Nosocomial (Health Care–Associated) Legionnaire's Disease

• Shanu Agarwal ^[1] ; Virginia Abell ^[2] ; Thomas M. File Jr ^[1]
  1. [1] Northeast Ohio Medical University

     Northeast Ohio Medical University

     Estados Unidos

     
  2. [2] Summa Akron City and St. Thomas Hospitals
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 1, 2017, págs. 155-165
• Idioma: inglés
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• Resumen

  • Nosocomial Legionnaire's disease is most frequently associated with presence of the organism in hospital water systems. Patients are often susceptible as a result of age, underlying comorbidities, or immunosuppression. Prevention focuses on reducing the reservoir within water systems and includes super heating, ultraviolent light, chlorination, silver-copper ionization, and distal filtration. This article reviews the epidemiology of health care–associated Legionnaire's disease, reviews characteristics of several health care–associated outbreaks, and discusses strategies to prevent health care–associated infection.