BACKGROUND: Water quality testing is vital to protect human health. Current testing relies mainly on culture-based detection of faecal indicator organisms such as . However, bacterial cultures are a slow process, taking 24-48 h and requiring specialised laboratories and trained personnel. Access to such laboratories is often sparse in developing countries and there are many fatalities deriving from poor water quality. Endotoxin is a molecular component of Gram-negative bacterial cell walls and can be used to detect their presence in drinking water. METHOD: The current study used a novel assay (BacterisK) to rapidly detect endotoxin in various water samples and correlate the results with content measured by culture methods. The data generated by the BacterisK assay are presented as an 'endotoxin risk' (ER). RESULTS: The ER values correlate with and thus endotoxin can be used as a marker of faecal contamination in water. Moreover, the BacterisK assay provides data in near real-time and can be used in situ allowing water quality testing at different spatial and temporal locations. CONCLUSION: We suggest that BacterisK can be used as a convenient risk assessment tool to assess water quality where results are required quickly or access to laboratories is lacking.
