkola, M.S., Jaakkola, J.K.J., Rantala, A.K., 2025. Home dampness and molds and occurrence of respiratory tract infections in the first 27 years of life: the Espoo Cohort Study. American Journal of Epidemiology, kwaf200. https://doi.org/10.1093/aje/kwaf200
  • Mavridou, A., Pappa, O., Papatzitze, O., Dioli, C., Kefala, A.M., Drossos, P., Beloukas, A., 2018. Exotic tourist destinations and transmission of infections by swimming pools and hot springs: A literature review. International Journal of Environmental Research and Public Health, 15(12), 2730. https://doi.org/10.3390/ijerph15122730Miller,
  • Mias, C., Theunis, J., Noharet J., Baradat S., C. Satgé, C., Bes Vuillermoz D., Houcine, A., Chlasta, J., Stennevin, A., Doat, G., Bessou-Touya, S., Duplan, H., 2025. 0474 Sensitive skin and low mineralized thermal spring water: Biomechanical and microbiota benefits. Journal of Investigative Dermatology, 145(8), S81.
  • Rafiei, A., Amirrajab, N., 2010. Fungal contamination of indoor public swimming pools, Ahwaz, southwest of Iran. Iranian Journal of Public Health, 39(3), 124–128.
  • Robins, C., Morell, J. 2007. Mold housing and wood. Western Wood Products Association. Oregon. Samson, R. A., Houbraken, J., Thrane, U., Frisvad, J. C., Andersen, B., 2010. Food and indoor fungi. CBS-KNAW Fungal Diversity Centre, Utrecht.
  • Sarmadian, H., Hazbavi, Y., Didehdar, M., 2020. Fungal and parasitic contamination of indoor public swimming pools in Arak, Iran. Journal of the Egyptian Public Health Association, 95, 8. https://doi.org/10.1186/s42506-020-0036-3
  • Savcı, Ü., Şahin, M., 2019. Investigation of fungal flora in hammams, Turkish baths: A field study. Journal of Surgery and Medicine, 3(9), 640–643. https://doi.org/10.28982/josam.611224
  • Sime, A.D., Abbott, L.L., Abbott, S.P., 2002. A mounting medium for use in indoor air quality spore-trap analyses. Mycologia, 94(6), 1087–1088. https://doi.org/10.1080/15572536.2003.11833165
  • Straus, D.C., Wilson, S.C., 2006. Respiratory trichothecene mycotoxins can be demonstrated in the air of Stachybotrys chartarum-contaminated buildings. Journal of Allergy and Clinical Immunology, 118, 760. https://doi.org/10.1016/j.jaci.2006.06.025
  • Velikova, E., 2025. Sustainable Use of Mineral Springs as. Sustainable Development of Water and Environment: Proceedings of ICSDWE 2024.
  • Viegas, C., Alves, C., Carolino, E., Rosado, L., Silva Santos, C., 2010. Prevalence of fungi in indoor air with reference to gymnasiums with swimming pools. Indoor and Built Environment, 19(5), 555–561. https://doi.org/10.1177/1420326X10380120
  • Xiao, H., Yang, J., Lou, H., Luo, M., 2025. Potential respiratory hazards of fungal exposure in the residential indoor environment: A systematic review. Atmospheric Pollution Research, 16(10), 102634. https://doi.org/10.1016/j.apr.2025.102634
  • Yarita, K., Sano, A., Murata, Y., Takayama, A., Takahashi, Y., Ohori, Y., Kamei, K., Miyaji, M., Nishimura, K., 2007. Pathogenicity of Ochroconis gallopava isolated from hot springs in Japan and a review of published reports. Mycopathologia, 167, 135–147. https://doi.org/10.1007/s11046-007-9034-7
  • Yeşiltaş, H.K., 2024. Thermal bridge in the building, energy loss and environmental effects. International Journal of Chemistry and Technology, 8(1), 1-9. https://doi.org/10.32571/ijct.1208607
  • Yılmaz Sarıözlü, N., Demirel, R., Kıvanç, M., 2012. Microbial population of hot spring waters in Eskişehir/Turkey. Anadolu University Journal of Science and Technology C - Life Sciences and Biotechnology, 2(1), 31–39.
There are 31 citations in total.

Details

Primary Language English
Subjects Biochemistry and Cell Biology (Other)
Journal Section Research Article
Authors

Derya Berikten 0000-0002-8672-4813

Meliha Koldemir Gündüz 0000-0003-0969-6377

Project Number TSA-2020-28
Submission Date September 8, 2025
Acceptance Date November 8, 2025
Publication Date December 29, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

APA Berikten, D., & Koldemir Gündüz, M. (2025). Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples. International Journal of Chemistry and Technology, 9(2), 333-343. https://doi.org/10.32571/ijct.1780205
AMA Berikten D, Koldemir Gündüz M. Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples. Int. J. Chem. Technol. December 2025;9(2):333-343. doi:10.32571/ijct.1780205
Chicago Berikten, Derya, and Meliha Koldemir Gündüz. “Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples”. International Journal of Chemistry and Technology 9, no. 2 (December 2025): 333-43. https://doi.org/10.32571/ijct.1780205.
EndNote Berikten D, Koldemir Gündüz M (December 1, 2025) Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples. International Journal of Chemistry and Technology 9 2 333–343.
IEEE D. Berikten and M. Koldemir Gündüz, “Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples”, Int. J. Chem. Technol., vol. 9, no. 2, pp. 333–343, 2025, doi: 10.32571/ijct.1780205.
ISNAD Berikten, Derya - Koldemir Gündüz, Meliha. “Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples”. International Journal of Chemistry and Technology 9/2 (December2025), 333-343. https://doi.org/10.32571/ijct.1780205.
JAMA Berikten D, Koldemir Gündüz M. Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples. Int. J. Chem. Technol. 2025;9:333–343.
MLA Berikten, Derya and Meliha Koldemir Gündüz. “Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples”. International Journal of Chemistry and Technology, vol. 9, no. 2, 2025, pp. 333-4, doi:10.32571/ijct.1780205.
Vancouver Berikten D, Koldemir Gündüz M. Fungal Contamination in Thermal Springs: A Comparative Study Between Pool Water and Air Samples. Int. J. Chem. Technol. 2025;9(2):333-4.