Colbourne J S, Trew R M
Isr J Med Sci. 1986 Sep;22(9):633-9.
Legionella occurs frequently (52 to 54%) in domestic water and cooling water inside commercial, industrial and health care buildings, and these types of water systems are now regarded as a normal habitat for Legionella. The factors that predispose a particular water system to colonization by these organisms are ill-defined, although it is fairly certain that biological and physicochemical environmental factors play an important role in allowing Legionella to multiply in the circulating water. It has been postulated that the organism may gain access to water systems inside buildings by one of three routes: contact with air through open points such as uncovered storage tanks or vents, ingress of soil or surface water during construction or repair, or intermittent seeding with organisms present in low numbers in the public water supply. Three studies in the USA have found Legionella in 0.4 to 8.8% of drinking-water samples, but these were not representative of the public supply network as a whole. The aim of this study was to determine, over a period of 1 year, the frequency of Legionella in London's drinking water--from the treatment plant through to the consumer's tap. To date, Legionella has not been isolated from raw river water entering London's treatment works or from treated water entering the distribution network. Sixty-two monitoring taps in buildings located in 21 supply areas have been sampled twice for Legionella; only 2 (2.4%) have proved positive during the autumn and winter of 1985/86. The strain found was L. pneumophila serotype 1, subgroup Olda, and the numbers ranged from 10(2) to 10(4)/l. Although the survey is incomplete, it is already clear that the public water supplies in London are not a source of strains of Legionella associated with disease.
军团菌在商业、工业和医疗建筑内的生活用水和冷却水中频繁出现(发生率为52%至54%),现在这类水系统被视为军团菌的正常栖息地。尽管相当确定生物和物理化学环境因素在使军团菌在循环水中繁殖方面起着重要作用,但促使特定水系统被这些微生物定殖的因素尚不明确。据推测,该微生物可能通过以下三种途径之一进入建筑物内的水系统:通过诸如未覆盖的储水箱或通风口等开放点与空气接触、在施工或维修期间土壤或地表水的侵入,或由公共供水系统中少量存在的微生物间歇性接种。美国的三项研究在0.4%至8.8%的饮用水样本中发现了军团菌,但这些样本并不代表整个公共供水网络。本研究的目的是在1年时间内确定伦敦饮用水中军团菌的出现频率——从处理厂到消费者的水龙头。迄今为止,尚未从进入伦敦处理厂的原河水或进入配水网络的处理水中分离出军团菌。对位于21个供水区域的建筑物中的62个监测水龙头进行了两次军团菌采样;在1985/86年秋冬期间,只有2个(2.4%)检测呈阳性。发现的菌株是嗜肺军团菌血清型1,奥尔达亚群,数量范围为每升10²至10⁴个。尽管这项调查并不完整,但已经很清楚,伦敦的公共供水并非与疾病相关的军团菌菌株的来源。