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嗜肺军团菌:奥地利牙医及牙科工作人员的血清流行病学研究

[Legionella pneumophila: seroepidemiologic studies of dentists and dental personnel in Austria].

作者信息

Reinthaler F, Mascher F, Stünzner D

机构信息

Hygiene-Institut der Universität Graz.

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1987 Oct;185(1-2):164-70.

PMID:3124379
Abstract

Serum samples of 107 dentists, dental assistants, and dental technicians, working in practices or out-patient clinics, were examined with an indirect immunofluorescence test for antibodies to Legionella pneumophila (SG1-SG6, polyvalent). Serum samples of 106 non-medical workers served as a control. Thirty-six (34%) employees of the dental personnel from 13 practices showed a positive reaction, 24 of these had a weakly reactive titer of 1:32 to 1:64 and 12 a higher titer of 1:128 to 1:256. Dentists had the highest prevalence (50%) of L. pneumophila antibodies, followed by assistants (38%) and technicians (20%). Only 5 samples (5%) from the control group were positive (4 between 1:32 and 1:64, 1 at 1:256). Antibodies could be demonstrated in the dental personnel only after a 1.5-year period of employment ("exposition time"). These results indicate that dentists and dental personnel are at an increased risk of legionella infection.

摘要

对在诊所或门诊工作的107名牙医、牙科助理和牙科技术人员的血清样本进行了检测,采用间接免疫荧光试验检测嗜肺军团菌(SG1 - SG6,多价)抗体。106名非医务人员的血清样本作为对照。来自13家诊所的36名(34%)牙科人员血清反应呈阳性,其中24人的反应滴度较弱,为1:32至1:64,12人的滴度较高,为1:128至1:256。牙医中嗜肺军团菌抗体的患病率最高(50%),其次是助理(38%)和技术人员(20%)。对照组中只有5个样本(5%)呈阳性(4个在1:32至1:64之间,1个为1:256)。牙科人员只有在工作1.5年后(“暴露时间”)才能检测到抗体。这些结果表明,牙医和牙科人员感染军团菌的风险增加。

相似文献

1
[Legionella pneumophila: seroepidemiologic studies of dentists and dental personnel in Austria].嗜肺军团菌:奥地利牙医及牙科工作人员的血清流行病学研究
Zentralbl Bakteriol Mikrobiol Hyg B Umwelthyg Krankenhaushyg Arbeitshyg Prav Med. 1987 Oct;185(1-2):164-70.
2
Sero-epidemiology of legionellosis in Austria.奥地利军团病的血清流行病学
Zentralbl Bakteriol Mikrobiol Hyg A Med Mikrobiol Infekt Parasitol. 1983 Jul;255(1):15-9.
3
Serological examinations for antibodies against Legionella species in dental personnel.牙科工作人员中针对军团菌属抗体的血清学检测。
J Dent Res. 1988 Jun;67(6):942-3. doi: 10.1177/00220345880670061001.
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[Investigation of Legionella pneumophila seropositivity in the professional long distance drivers as a risky occupation].[对职业长途司机这一高风险职业群体中嗜肺军团菌血清阳性情况的调查]
Mikrobiyol Bul. 2007 Apr;41(2):211-7.
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[Levels of anti-Legionella antibodies in a healthy Neapolitan population].[那不勒斯健康人群中抗嗜肺军团菌抗体水平]
Ann Ig. 1989 May-Aug;1(3-4):629-36.
6
[Epidemiology and diagnosis of Legionella infections in Austria (author's transl)].奥地利军团菌感染的流行病学与诊断(作者译)
Zentralbl Bakteriol A. 1981;249(2):261-81.
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[Anti-Legionella pneumophila antibody titers in blood from children and adults with lung diseases of unknown etiology].[病因不明的肺部疾病患儿及成人血液中抗嗜肺军团菌抗体滴度]
Boll Ist Sieroter Milan. 1984 May 31;63(2):167-70.
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[Legionellae in dental units--a hygienic risk?].[牙科设备中的军团菌——一种卫生风险?]
Dtsch Zahn Mund Kieferheilkd Zentralbl. 1992;80(6):341-6.
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Predisposition of the asthmatic child to legionellosis?哮喘儿童易患军团菌病吗?
Isr J Med Sci. 1986 Oct;22(10):733-6.
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Prevalence of antibodies to Legionella pneumophila and micdadei in hospitalized children.住院儿童中嗜肺军团菌和麦氏军团菌抗体的流行情况。
Boll Ist Sieroter Milan. 1986;65(2):153-6.

引用本文的文献

1
Occupational risk for infection among dental healthcare workers: meta-analysis in occupational epidemiology.牙科医护人员的职业感染风险:职业流行病学的荟萃分析
BMJ Open. 2017 Jul 13;7(7):e015374. doi: 10.1136/bmjopen-2016-015374.
2
World at work: Dental laboratory technicians.职场:牙科实验室技术人员。
Occup Environ Med. 2006 Feb;63(2):145-8. doi: 10.1136/oem.2004.019059.