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挪威海军舰艇中的嗜肺军团菌。

Legionella pneumophila in Norwegian naval vessels.

作者信息

Ahlén Catrine, Aas Marianne, Nor Anne, Wetteland Per Inge, Johansen Hjalmar, Sørbø Trine, Sommerfelt-Pettersen Jan Knudtzon, Iversen Ole-Jan

机构信息

SINTEF Materials and Chemistry, Environmental Technology, Trondheim, Norway.

出版信息

Tidsskr Nor Laegeforen. 2013 Aug 6;133(14):1445-8. doi: 10.4045/tidsskr.12.1459.

Abstract

BACKGROUND

Little is known about the occurrence of Legionella pneumophila in water supply systems on board ships. Our aim was to study the occurrence of L. pneumophila in the water supply system on board Norwegian naval vessels as the basis for framing preventive strategies against Legionella infection.

MATERIAL AND METHOD

Water samples were collected from technical installations and from the water distribution network on board 41 vessels and from ten water filling (bunkering) stations, the sampling taking place in two rounds separated by a one-year interval. The samples were subjected to analysis, including serotyping and genotyping, with a view to identifying the presence of L. pneumophila and of free-living amoebae.

RESULTS

L. pneumophila was found in 20 out of a total of 41 vessels in the first round of sampling, and live L. pneumophila serogroup 1 was isolated in seven of the 20 vessels. Free-living amoebae were found in the water supply system in most of the vessels, including all the vessels with L. pneumophila. The same genotype of L. pneumophila was identified in the water in bunkering stations and in the water on board the vessels.

INTERPRETATION

L. pneumophila was not present in all the vessels, but all the vessels where the bacterium was found were also contaminated with free-living amoebae. We have demonstrated the probability of the fresh water from bunkering stations being the source of the contamination. In framing preventive strategies, importance should therefore be attached to identifying the source of contamination and the presence of free-living amoebae, as a premise for the establishment and growth of L. pneumophila in onboard water supply systems.

摘要

背景

关于船舶供水系统中嗜肺军团菌的存在情况,人们了解甚少。我们的目的是研究挪威海军舰艇供水系统中嗜肺军团菌的存在情况,以此为制定预防军团菌感染的策略奠定基础。

材料与方法

从41艘舰艇的技术设施和配水网络以及10个注水(加油)站采集水样,采样分两轮进行,间隔为一年。对样本进行分析,包括血清分型和基因分型,以确定嗜肺军团菌和自由生活阿米巴的存在情况。

结果

在第一轮采样的41艘舰艇中,有20艘检测出嗜肺军团菌,其中7艘分离出活的嗜肺军团菌血清1型。在大多数舰艇的供水系统中发现了自由生活阿米巴,包括所有检测出嗜肺军团菌的舰艇。在注水站的水和舰艇上的水中鉴定出相同基因型的嗜肺军团菌。

解读

并非所有舰艇都存在嗜肺军团菌,但所有检测出该细菌的舰艇也都被自由生活阿米巴污染。我们已证明注水站的淡水有可能是污染源。因此,在制定预防策略时,应重视确定污染源和自由生活阿米巴的存在情况,这是嗜肺军团菌在船上供水系统中定殖和生长的前提。

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