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军团菌属在游泳池环境中的流行情况。

Prevalence of Legionella spp. in swimming pool environment.

作者信息

Leoni E, Legnani P P, Bucci Sabattini M A, Righi F

机构信息

Department of Medicine and Public Health, University of Bologna, Italy.

出版信息

Water Res. 2001 Oct;35(15):3749-53. doi: 10.1016/s0043-1354(01)00075-6.

Abstract

A study was carried out to evaluate the prevalence of bacteria of the Legionella genus in the water from the pools and showers of 12 swimming pools in the city of Bologna (Italy). Sampling took place four times for every establishment, once for each season of the year. Legionella spp. were found in 2 of the 48 pool water samples (L. micdadei and L. bozenanii) and in 27 of the 48 samples taken from the hot water of the showers: 19 were positive for L. pneumophila (10-19,250 cfu/l) and 18 for other species (20-6000 cfu/l). The contamination was seen to be consistent throughout the year, since the same species of legionellae were isolated at different samplings and in concentrations that did not reveal any seasonal trend. The legionellae and the Gram negative bacteria were not found in shower water with a temperature above 43 degrees C. However, in the samples of shower water with a lower temperature a statistically significant inverse correlation was seen between legionellae and Pseudomonas aeruginosa (r = -0.51; p<0.01) as well as between legionellae and Gram negative bacteria (r = -0.70; p<0.01). The potential risk of contracting infections from Legionella spp. in the swimming pool environment does not seem to be linked to the pool water, but to that of the showers. The water temperature of showers should therefore be maintained at a level high enough to prevent the reproduction of these bacteria.

摘要

开展了一项研究,以评估意大利博洛尼亚市12个游泳池的泳池水和淋浴水中嗜肺军团菌属细菌的流行情况。每个场所进行了4次采样,一年中的每个季节各采样一次。在48份泳池水样中有2份检测出嗜肺军团菌属(米克戴德军团菌和博扎纳军团菌),在48份淋浴热水样中有27份检测出嗜肺军团菌属:19份嗜肺军团菌呈阳性(10 - 19,250 cfu/l),18份其他菌种呈阳性(20 - 6000 cfu/l)。由于在不同采样中分离出相同种类的军团菌,且浓度未显示出任何季节性趋势,因此全年污染情况较为一致。在温度高于43摄氏度的淋浴水中未发现军团菌和革兰氏阴性菌。然而,在温度较低的淋浴水样中,军团菌与铜绿假单胞菌之间存在统计学上显著的负相关(r = -0.51;p<0.01),军团菌与革兰氏阴性菌之间也存在负相关(r = -0.70;p<0.01)。在游泳池环境中感染军团菌属的潜在风险似乎与泳池水无关,而是与淋浴水有关。因此,淋浴水的温度应保持在足够高的水平,以防止这些细菌繁殖。

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