Klismanić-Nuber Z, Milas I, Smoljanović M, Sarić M, Gjenero-Margan I
Epidemioloskog odjela, Zavod za zastitu zdravlja, Split.
Lijec Vjesn. 1990 May-Jun;112(5-6):152-5.
The paper describes the epidemic of Legionellosis that occurred among guests and employees of a hotel at the Makarska littoral in May 1988. According to the so far reported data in the medical literature that was the third epidemic in our country and all three of them occurred in the Dalmatian touristic area. In this epidemic, nine foreign tourists were registered ill with the clinical picture of Legionnaires' disease. Five patients required hospitalization. The disease could be serologically proved in 4 patients and Legionella pneumophila SG1 was isolated from samples of 2 patients and from sediment of the hot-water tank. Since the opening of the hotel until the end of May, 19 hotel employees developed a febrile illness of short duration. The disease was serologically proved in 7 of them. The morbidity rate in tourists was 2.5%, while it amounted to 7.1% in the hotel employees. The epidemic lasted for 16 days. The infection spread through the hot water, and antiepidemic measures were limited to its pasteurization and hyperchloridation. The chain of infection was broken off by the application of those measures.
本文描述了1988年5月在马卡尔斯卡海滨一家酒店的客人和员工中发生的军团病疫情。根据医学文献中迄今报道的数据,这是我国的第三次疫情,且这三次疫情均发生在达尔马提亚旅游区。在这次疫情中,有9名外国游客被登记患有军团病的临床表现。5名患者需要住院治疗。4名患者的疾病可通过血清学证实,从2名患者的样本以及热水箱沉淀物中分离出嗜肺军团菌血清1型。自酒店开业至5月底,19名酒店员工出现了短期发热疾病。其中7人的疾病通过血清学得到证实。游客的发病率为2.5%,而酒店员工的发病率为7.1%。疫情持续了16天。感染通过热水传播,抗疫措施仅限于对热水进行巴氏消毒和强化氯化处理。通过实施这些措施,感染链被切断。