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[写字楼热水供应中嗜肺军团菌的污染及一些应对措施]

[Contamination of hot water supply in office buildings by Legionella pneumophila and some countermeasures].

作者信息

Furuhata K, Takayanagi T, Danno N, Okada S, Kiya F

机构信息

Tokyo Metropolitan Research Laboratory of Public Health.

出版信息

Nihon Koshu Eisei Zasshi. 1994 Nov;41(11):1073-83.

PMID:7873767
Abstract

An assessment of the contamination by Legionella species of hot water supplied to office buildings was made based on 80 samples of water from 3 types of systems as follows: 20 samples supplied from instantaneous heaters, 20 samples from hot water storage type systems, and 40 samples from circulation type systems. Legionella spp. were detected in two samples (10.0%) from hot water storage systems and five samples (12.5%) of the circulation type. The number of Legionella spp. was 2.0 x 10-8.4 x 10(2) CFU/500 ml. All isolated strains were identified as Legionella pneumophila. All hot water samples with Legionella spp. showed a temperature range from 41-55 degrees C. Contamination may easily occur in hot water storage and circulation type systems, due to their presence for prolonged periods. Hot water may be therefor be a source of Legionnaires' disease. It is clear from the present study that Legionella spp. survived over long periods and proliferated considerably. Elimination of this organism requires careful cleaning of hot water storage tanks but this alone may not be sufficient. Heat treatment for 20 hours at 70 degrees C was found to be adequate for complete elimination. Experimentally, complete sterilization from Legionella spp. within 5 minutes was demonstrated by heating at 60 degrees C. As a countermeasure temperature of hot water should be maintained at more than 55 degrees C, as the best means for elimination while also giving consideration to the prevention of scalding.

摘要

基于从3种类型系统中采集的80份水样,对供应给办公楼的热水中军团菌属的污染情况进行了评估,具体如下:20份来自即热式热水器供应的水样,20份来自储水式系统的水样,以及40份来自循环式系统的水样。在储水式系统的两份水样(10.0%)和循环式系统的五份水样(12.5%)中检测到军团菌属。军团菌属的数量为2.0×10⁻⁸至4.0×10²CFU/500毫升。所有分离菌株均被鉴定为嗜肺军团菌。所有检测到军团菌属的热水样本温度范围为41至55摄氏度。由于储水式和循环式系统中热水存在时间较长,因此可能容易发生污染。因此,热水可能是军团病的一个来源。从本研究可以清楚地看出,军团菌属能长期存活并大量繁殖。消除这种微生物需要仔细清洁储热水箱,但仅靠这一点可能还不够。发现70摄氏度热处理20小时足以完全消除。实验表明,60摄氏度加热5分钟可实现对军团菌属的完全灭菌。作为一项对策,热水温度应保持在55摄氏度以上,这是消除军团菌属的最佳方法,同时也要考虑防止烫伤。

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