Barriers to effectiveLegionellacontrol in a changing world: a practitioner’s view
Autor: | Edwin John Routledge, K. Clive Thompson, Aji Peter |
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Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Population ageing Environmental Engineering Health and safety executive Operations research biology Legionella business.industry 030106 microbiology Disease biology.organism_classification medicine.disease Pollution Legionella pneumophila World health 03 medical and health sciences 0302 clinical medicine Community-acquired pneumonia Environmental health Code of practice Medicine 030212 general & internal medicine business Waste Management and Disposal Water Science and Technology |
Zdroj: | Environmental Technology Reviews. 6:145-155 |
ISSN: | 2162-2523 2162-2515 |
DOI: | 10.1080/21622515.2017.1335352 |
Popis: | Inhalation of aerosols containing Legionella pneumophila, a water-borne bacteria commonly found in natural and manmade water systems, is the main causative agent of Legionnaires’ disease (LD). Approximately 10–15% of all reported cases of LD result in fatality, with susceptibility to the disease being higher in immunosuppressed patients, men over 45 years of age, alcoholics, smokers and individuals with underlying diseases. The World Health Organisation (WHO), European Centre for Disease Prevention and Control (ECDC) and The United Kingdom (UK) Health and Safety Executive (HSE) have implemented a strict code of practice and guidelines to minimise the risk of the public from contracting LD. This paper provides a critical review of these three published guidelines. Evidence suggests that the current detection methods for Legionella, by culture and quantitative polymerase chain reaction (qPCR), show large disparities in the detection and quantification of bacteria in water samples, raising concerns a... |
Databáze: | OpenAIRE |
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