Napoli C, De Giglio O, Bertamino E, Montagna M T
Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.
Ann Ig. 2019 Sep-Oct;31(5):474-481. doi: 10.7416/ai.2019.2308.
Nosocomial water systems may be contaminated by Legionella spp; therefore, health care facilities represent a potential health risk for patients and health care staff. Active, well-planned clinical and environmental surveillance in hospitals is the most important instrument of prevention.
The aim of the present article was to outline the state of the art in legionellosis control and prevention among Italian health care facilities by reporting some experiences in the field.
Our results showed that Legionella spp. are largely reported as both hospital water system contaminants and etiological agents in water-related health care-associated infections (HCAI) in Italy. Among the numerous sources of HCAI, water is the most investigated, although it has been demonstrated that air sampling may provide additional information for risk assessment.
More appropriate risk assessment is needed, especially in large facilities. In addition, more sensitive diagnostic tests should be used and dedicated training courses should be implemented in health care facilities.
医院供水系统可能被军团菌属污染；因此，医疗机构对患者和医护人员构成潜在的健康风险。医院积极、精心规划的临床和环境监测是最重要的预防手段。
本文旨在通过介绍该领域的一些经验，概述意大利医疗机构中军团病控制与预防的现状。
我们的结果表明，在意大利，军团菌属在医院供水系统污染物以及与水相关的医疗保健相关感染（HCAI）的病原体中均有大量报告。在众多HCAI来源中，水是研究最多的，尽管已经证明空气采样可为风险评估提供更多信息。
需要进行更适当的风险评估，尤其是在大型医疗机构中。此外，应使用更灵敏的诊断测试，并在医疗机构中开展专门的培训课程。
