Lee J V, Joseph C
Respiratory Division, Public Health Laboratory Service, 61 Colindale Avenue, London NW9 5EQ.
Commun Dis Public Health. 2002 Jun;5(2):157-62.
These guidelines for the investigation of single cases of legionnaires' disease have been updated from those produced in 1994 to take account of developments in microbiological and environmental diagnostic capabilities and the recognition that infection may be acquired from the patient's domestic water system. The new guidelines recommend that when a case of legionnaires' disease has been diagnosed, it should be investigated to determine whether it is part of an outbreak or cluster, work related, suspected to be a hospital acquired infection or is travel associated. If information concerning the patient's movements during the incubation period shows it to be none of these, then appropriate environmental investigations should be considered which might include the patient's domestic water system as a potential source of infection. The guidelines are designed to provide advice and information to all public health personnel involved in the control and prevention of legionnaires' disease.
这些军团病单例调查指南已对1994年制定的版本进行了更新，以考虑微生物学和环境诊断能力的发展，以及认识到感染可能源自患者的家庭供水系统。新指南建议，当诊断出一例军团病时，应进行调查以确定它是否属于暴发或聚集性病例、与工作相关、疑似医院获得性感染或与旅行相关。如果有关患者潜伏期活动的信息表明不属于上述任何一种情况，那么应考虑进行适当的环境调查，这可能包括将患者的家庭供水系统作为潜在感染源。这些指南旨在为所有参与军团病控制和预防的公共卫生人员提供建议和信息。
