A total of 103 isolates of Aeromonas spp. were obtained over a 3-year period from a natural mineral water and from surface streams located within the boundaries of the watershed of the natural mineral water wells and were typed by macrorestriction analysis of genomic DNA with XbaI and by pulsed-field gel electrophoresis. All Aeromonas caviae isolates from the natural mineral water belonged to the same clone, and an analogous clonal identity was found among Aeromonas hydrophila isolates. These two clones expressed no hemolytic or cytotoxic activities. Aeromonas isolates from surface waters showed high molecular heterogeneity and were not related to the clones found in the natural mineral water. The presence of aeromonads chronically found in the natural mineral water was a likely consequence of a localized development of a biofilm, with no exogenous contamination of the aquifer. Molecular fingerprinting of drinking water isolates is a useful tool in explaining possible reasons for bacterial occurrences.The health consequences of the presence of motile species of the genus Aeromonas in drinking water are the subject of much debate (7,11,12,20,25). Recent studies have demonstrated that the presence of Aeromonas spp. in drinking water is a potential risk, since these microorganisms can produce a wide range of virulence factors (10,13,15,18,20,26). The difficulty in assigning an unequivocal health hazard to motile aeromonads in drinking water stems from the facts that these microorganisms are heterogeneous and that only specific strains may be pathogenic (14,16,23).There have been attempts in some countries, such as The Netherlands, Canada, and Italy, to introduce guideline standards for the presence of Aeromonas spp. in drinking water (4,8,9,26). In Italy, provisional and cautionary limits were established in 1997 for natural mineral waters at their origin (10 CFU/100 ml) and after being bottled (100 CFU/100 ml) and maintained until the end of 1998.These new health regulations aimed at the bottled-water industry compelled Italian public health professionals to make decisions about the safety of bottled mineral waters containing small quantities of Aeromonas spp., even after the cautionary limits were removed. In this paper we show how macrorestriction analysis of genomic DNAs of Aeromonas isolates with pulsed-field gel electrophoresis (PFGE) was useful in clarifying the reasons for the chronic occurrence of Aeromonas spp. in an Italian brand of bottled natural mineral water and the reasons these organisms are not presumed to be a hazard to human health. The natural mineral water described in this study is a natural sparkling water obtained from wells drilled to depths between 60 and 100 m. Groundwater is first collected into stainless steel pipes leading to a single mixing tank and then pumped to four separate bottling lines. The average production volume of the plant is 2 million liters per day.Microbiological analyses conducted during 1998 revealed none of the indicators set by the European health regulations for ...