医院获得性（医疗保健相关）军团病

Nosocomial (Health Care-Associated) Legionnaire's Disease.

作者信息

Agarwal Shanu, Abell Virginia, File Thomas M

机构信息

Infectious Disease Division, Summa Health, 1077 Forge Boulevard, Akron, OH 44310, USA; Department of Medicine, Northeast Ohio Medical University, 4029 Street Rt 44, Rootstown, OH 44272, USA.

Infection Prevention and Clinical Safety, Summa Akron City and St. Thomas Hospitals, 525 East Market Street, Akron, OH 44309-2090, USA.

出版信息

Infect Dis Clin North Am. 2017 Mar;31(1):155-165. doi: 10.1016/j.idc.2016.10.011. Epub 2016 Dec 12.

DOI:10.1016/j.idc.2016.10.011

PMID:27979683

Abstract

Nosocomial Legionnaire's disease is most frequently associated with presence of the organism in hospital water systems. Patients are often susceptible as a result of age, underlying comorbidities, or immunosuppression. Prevention focuses on reducing the reservoir within water systems and includes super heating, ultraviolent light, chlorination, silver-copper ionization, and distal filtration. This article reviews the epidemiology of health care-associated Legionnaire's disease, reviews characteristics of several health care-associated outbreaks, and discusses strategies to prevent health care-associated infection.

摘要

医院获得性军团病最常与医院供水系统中存在该病原体有关。由于年龄、潜在的合并症或免疫抑制，患者往往易受感染。预防措施侧重于减少供水系统中的病原体储存，包括过热处理、紫外线照射、氯化处理、银铜离子化处理和末端过滤。本文回顾了医疗保健相关军团病的流行病学，回顾了几起医疗保健相关疫情的特征，并讨论了预防医疗保健相关感染的策略。