Nosocomial (Health Care-Associated) Legionnaire's Disease.

Shanu Agarwal, Virginia Abell, Thomas M File

Journal: Infectious disease clinics of North America 2017;31(1):155-165

PMID: 27979683

Full Text on Elsevier Science View on PubMed

Abstract

Nosocomial Legionnaire's disease is most frequently associated with presence of the organism in hospital water systems. Patients are often susceptible as a result of age, underlying comorbidities, or immunosuppression. Prevention focuses on reducing the reservoir within water systems and includes super heating, ultraviolent light, chlorination, silver-copper ionization, and distal filtration. This article reviews the epidemiology of health care-associated Legionnaire's disease, reviews characteristics of several health care-associated outbreaks, and discusses strategies to prevent health care-associated infection.

Address: Infectious Disease Division, Summa Health, 1077 Forge Boulevard, Akron, OH 44310, USA; Department of Medicine, Northeast Ohio Medical University, 4029 Street Rt 44, Rootstown, OH 44272, USA.; Infection Prevention and Clinical Safety, Summa Akron City and St. Thomas Hospitals, 525 East Market Street, Akron, OH 44309-2090, USA.; Infectious Disease Division, Summa Health, 1077 Forge Boulevard, Akron, OH 44310, USA; Internal Medicine, Infectious Disease Section, Northeast Ohio Medical University, 4029 Street Rt 44, Rootstown, OH 44272, USA. Electronic address: [email protected].

DOI: 10.1016/j.idc.2016.10.011

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MeSH Terms: Cross Infection, Disease Outbreaks, Hospitals, Humans, Legionnaires' Disease, Water Microbiology