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Correlation Between Legionella Contamination in Water and Surrounding Air

Published online by Cambridge University Press:  07 April 2017

Paolo Crimi ,
Gianni Macrina ,
Antonio Grieco ,
Carola Tinteri ,
Laura Copello ,
Daniela Rebora ,
Angelo Galli  and
Rolando Rizzetto
Paolo Crimi*
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Gianni Macrina
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Antonio Grieco
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Carola Tinteri
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Laura Copello
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Daniela Rebora
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
Angelo Galli
Affiliation:
Department of Burn Care, S. Martino Hospital, Genoa, Italy
Rolando Rizzetto
Affiliation:
Department of Health Sciences, University of Genoa, Genoa, Italy
*
Department of Health Sciences, Via Pastore 1, 16132 Genoa, Italy (paolo.crimi@hsanmartino.liguria.it)
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Abstract

We evaluated Legionella pneumophila contamination of water and surrounding air in a burn care department equipped with bathtubs. In water, the bacterium always aerosolized, but in surrounding air, it diluted itself to such a point that it became undetectable at 1 m or more from the source of emission, which indicated that patients were at low risk of inhaling a dangerous quantity of the microbe.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 7 , July 2006 , pp. 771 - 773
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Gjenero-Margan, I, Drazenovic, V, Vrbica, J, Vjerda, R, Aleraj, B, Borcic, B. An epidemic of legionnaires' disease in a hotel. Lijec Vjesn 1989; 111:81–84.Google Scholar
2.Blatt, SP, Parkinson, MD, Pace, E, et al. Nosocomial legionnaires' disease: aspiration as a primary mode of disease acquisition. Am J Med 1993; 95:16–22.Google Scholar
3.Joseph, C, Morgan, D, Birtles, R, et al. An international investigation of an outbreak of legionnaires disease among UK and French tourists. Eur J Epidemiol 1996; 12:215–219.Google Scholar
4.Marston, BJ, Lipman, HB, Breiman, RF. Surveillance for legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994; 154:2417–2422.CrossRefGoogle ScholarPubMed
5.Demling, RH. Burns. N Engl J Med 1985; 313:1389–1398.CrossRefGoogle ScholarPubMed
6.Wakami, S, Harada, T, Muraoka, M, Ishii, M. Superiority of water application to water sealing in burn wound healing. Osaka City Med J 2004; 50:39–45.Google Scholar
7.Staley, M, Richard, R. Management of the acute burn wound: an overview. Adv Wound Care 1997; 10:39–44.Google Scholar
8.Thomson, PD, Bowden, ML, McDonald, K, Smith, DJ Jr, Prasad, JK. A survey of burn hydrotherapy in the United States. J Burn Care Rehabil 1990; 11:151–155.Google Scholar
9.Dennis, PJ, Bartlett, CL, Wright, AE. Comparison of isolation methods for Legionella spp. In: Thornsbury, C, et al. eds. Legionella: Proceedings of the Second International Symposium. Washington, DC: American Society of Microbiology; 1984:294–296.Google Scholar
10.Dennis, PJ. Isolation of Legionellae from environmental specimens. In: Harrison, TG, Taylor, AG, eds. A Laboratory Manual for Legionella. Chichester, England: John Wiley & Son; 1988.Google Scholar
11.American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRACE). Minimizing the Risk of Legionellosis Associated With Building Water Systems: Guideline 12. Atlanta, GA: ASHRACE; 2000.Google Scholar
12.Tablan, OC, Anderson, LJ, Besser, R, Bridges, C, Hajjeh, R. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004; 53:1–36.Google Scholar
13.Department of Human Services, Victoria, Melbourne, Australia. Guidelines for the Control of Legionnaire's Disease. Melbourne, Australia: Department of Human Services; 1999.Google Scholar
14.Conseil Superieur d'Hygiene Publique de France. Gestion du risque lié aux légionelles. 2001. Available at: http://www.sante.gouv.fr. Accessed September 2, 2005.Google Scholar
15.Conferenza permanente per i rapporti tra lo Stato, le Regioni e le province autonome di Trento e Bolzano. Linee guida per la prevenzione e il controllo della legionellosi. Gazzetta Ufficiale della Repubblica Italiana. May 5, 2000:103.Google Scholar
16.Health and Safety Commission. Legionnaires Disease: the Control Legionella Bacteria in Water Systems: Approved Code of Practice and Guidance L8. Suffolk, England: HSE Books; 2000.Google Scholar
17.Fiore, AE, Nuorti, JP, Levine, OS, et al. Epidemic Legionnaires' disease two decades later: old sources, new diagnostic methods. Clin Infect Dis 1998; 26:426–433.Google Scholar
18.Lepine, LA, Jernigan, DB, Butler, JC, et al. A recurrent outbreak of nosocomial legionnaires' disease detected by urinary antigen testing: evidence for long-term colonization of a hospital plumbing system. Infect Control Hosp Epidemiol 1998; 19:905–910.Google Scholar
19.O'Brien, SJ, Bhopal, RS. Legionnaires' disease: the infective dose paradox. Lancet 1993; 342:5–6.Google Scholar
20.Yu, VL. Could aspiration be the major mode of transmission for Legionella? Am J Med 1993; 95:13–15.Google Scholar