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Verfasst von:Köhler, Julia Ruth [VerfasserIn]   i
 Maiwald, Matthias [VerfasserIn]   i
 Lück, P. C. [VerfasserIn]   i
 Helbig, J. H. [VerfasserIn]   i
 Hingst, Volker [VerfasserIn]   i
 Sonntag, Hans-Günther [VerfasserIn]   i
Titel:Detecting legionellosis by unselected culture of respiratory tract secretions and developing links to hospital water strains
Verf.angabe:J.R. Köhler, M. Maiwald, P.C. Lück, J.H. Helbig, V. Hingst, H.G. Sonntag
Jahr:1999
Umfang:11 S.
Teil:volume:41
 year:1999
 number:4
 pages:301-311
 extent:11
Fussnoten:Gesehen am 22.03.2021
Titel Quelle:Enthalten in: The journal of hospital infection
Ort Quelle:Kidlington [u.a.] : Elsevier, 1980
Jahr Quelle:1999
Band/Heft Quelle:41(1999), 4, Seite 301-311
ISSN Quelle:1532-2939
Abstract:For a 13-month period, all respiratory tract secretions submitted for routine bacteriology from a large hospital complex were cultured for legionella, irrespective of clinical diagnosis and laboratory requests. Ten cases of legionellosis were detected in this manner, three of which met a strict epidemiological definition of hospital-acquired. Therefore, the 16 warm-water systems of the hospitals, spread out over two locations, were examined for the presence of legionella. Legionella pneumophila was found in 15 warm water systems, with a distinct pattern of serogroups between the two locations. Legionella of the same serogroups as those isolated from patients were present in each hospital water supply. The isolates were further typed by monoclonal antibodies and by genomic macrorestriction analysis. Similarity between clinical and environmental isolates was found in seven cases. In these cases, acquisition from the hospital water supply appears very likely. The strains of the remaining three patients did not match those in hospital water, suggesting that community-acquired legionellosis was occurring as well. This study suggests that routinely culturing respiratory tract secretions of pneumonia patients for legionella can help diagnose unsuspected cases of legionellosis. Typing legionella strains beyond the serogroup level with tools such as macrorestriction analysis is useful to define sources of infection, which can then be targeted for control measures.
DOI:doi:10.1053/jhin.1998.0517
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://dx.doi.org/10.1053/jhin.1998.0517
 Volltext: https://www.journalofhospitalinfection.com/article/S0195-6701(98)90517-5/pdf
 DOI: https://doi.org/10.1053/jhin.1998.0517
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adult
 Aged
 Community-Acquired Infections
 Cross Infection
 Electrophoresis, Gel, Pulsed-Field
 Female
 Germany
 Humans
 Infection Control
 Legionella pneumophila
 Legionnaires' Disease
 Male
 Middle Aged
 Retrospective Studies
 Sputum
 Trachea
 Water Microbiology
 Water Supply
K10plus-PPN:1752012321
Verknüpfungen:→ Zeitschrift

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