Occurrence of Pseudomonas aeruginosa in Tourist Swimming Pools in Andalusia, Spain

Pseudomonas aeruginosa is a key indicator of hygienic and operational deficiencies in swimming pools, particularly in tourist facilities with high and variable user loads. This study reports the results of a four-year regulatory surveillance program (2016–2019) assessing P. aeruginosa contamination in tourist swimming pools in Andalusia, Spain. The program involved 14 hotels and 58 unique installations. A total of 2053 water samples collected from different installation types (outdoor and indoor pools, whirlpools, and cold-plunge pools) were analyzed using standardized ISO methods within the framework of Spanish legislation, and prevalence comparisons were based on proportion tests. The overall prevalence of P. aeruginosa was 5.1%, with marked differences among installation types, reflecting both variation in contamination rates and unequal sampling intensity. Whirlpools consistently showed the highest contamination rates, whereas indoor pools and cold-plunge pools exhibited lower prevalence. No significant differences were observed between chlorine- and bromine-treated pools, and contaminated samples were detected across the full range of disinfectant concentrations, including values within regulatory limits. Temporal analysis revealed that apparent seasonal peaks were installation-dependent rather than reflecting a uniform seasonal trend. Winter detections were confined to indoor pools and whirlpools, which remain operational year-round, while outdoor pools and cold-plunge pools were underrepresented during the low season due to reduced sampling. A marked increase in prevalence was observed in 2019, driven mainly by summer months and high-risk installations; however, this rise was not directly associated with tourist volume and does not support causal inference. These findings highlight the importance of installation-specific and operational factors in shaping P. aeruginosa contamination patterns. The study underscores the need for targeted surveillance strategies focusing on high-risk installations and for cautious interpretation of seasonal patterns in datasets derived from routine regulatory monitoring.