Wallis Lara, Robinson Priscilla
School of Public Health, Faculty of Health Sciences, La Trobe University, Victoria, Bundoora.
Aust N Z J Public Health. 2005 Dec;29(6):518-20. doi: 10.1111/j.1467-842x.2005.tb00242.x.
To investigate the potential source of a case of Legionnaires' disease caused by an unusual serotype of Legionella pneumophila serogroup 1 (Lp1) in regional Victoria in May 2001.
Epidemiological and environmental investigation of the source of infection of a case of Legionnaires' disease in regional Victoria in May 2001.
Extensive environmental investigations did not reveal any cooling water tower systems close to the residence or the shopping centre that the case visited prior to illness. The sputum culture and a soil sample from the field at the plant nursery where the case worked prior to illness were both positive for Legionella pneumophilia serogroup 1, MDU pulsovar 97:103.
Legionella pneumophila has been found in soil and was further found to be associated with a case of Legionella pneumophila.
Public health authorities should consider exposures to soil and potting mixes when investigating cases of Legionella pneumophila where the case has no apparent association with cooling towers. Safe gardening practices should be promoted among the community.
调查2001年5月在维多利亚州地区由嗜肺军团菌血清1型（Lp1）一种不常见血清型引起的一例军团病病例的潜在感染源。
对2001年5月维多利亚州地区一例军团病病例的感染源进行流行病学和环境调查。
广泛的环境调查未发现该病例发病前去过的住所或购物中心附近有任何冷却塔系统。该病例发病前工作的植物苗圃现场的痰液培养物和一份土壤样本对嗜肺军团菌血清1型MDU脉冲变种97:103均呈阳性。
在土壤中发现了嗜肺军团菌，并且进一步发现其与一例军团病病例有关。
在调查与冷却塔无明显关联的军团病病例时，公共卫生当局应考虑土壤和盆栽混合料暴露情况。应在社区中推广安全的园艺做法。
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