“…17 Significant concentrations of potentially pathogenic bacteria have been discovered in the municipal water supply, including Mycobacteria, Staphylococcus, Acinetobacter, Corynebacterium, and Streptococcus species. 40 Mycobacteria are known to form biofilms in moist areas, such as showerheads and hot tubs, 17,39,41,42 and have been implicated in a study associating mycobacterial sinus infections with cultured mycobacteria from water faucets. 12 However, this study 12 was observational in nature and not designed to assess if these bacterial infections resulted from sinus irrigations using contaminated water.…”