Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T11:05:17.283Z Has data issue: false hasContentIssue false

Long-Term Control of Legionella Species in Potable Water After a Nosocomial Legionellosis Outbreak in an Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Joseph Borau
Affiliation:
Department of Epidemiology, Albany Medical Center, Albany, New York
Ryan T. Czap
Affiliation:
Department of Epidemiology, Albany Medical Center, Albany, New York
Kathleen A. Strellrecht
Affiliation:
Department of Epidemiology, Albany Medical Center, Albany, New York
Richard A. Venezia*
Affiliation:
Department of Epidemiology, Albany Medical Center, Albany, New York
*
Department of Epidemiology, MC 22, Albany Medical Center, 43 New Scotland Ave, Albany, NY 12208

Abstract

Environmental and patient-care control measures were initiated in response to an outbreak of legionellosis in an intensive care unit in 1992. The measures included maintaining elevated potable hot-water temperatures following superheating and using sterile water for administrations through nasogastric tubes. Legionella species remained below detectable levels in the potable hot-water system upon reevaluation in 1999. Nosocomial cases of legionellosis have not been reported since the outbreak.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control and Prevention. Transmission of nosocomial legionnaires' disease. JAMA 1997;277:19271928.Google Scholar
2. Venezia, RA, Agresta, MD, Hanley, EM, Urquhart, K, Schoonmaker, D. Nosocomial legionellosis associated with aspiration of nasogastric feedings diluted in tap water. Infect Control Hosp Epidemiol 1994;15:529533.CrossRefGoogle ScholarPubMed
3. Lepine, L, Jernigan, DB, Butler, JC, Pruckler, JM, Benson, RF, Kim, G, 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;19:905910.Google Scholar
4. Craven, DE, Steger, KA. Hospital-acquired pneumonia: perspectives for the healthcare epidemiologist. Infect Control Hosp Epidemiol 1997;18:783795.CrossRefGoogle ScholarPubMed
5. Fiore, AE, Butler, JC, Emori, TG, Gaynes, RP. A survey of methods used to detect nosocomial legionellosis among participants in the national nosocomial infections surveillance system. Infect Control Hosp Epidemiol 1999;20:412416.Google Scholar
6. Jonas, D, Rosenbaum, A, Weyrich, S, Bhakdi, S. Enzyme-linked immunoassay for detection of PCR-Amplified DNA of legionellae in bronchoalveolar fluid. J Clin Microbiol 1995;33:12471252.CrossRefGoogle ScholarPubMed
7. Camp, KZ, Stellrecht, KA, Venezia, RA. Detection of cytomegalovirus in plasma by enzyme-linked PCR assay. The 12th Annual Clinical Virology Symposium. April 28, 1996; Clearwater Beach, FL. Poster 2.Google Scholar