Hospitalizations due to selected infections caused by opportunistic premise plumbing pathogens (OPPP) and reported drug resistance in the United States older adult population in 1991-2006
| Autor: | Irmgard Behlau, Alexander Liss, Jeffrey K. Griffiths, Elena N. Naumova, Jyotsna S. Jagai |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty 030106 microbiology Water source Adult population Water supply Drug resistance Legionella pneumophila 03 medical and health sciences 0302 clinical medicine Antibiotic resistance Water Supply Environmental health Drug Resistance Bacterial Waterborne Diseases Medicine Humans Pseudomonas Infections 030212 general & internal medicine health care economics and organizations Social policy Aged Mycobacterium avium-intracellulare Infection business.industry Health Policy Public health Public Health Environmental and Occupational Health Waterborne diseases medicine.disease Mycobacterium avium Complex United States Hospitalization Sanitary Engineering Legionnaires' Disease business |
| Zdroj: | Journal of public health policy. 37(4) |
| ISSN: | 1745-655X |
| Popis: | The Flint Water Crisis-due to changes of water source and treatment procedures-has revealed many unsolved social, environmental, and public health problems for US drinking water, including opportunistic premise plumbing pathogens (OPPP). The true health impact of OPPP, especially in vulnerable populations such as the elderly, is largely unknown. We explored 108 claims in the largest US national uniformly collected data repository to determine rates and costs of OPPP-related hospitalizations. In 1991-2006, 617,291 cases of three selected OPPP infections resulted in the elderly alone of $0.6 billion USD per year of payments. Antibiotic resistance significantly increased OPPP illness costs that are likely to be underreported. More precise estimates for OPPP burdens could be obtained if better clinical, microbiological, administrative, and environmental monitoring data were cross-linked. An urgent dialog across governmental and disciplinary divides, and studies on preventing OPPP through drinking water exposure, are warranted. |
| Databáze: | OpenAIRE |
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