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2022年,军团病疫情与约克郡的一个冷水源有关。

Legionnaires' disease outbreak linked to a cold-water source in Yorkshire, 2022.

作者信息

Thompson Alexander, Quinney Aston, Johnston Rob, Margrove Lauren, Bradbury Jane, Roberts Phil, Afshar Baharak, Hughes Gareth J, Vergis Mercy

机构信息

Yorkshire and Humber Health Protection Team, https://ror.org/018h10037UK Health Security Agency, Leeds, UK.

North East and Yorkshire and Humber Field Services, https://ror.org/00vbvha87UK Health Security Agency, Leeds, UK.

出版信息

Epidemiol Infect. 2025 May 30;153:e66. doi: 10.1017/S0950268825100113.

DOI:10.1017/S0950268825100113
PMID:40442991
Abstract

We describe an outbreak of Legionnaires' disease linked to an exclusive cold-water source in a private residential setting in Yorkshire. The cold-water source was identified following microbiological testing of clinical and environmental samples. was only detected in the cold-water system. Three cases were identified over the course of the outbreak: two confirmed and one probable. Conditions favourable to bacterial growth included system 'dead legs' and significant heat transfer to the cold-water system. We describe challenges in implementing control measures at the venue and highlight the importance of using enforcement powers, where necessary, to reduce risk.

摘要

我们描述了一起与约克郡一处私人住宅专用冷水水源相关的军团病暴发事件。通过对临床和环境样本进行微生物检测后确定了该冷水水源。军团菌仅在冷水系统中被检测到。在此次暴发过程中确认了3例病例:2例确诊,1例疑似。有利于细菌生长的条件包括系统中的“盲管”以及大量热量传递至冷水系统。我们阐述了在该场所实施控制措施时遇到的挑战,并强调了在必要时运用执法权力以降低风险的重要性。

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本文引用的文献

1
Tap water as the source of a Legionnaires' disease outbreak spread to several residential buildings and one hospital, Finland, 2020 to 2021.2020 至 2021 年,芬兰一起军团病疫情暴发的源头是自来水源,疫情蔓延至几座居民楼和一家医院。
Euro Surveill. 2023 Mar;28(11). doi: 10.2807/1560-7917.ES.2023.28.11.2200673.
2
An outbreak of Legionnaires' disease in newborns in Serbia.塞尔维亚新生儿军团病疫情爆发。
Paediatr Int Child Health. 2022 May;42(2):59-66. doi: 10.1080/20469047.2022.2108672. Epub 2022 Aug 9.
3
A Tale of Four Danish Cities: Diversity in Domestic Hot Water and Spatial Variations in Disease Incidence.
丹麦四城记:家用热水的多样性与疾病发病率的空间差异
Int J Environ Res Public Health. 2022 Feb 22;19(5):2530. doi: 10.3390/ijerph19052530.
4
A systematic literature review of the effectiveness of occupational health and safety regulatory enforcement.职业健康与安全监管执法有效性的系统文献综述。
Am J Ind Med. 2016 Nov;59(11):919-933. doi: 10.1002/ajim.22605. Epub 2016 Jun 7.
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Legionnaires' disease.军团病。
Lancet. 2016 Jan 23;387(10016):376-385. doi: 10.1016/S0140-6736(15)60078-2. Epub 2015 Jul 28.
6
Contamination of the cold water distribution system of health care facilities by Legionella pneumophila: do we know the true dimension?医疗机构的冷水中军团菌污染:我们是否了解真实情况?
Euro Surveill. 2011 Apr 21;16(16):19844.
7
Community-acquired legionella pneumonia in elderly patients: characteristics and outcome.老年患者社区获得性军团菌肺炎:特征与转归
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Nosocomial transmission of Legionella pneumophila to a child from a hospital's cold-water supply.嗜肺军团菌通过医院冷水供应系统在医院内传播给一名儿童。
Scand J Infect Dis. 2006;38(11-12):1023-7. doi: 10.1080/00365540600827558.
9
Two fatal cases of nosocomial Legionella pneumophila pneumonia associated with a contaminated cold water supply.两例与受污染冷水供应相关的医院获得性嗜肺军团菌肺炎致死病例。
Eur J Clin Microbiol Infect Dis. 1998 Oct;17(10):740. doi: 10.1007/s100960050173.