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社区军团病暴发。特设委员会报告

Outbreak of legionellosis in a community. Report of an ad-hoc committee.

出版信息

Lancet. 1986 Aug 16;2(8503):380-3.

PMID:2874378
Abstract

Of 33 patients infected in an outbreak of legionellosis in Glasgow in 1984, 26 lived in the Dennistoun district and the remainder either worked in or visited there. There were three main clusters of cases, the onset of illness being in early and mid June in two clusters and early September in the third. Most patients were not severely ill, but 1 patient died. The likely source of infection was a cooling tower from which Legionella pneumophila serogroup 1 was isolated. Strains indistinguishable from the cooling-tower strain were isolated from 2 of the patients. Cases occurred downwind of this cooling tower up to a distance of 1700 m. It is suggested that airborne infection with L pneumophila may extend further from the source than has hitherto been recognised.

摘要

在1984年格拉斯哥军团病暴发中感染的33名患者中,26人居住在登尼斯顿区,其余患者要么在那里工作,要么前往过那里。有三个主要病例群,其中两个病例群的发病时间在6月初和中旬,第三个病例群的发病时间在9月初。大多数患者病情不严重,但有1名患者死亡。感染源可能是一座冷却塔,从中分离出了嗜肺军团菌血清1型。从2名患者身上分离出了与冷却塔菌株无法区分的菌株。在这座冷却塔的下风向1700米范围内出现了病例。有人提出,嗜肺军团菌的空气传播感染可能比迄今所认识到的距离感染源更远。

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