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医院水系统中嗜肺军团菌在医院感染暴发后的情况:患病率、单克隆抗体亚群分析及控制措施的效果

Legionella pneumophila in a hospital water system following a nosocomial outbreak: prevalence, monoclonal antibody subgrouping and effect of control measures.

作者信息

Ribeiro C D, Burge S H, Palmer S R, Tobin J O, Watkins I D

出版信息

Epidemiol Infect. 1987 Jun;98(3):253-62. doi: 10.1017/s0950268800062002.

Abstract

Swabs and water samples from a hospital water system were cultured for legionellae over an extended period. Legionella pneumophila serogroup 1, including outbreak associated strains, were isolated in small numbers from approximately 5% of these samples despite implementation of the current DHSS/Welsh Office regulations. No cases of nosocomial legionnaires' disease were proven during the study. Physical cleaning and chemical sterilization of taps, and replacement of washers with 'approved' brands did not eradicate the organisms. Eradication of legionellae in hospital water supplies appears to be unnecessary in preventing nosocomial legionnaires' disease provided the current DHSS/Welsh Office recommendations are implemented.

摘要

在较长一段时间内,对一家医院供水系统的拭子和水样进行了军团菌培养。尽管实施了当前卫生与社会保障部/威尔士事务部的规定,但仍从约5%的此类样本中少量分离出嗜肺军团菌血清1型,包括与疫情相关的菌株。在研究期间未证实有医院内军团病病例。对水龙头进行物理清洁和化学消毒,并用“认可”品牌的垫圈进行更换,并未根除这些微生物。只要实施当前卫生与社会保障部/威尔士事务部的建议,在预防医院内军团病方面,似乎没有必要根除医院供水系统中的军团菌。

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How to prevent an outbreak of Legionnaires' disease.如何预防军团病的爆发。
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