Healthcare-associated Legionnaires’ disease: Limitations of surveillance definitions and importance of epidemiologic investigation
| Autor: | Gary A. Roselle, Jack M. Bernstein, Stephen M. Kralovic, Laila Castellino, Mark Holodniy, Shantini D. Gamage, Patti V Hoffman |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Advanced and Specialized Nursing
Healthcare associated infections medicine.medical_specialty biology business.industry Legionella Health Policy Public Health Environmental and Occupational Health Disease 030501 epidemiology biology.organism_classification medicine.disease 03 medical and health sciences 0302 clinical medicine Infectious Diseases Healthcare associated Epidemiology medicine Legionnaires' disease 030212 general & internal medicine Corrigendum 0305 other medical science Intensive care medicine business |
| Zdroj: | Journal of Infection Prevention. 18:307-310 |
| ISSN: | 1757-1782 1757-1774 |
| DOI: | 10.1177/1757177417720999 |
| Popis: | Healthcare-associated Legionnaires’ disease (HCA LD) causes significant morbidity and mortality, with varying guidance on prevention. We describe the evaluation of a case of possible HCA LD and note the pitfalls of relying solely on an epidemiologic definition for association of a case with a facility. Our detailed investigation led to the identification of a new Legionella pneumophila serogroup 1 sequence type, confirmed a healthcare association and helped build the framework for our ongoing preventive efforts. Our experience highlights the role of routine environmental cultures in the assessment of risk for a given facility. As clinicians increasingly rely on urinary antigen testing for the detection of L. pneumophila, our investigation emphasises the importance of clinical cultures in an epidemiologic investigation. |
| Databáze: | OpenAIRE |
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