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Legionella
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C.C., Fraser, D.W., et al. Legionnaires’ disease:
isolation of a bacterium and demonstration of its role in
other respiratory diseases. N. Engl. J. Med.
1977;287:1197-1203.
2.Winn, Jr., W.C. Legionella. In Manual of Clinical
Microbiology, 7th Ed. Murray, P.R., Barron, E.J.,
Pfaller, M.A., Tenover, F.C. and Yolken, R.H. Eds.
Washington, D.C., American Society for Microbiology
1999:573-585.
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L., Hutchinson, J.H., et al. Waterborne Legionella
bozemanii and nosocomial pneumonia in immunosuppressed
patients. Ann. Intern. Med. 1985;103:205-210.
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M.A., Wade, B.H., et al. Nosocomial Legionella micdadei
pneumonia: 10 years experience and case-control study. J.
Hosp. Infect. 1989;13:2898-298.
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- 5. Reingold, A.L., Thomason,
B.M., Brake, B.J. Legionella pneumonia in the United
States: the distribution of serogroups and species causing
human illness. J. Infect. Dis. 1984;149-819.
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- 6. Girod, J.C., Reichman,
W.C., Winn, Jr., D.N., et al. Pneumonic and nonpneumonic
forms of legionellosis. The result of a common source
exposure to Legionella pneumophila. Arch. Intern. Med.
1982;142:545-547.
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- 7. Stout, J.E. and Yu, V.L.
Legionellosis. N. Engl. J. Med. 1997;337:682-687.
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- 8. Marston, B.J., Plouffe,
J.F., File, T.M., et al. Incidence of community-acquired
pneumonia requiring hospitalization: results of a
population-based surveillance study in Ohio. Arch. Intern.
Med. 1997;157:1709-1718.
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- 9. Breiman, R.F. and Butler,
J.C. Legionnaires’ disease: clinical, epidemiological,
and public health perspectives. Semin. Respir. Infect.
1998;13:84-89.
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- 10. Klein, N.C. and Cunha,
B.A. Treatment of legionnaires’ disease. Semin. Respir.
Infect. 1998;13:140-146.
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- 11. Martin, S.J., Pendland,
S.L., Chen, C., et al. In vitro synergy testing of
macrolide-quinolone combinations against 41 isolates of
Legionella. Antimicrob. Agents Chemother.
1996;40:1419-1421.
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J.F., File, T.M., et al. Risk factors for domestic
acquisition of Legionnaire’s disease. Arch. Intern. Med.
1996;156:1685-1692.
-
- 13. Marston, B.J., Lipman,
H.B., Breimen, R.F. Surveillance for Legionnaire’s
disease: risk factors for morbidity and mortality. Arch.
Intern. Med. 1994;154:2417-2422.
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- 14. Centers for Disease
Control and Prevention. Guidelines for Prevention of
Nosocomial Pneumonia. Morbid. Mortal. Weekly Rep. 1997;46
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- 15. Hospital Infection
Control Program Advisory Committee. Legionnaires’
Disease: Recommendations for the prevention of nosocomial
Legionnaires’ Disease. March 26, 1996. www.cdc.gov/ncidod/diseases/hip/pneumonia/2_legion.htm
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- 16. Kool, J.L., Fiore, A.E.,
Kioski, C.M., et al. More than 10 years of unrecognized
nosocomial transmission of legionnaire’s disease among
transplant patients. Infect. Control Hosp. Epidemiol.
1998;19:898-904.
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- 17. Lepine, L., Jernigan,
D.B., Butler, J.C., et al. A recurrent outbreak of
nosocomial legionnaire’s disease detected by urinary
antigen testing: evidence for long-term colonization of a
hospital plumbing system. Infect. Control Hosp. Epidemiol.
1998;19:905-910.
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- 18. Fiore, A.E., Butler,
J.C., Emori, T.G. and Gaynes, R.P. A survey of methods
used to detect nosocomial legionellosis among participants
in the National Nosocomial Infections Surveillance System.
Infect. Control Hosp. Epidemiol. 1999;20:412-416.
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Control and Prevention. Case definitions for infectious
conditions under public health surveillance. Morbid.
Mortal. Weekly Rep. 1997;46 (RR-10).
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- 20. Centers for Disease
Control and Prevention. Case definitions for public health
surveillance. Morbid. Mortal. Weekly Rep. 1990;39 (RR-13).
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- 21. Kazandjian, D., Chiew,
R., and Gilbert, G.L. Rapid diagnosis of Legionella
pneumophila serogroup 1 infection with the Binax enzyme
immunoassay urinary antigen test. J. Clin. Microbiol.
1997;35:954-956.
-
- 22. Stout, J.E. Laboratory
diagnosis of Legionnaires’ disease: the expanding role
of the Legionella urinary antigen test. Clin. Microbiol.
Newsletter 2000;22:62-64.
-
- 23. Ta, A.C., Stout, J.E.,
Yu, V.L., and Wagener, M.L. Comparison of culture methods
for monitoring Legionella species in hospital potable
water systems and recommendations for standardization of
such methods. J. Clin. Microbiol. 1995;33:118-212.
-
- 24. Goetz, A.M., Stout, J.E.,
Jacobs, S.L., et. al. Nosocomial Legionnaires’ disease
discovered in community hospitals following cultures of
the water system: seek and ye shall find. Am. J. Infect.
Control 1998;26:8-11.
-
- 25. Buesching, W.J., et al.
Enhanced primary isolation of Legionella pneumophila from
clinical specimens by low pH treatment. J. Clin. Microbiol.
1983;17:1153-1155.
-
- 26. Stout, J.E., Yu, V.L.,
and Best, M.G. Ecology of Legionella pneumophila within
water distribution systems. Appl. Eviron. Microbiol.
1985;49:221-228.
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- 27. Blatt, S.P., Parkinson,
M.D., Pace, E., et al. Nosocomial Legionnaires’ disease:
aspiration as a primary mode of disease acquisition. Am.
J. Med. 1993;95:16-22.
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- 28. Venzia, R.A., Agresta,
M.D., Hanley, E.M., et al. Nosocomial legionellosis
associated with aspiration of nasogastric feedings diluted
in tap water. Infect. Control Hosp. Epidemiol.
1994;15:529-533.
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- 29. Hanrahan, J.P., Morse,
D.L., Scharf, V.B., et al. A community hospital outbreak
of legionellosis: transmission by potable hot water. Am.
J. Epidemiol. 10987;125:639-649.
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- 30. Arnow, P.M., Chou, T.,
Shapiro, E.N., and Kretzschmar, C. Nosocomial
Legionnaires’ disease caused by aerosolized tap water
from respiratory devices. J. Infect. Dis.
1982;146:460-467.
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- 31. Breiman, R.F., Fields,
B.S., Sanden, G.N., et al. Association of shower use with
Legionnaires’ disease. JAMA 1990;263:2924-2926.
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- 32. Brown, C.M., Nuorti, P.J.,
Breiman, R.F., et al. A community outbreak of
Legionnaires’ disease linked to hospital cooling towers:
an epidemiological method to calculate dose of exposure.
Int. J. Epidemiol. 1999;28:353-359.
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- 33. Keller, D.W., Hajjeh,
R., DeMaria, A., et al. Community outbreak of
Legionnaires’ disease: an investigation confirming the
potential for cooling towers to transmit Legionella
species. Clin. Infect. Dis. 1996;22:257-261.
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- 34. Fiore, A.E., Nuorti,
J.P., Levine, O.S., et al. Epidemic Legionnaires’
disease two decades later: old sources, new diagnostic
methods. Clin. Infect. Dis. 1998;26:426-433.
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- 35. Stone, M., Ahmed, J.,
Evans, J. The continuing risk of domestic hot water scalds
to the elderly. Burns 2000;26:347-50.
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- 36. Second Report of the
Committee of Inquiry into the Outbreak of Legionnaires’
Disease in Stafford in April 1985, London, England. Her
Majesty’s Stationary Office (HMSO) 1987.
-
- 37. Alary, M., Joly J.R.
Factors contributing to the contamination of hospital
water distribution systems. J. Infect. Dis.
1992;165:565-9.
-
- 38. Vickers, R.M., Yu, V.L.,
Hanna, S.S., et al. Determinants of Legionella pneumophila
contamination of water distribution systems: 15-hospital
prospective study. Infect. Control 1987;8:357-363.
-
- 39. Patterson, W.J., Hay,
J., Seal, D.V., McLuckie, J.C. Colonization of transplant
unit water supplies with Legionella and protozoa:
precautions required to reduce the risk of legionellosis.
J. Hosp. Infect. 1997;37:7-17.
-
- 40. Marrie, T.J., Green, T.,
Burbridge, S. Legionellaceae in the potable water of Nova
Scotia hospital and Halifax residences. Epidemiol. Infect.
1994;112:143-150.
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- 41. Liu, W.K., Yu, V.L.,
McClure, J., Kominos, S. Nosocomial legionnaires’
disease uncovered in a prospective pneumonia study:
implications for underdiagnosis. JAMA 1983;249:3184-8.
-
- 42. Kool, J.L.,
Bergmire-Sweey, D., Butler, J.C., et al. Hospital
characterisitics associated with colonization of water
systems by Legionella and risk of nosocomial
legionnaires’ disease: a cohort study of 15 hospitals.
Infect. Control Hosp. Epidemiol. 1999;20:798-805.
-
- 43. Yu, V.L. Resolving the
controversy on environmental cultures for Legionella: A
modest proposal. Infect. Control Hosp. Epidemiol.
1998;19:893-7.
-
- 44. Stout, J.E., Best, M.G.,
and Yu, V.L. Susceptibility of Members of the family
Legionellaceae to thermal stress: Implications for heat
eradication methods in water distribution systems. Appl.
Environ. Microbiol. 1986;52:396-399.
-
- 45. Heimberger, T., Birkhead,
G., Bornstein, D., et al. Control of nosocomial
Legionnaire’s disease through hot water flushing and
supplemental chlorination of potable water. J. Infect.
Dis. 1991;163:413.
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- 46. Synder, M.B., Siwicki,
M., Wireman, J., et al. Reduction in Legionella
pneumophila through heat flushing followed by continuous
supplemental chlorination of hospital hot water. J.
Infect. Dis. 1990;162:127-132.
-
- 47. Grosserode, M., Wenzel,
R., Pfaller, M., and Helms, C. Continuous
hyperchlorination for control of nosocomial Legionella
pneumophila: a ten year follow-up of efficacy,
environmental effects, and costs. In: Legionella-Current
Status and Emerging Perspectives. Barbaree, J.M., Breiman,
R.F. and Dufour, A.P., Eds. Washington, D.C. American
Society for Microbiology; 1993.
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- 48. Landeen, L.K., Yahya,
M.T. and Gerba, C.P. Efficacy of copper and silver ions
and reduced levels of free chlorine in inactivation of
Legionella pneumophila. Appl. Environ. Microbiol.
1989;55:3045-3050.
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- 49. Liu, Z., Stout, J.L.,
Tedesco, L., et al. Controlled evaluation of copper-silver
ionization in eradicating Legionella pneumophila from a
hospital water distribution system. J. Infect. Dis.
1994;169:919-922.
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- 50. Liu, Z. Stout, J.E.,
Boldin, M., et al. Intermittent use of copper-silver
ionization for Legionella control in water distribution
systems: a potential option in buildings housing
individuals at low risk of infection. Clin. Infect. Dis.
1998;26:138-140.
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- 51. Stout, J.E., Lin, Y.E.,
Goetz, A.M., and Muder, R.R. Controlling Legionella in
hospital water systems: experience with the
superheat-and-flush method and copper-silver ionization.
Infect. Control Hosp. Epidemiol. 1998;19:911-914.
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- 52. Mietzner, S., Schwille,
R.C., Farley, A., et al. Efficacy of thermal treatment and
copper-silver ionization for controlling Legionella
pneumophila in high-volume hot water plumbing systems in
hospitals. Am. J. Infect. Control 1997;25:452-457.
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- 53. Biurrun, A., Caballero,
L., Pelaz, C., et al. Treatment of a Legionella
pneumophila-colonized water distribution system using
copper-silver ionization and continuous chlorination.
Infect. Control Hosp. Epidemiol. 1999;20:426-428.
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- 54. Rohr, U, Senger, M.,
Selenda, F., Turley, R., Wilhelm, M. Four years of
experience with silver-copper ionization for control of
legionella in a German university hospital hot water
plumbing system. Clin. Infect. Dis. 1999;29:1507-11.
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- 55. Muraca, P., Stout, J.E.,
and Yu, V.L. Comparative assessment of chlorine, heat,
ozone, and UV light for killing Legionella pneumophila
within a model plumbing system. Appl. Environ. Microbiol.
1987;53:447-453.
-
- 56. Farr, B.M., et al.
Evaluation of UV light for disinfection of hospital works
contaminated with Legionella. Lancet 1988;2:669.
57. Cunliffe, D.A. Inactivation of Legionella pneumophila
by monochloramine. J. Appl. Bacteriol. 1990;68:453-459.
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J.C., and Fields, B.S. Effect of monochloramine
disinfection of municipal drinking water on risk of
nosocomial Legionnaire’s disease. Lancet
1999;353:272-277.
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- 59. Pic-Albas, L., Donegan,
N.E., Witherell, L.E., et al. Short trial of
monochloramine for legionella disinfection in a hospital
setting. Abstract, 4th Decennial international
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Infections. Atlanta, GA, March 5-9, 2000.
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- 60. ASHRAE Guideline
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with building water systems. American Society of Heating,
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- 61. Best, M., Yu, V.L.,
Stout, J.E., et al. Legionellaceae in the hospital water
supply- epidemiological link with disease and evaluation
of a method of control of nosocomial legionnaires’
disease and Pittsburgh pneumonia. Lancet 1983;2:307-310.
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County Health Department. 1997:1-15.
63. Report
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Legionella in Water Systems in Healthcare Institutions,
June 14, 2000, Baltimore MD

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