Nosocomial transmission of Legionella pneumophila to a child from a hospital's cold-water supply.
Johansson, Hugo LU ; Andersson, Kaj ; Wiebe, Thomas LU ; Schalén, Claës LU
and Bernander, Sverker
(2006)
In Scandinavian Journal of Infectious Diseases
38(11).
p.1023-1027
- Abstract
- Human Legionella infections mainly consist of community-acquired and nosocomial pneumonia and rarely affect children. We describe a nosocomial infection with Legionella pneumophila, serogroup 1, subgroup OLDA, in an immunocompromized 2-y-old girl at a paediatric clinic. L. pneumophila identical to that of the patient was found in the hospital's cold-water but not in the hot-water distribution system. Transmission of Legionella to the girl most probably occurred by Legionella-contaminated cold water mixed and heated by water from the hot-water system. Mixing of hot and cold water probably occurred through thermostatic water mixing valves connected to showers regulated by a handle at the shower head. Nosocomial Legionella infection might... (More)
- Human Legionella infections mainly consist of community-acquired and nosocomial pneumonia and rarely affect children. We describe a nosocomial infection with Legionella pneumophila, serogroup 1, subgroup OLDA, in an immunocompromized 2-y-old girl at a paediatric clinic. L. pneumophila identical to that of the patient was found in the hospital's cold-water but not in the hot-water distribution system. Transmission of Legionella to the girl most probably occurred by Legionella-contaminated cold water mixed and heated by water from the hot-water system. Mixing of hot and cold water probably occurred through thermostatic water mixing valves connected to showers regulated by a handle at the shower head. Nosocomial Legionella infection might thus have occurred, although circulating hot water temperatures never dropped below 53 degrees C and cultures for surveillance of Legionella from central parts of the hot-water system have been consistently negative. Legionellae were successfully eliminated from the hospital's cold-water distribution system by hot water flushing at 73 degrees C for 1 h. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/164169
- author
- Johansson, Hugo
LU
; Andersson, Kaj
; Wiebe, Thomas
LU
; Schalén, Claës
LU
and Bernander, Sverker
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Infectious Diseases
- volume
- 38
- issue
- 11
- pages
- 1023 - 1027
- publisher
- Informa Healthcare
- external identifiers
-
- wos:000242474600011
- scopus:33845319798
- pmid:17148071
- ISSN
- 1651-1980
- DOI
- 10.1080/00365540600827558
- language
- English
- LU publication?
- yes
- id
- 8bdc903a-d492-4595-8174-c74e29e90b44 (old id 164169)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17148071&dopt=Abstract
- date added to LUP
- 2016-04-01 17:06:38
- date last changed
- 2023-01-05 05:12:57
@article{8bdc903a-d492-4595-8174-c74e29e90b44,
abstract = {{Human Legionella infections mainly consist of community-acquired and nosocomial pneumonia and rarely affect children. We describe a nosocomial infection with Legionella pneumophila, serogroup 1, subgroup OLDA, in an immunocompromized 2-y-old girl at a paediatric clinic. L. pneumophila identical to that of the patient was found in the hospital's cold-water but not in the hot-water distribution system. Transmission of Legionella to the girl most probably occurred by Legionella-contaminated cold water mixed and heated by water from the hot-water system. Mixing of hot and cold water probably occurred through thermostatic water mixing valves connected to showers regulated by a handle at the shower head. Nosocomial Legionella infection might thus have occurred, although circulating hot water temperatures never dropped below 53 degrees C and cultures for surveillance of Legionella from central parts of the hot-water system have been consistently negative. Legionellae were successfully eliminated from the hospital's cold-water distribution system by hot water flushing at 73 degrees C for 1 h.}},
author = {{Johansson, Hugo and Andersson, Kaj and Wiebe, Thomas and Schalén, Claës and Bernander, Sverker}},
issn = {{1651-1980}},
language = {{eng}},
number = {{11}},
pages = {{1023--1027}},
publisher = {{Informa Healthcare}},
series = {{Scandinavian Journal of Infectious Diseases}},
title = {{Nosocomial transmission of Legionella pneumophila to a child from a hospital's cold-water supply.}},
url = {{http://dx.doi.org/10.1080/00365540600827558}},
doi = {{10.1080/00365540600827558}},
volume = {{38}},
year = {{2006}},
}