格拉斯哥皇家医院军团病暴发：微生物学方面
Outbreak of Legionnaires' disease in Glasgow Royal Infirmary: microbiological aspects.
作者信息
Timbury M C, Donaldson J R, McCartney A C, Fallon R J, Sleigh J D, Lyon D, Orange G V, Baird D R, Winter J, Wilson T S
出版信息
J Hyg (Lond). 1986 Dec;97(3):393-403. doi: 10.1017/s0022172400063580.
Abstract
The bacteriological investigation of an outbreak of Legionnaires' disease in Glasgow Royal Infirmary affecting 16 patients is described. Most of the patients had been treated in high-dependency areas on two floors of the hospital supplied by the same two air-conditioned ventilation systems. The source of infection was traced to contamination of a cooling tower from which a plume of spray discharged into the intake vents of the two ventilation systems. Rubber grommets within the cooling tower probably provided a nidus of infection there. The control and management of the outbreak are discussed: a policy of frankness about the course and progress of the investigations was adopted and helped to allay anxiety on the part of both staff and media.
摘要
本文描述了格拉斯哥皇家医院爆发的军团病疫情的细菌学调查，此次疫情影响了16名患者。大多数患者在医院两层楼的高依赖区接受治疗，这两层楼由相同的两个空调通风系统供应空气。感染源被追溯到一个冷却塔受到污染，一股喷雾从该冷却塔排放到两个通风系统的进气口中。冷却塔内的橡胶索环可能在那里形成了一个感染病灶。文中讨论了疫情的控制和管理：采取了对调查过程和进展保持坦诚的政策，这有助于缓解工作人员和媒体的焦虑情绪。
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