LEGIONELLA MONITORING - A CONTINUING STORY OF NOSOCOMIAL INFECTION PREVENTION

被引:14
作者
VINCENTHOUDEK, M
MUYTJENS, HL
BONGAERTS, GPA
VANKETEL, RJ
机构
[1] UNIV HOSP NIJMEGEN,DEPT INFECT PREVENT,6500 HB NIJMEGEN,NETHERLANDS
[2] UNIV AMSTERDAM,ACAD MED CTR,DEPT MED MICROBIOL,1105 AZ AMSTERDAM,NETHERLANDS
[3] UNIV HOSP NIJMEGEN,DEPT MED MICROBIOL,6500 HB NIJMEGEN,NETHERLANDS
关键词
LEGIONELLA-PNEUMOPHILA; NOSOCOMIAL INFECTION; COOLING TOWERS; AIR CONDITIONING;
D O I
10.1016/0195-6701(93)90102-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Of 21 cases of legionellosis, 14 were of nosocomial origin and 6 others had a possible nosocomial source. The hot and cold water systems, respiratory therapy equipment, puddles of rain water on flat roofs and in gutters, and demineralized water systems were all excluded as a source of nosocomial infection. By subtyping it was shown that Legionella pneumophila serogroup 1 isolates from 11 patients and from the cooling towers were indistinguishable. Because of this result the cooling towers were considered to be the infection source. After effective chlorination of the cooling towers, the frequency of legionellosis declined. © 1993.
引用
收藏
页码:117 / 124
页数:8
相关论文
共 18 条
[1]  
BEST M, 1983, LANCET, V2, P307
[2]  
BEST M, 1984, AM J INFECT CONTROL, V12, P26, DOI 10.1016/0196-6553(84)90069-5
[3]  
BLOCK SS, 1985, DISINFECTION STERILI
[4]   ISOLATION OF LEGIONELLA SPP FROM ENVIRONMENTAL WATER SAMPLES BY LOW-PH TREATMENT AND USE OF A SELECTIVE MEDIUM [J].
BOPP, CA ;
SUMNER, JW ;
MORRIS, GK ;
WELLS, JG .
JOURNAL OF CLINICAL MICROBIOLOGY, 1981, 13 (04) :714-719
[5]  
DAMMERS E, 1985, VERWARMING VENTILATI, V8, P679
[6]   IMPROVED SEMISELECTIVE MEDIUM FOR ISOLATION OF LEGIONELLA-PNEUMOPHILA FROM CONTAMINATED CLINICAL AND ENVIRONMENTAL SPECIMENS [J].
EDELSTEIN, PH .
JOURNAL OF CLINICAL MICROBIOLOGY, 1981, 14 (03) :298-303
[7]  
GROOTHUIS DG, 1983, ZBL BAKT-INT J MED M, V255, P39
[8]  
Korvick J A, 1987, Semin Respir Infect, V2, P34
[9]   MODE OF TRANSMISSION OF LEGIONELLA-PNEUMOPHILA - A CRITICAL-REVIEW [J].
MUDER, RR ;
YU, VL ;
WOO, AH .
ARCHIVES OF INTERNAL MEDICINE, 1986, 146 (08) :1607-1612
[10]  
PIETSCH M, 1988, Hygiene + Medizin, V13, P265