LEGIONELLA - World Health Organization

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VROM (The Netherlands Ministry of Housing) (2002). Modelbeheersplan Legionellapreentie in Liedingwater Distribution No. 16827. Wadowsky RM, Yee RB (1981). Glycine-containing selective medium for isolation of Legionellaceae from environmental specimens. Applied and Environmental Microbiology, 42:768–772. Wadowsky RM, Yee RB (1983). Satellite growth of Legionella pneumophila with an environmental isolate of Flavobacterium breve. Applied and Environmental Microbiology, 46:1447–1449. Wadowsky RM, Yee RB (1985). Effect of non-Legionellaceae bacteria on the multiplication of Legionella pneumophila in potable water. Applied and Environmental Microbiology, 49:1206–1210. Wadowsky RM et al. (1982). Hot water systems as sources of Legionella pneumophila in hospital and nonhospital plumbing fixtures. Applied and Environmental Microbiology, 43:1104–1110. Wadowsky RM et al. (1988). Growth-supporting activity for Legionella pneumophila in tap water cultures and implication of hartmannellid amoebae as growth factors. Applied and Environmental Microbiology, 54:2677–2682. Wadowsky RM et al. (1991). Multiplication of Legionella spp. in tap water containing Hartmannella vermiformis. Applied and Environmental Microbiology, 57:1950–1955. Wahala WM, Wickramasinghe RS (2000). First isolation of Legionella pneumophila in Sri Lanka. The Ceylon Medical Journal, 45(4):171–172. Walker JT et al. (1991). Continuous culture studies of biofilm associated with copper corrosion. International Biodeterioration, 27:121–134 Walker JT et al. (1993). Detection of Legionella pneumophila in biofilms containing a complex microbial consortium by gas chromatography–mass spectrometry analysis of genus-specific hydroxy fatty acids. FEMS Microbiology Letters, 113:139–144. Walker JT et al. (1999). Quantitative assessment of biocide control of biofilms including Legionella pneumophila using total viable counts, fluorescence microscopy, and image analysis. Methods Enzymology, 310:629–637. Warren WJ, Miller RD (1979). Growth of Legionnaires’ disease bacterium (Legionella pneumophila) in chemically defined medium. Journal of Clinical Microbiology, 10:50–55. Watkins ID et al. (1985). Legionella pneumophila serogroup 1 subgrouping by monoclonal antibodies — an epidemiological tool. Journal of Hygiene (London), 95(2):211–216. Watson JM et al. (1994). Piccadilly Circus legionnaires’ disease outbreak. Journal of Public Health Medicine, 16(3):341–347. Weissgerber P et al. (2003). Investigation of mechanisms involved in phagocytosis of Legionella pneumophila by human cells. FEMS Microbiology Letters, 219:173–179. Wellinghausen N, Frost C, Marre R (2001). Detection of legionellae in hospital water samples by quantitative real-time LightCycler PCR. Applied and Environmental Microbiology, 67:3985–3993. 0 LEGIONELLA AND THE PREVENTION OF LEGIONELLOSIS
Welti M et al. (2003). Development of a multiplex real-time quantitative PCR assay to detect Chlamydia pneumoniae, Legionella pneumophila and Mycoplasma pneumoniae in respiratory tract secretions. Diagnostic Microbiology and Infectious Disease, 45:85–95. Westminster Action Committee (1988). Broadcasting House Legionnaires’ disease. City of Westminster, London, Department of Environmental Services. Whipple GC (1901). Changes that take place in the bacterial contents of waters during transportation. Technical Quarterly MIT, 14:21. WHO (World Health Organization) (1990). Epidemiology, prevention and control of legionellosis. Memorandum from a WHO meeting. Bulletin of the World Health Organization, 68(2):155–164. WHO (1999). WHO Recommended Surveillance Standards, 2nd ed. (WHO/CDS/ CSR/ISR/99.2). WHO (2004). Guidelines for Drinking Water Quality, 3rd ed. Vol. 1. Recommendations, Geneva, WHO. WHO (2005). Revision of the International Health Regulations. Geneva, WHO. WHO (2006). Guidelines for Safe Recreational Water Environments. Volume 2. Swimming Pools, Spas and Similar Recreational Water Environments. Geneva, WHO. WHO (2007). Guide to Ship Sanitation, 2nd ed, Geneva, WHO . Wiedenmann A, Langhammer W, Botzenhart K (2001). A case report of false negative Legionella test results in a chlorinated public hot water distribution system due to the lack of sodium thiosulfate in sampling bottles. International Journal of Hygiene and Environmental Health, 204(4):245–249. Wilkinson HW et al. (1985). Second serogroup of Legionella hackeliae isolated from a patient with pneumonia. Journal of Clinical Microbiology, 22(4):488–489. Wilkinson HW et al. (1987). Legionella birminghamensis sp. nov. isolated from a cardiac transplant recipient. Journal of Clinical Microbiology, 25(11):2120–2122. Wilkinson HW et al. (1988). Legionella moravica sp. nov. and Legionella brunensis sp. nov. isolated from cooling-tower water. Annals of the Institut Pasteur Microbiology, 139:393–402. Wilkinson IJ et al. (1990). Problems associated with identification of Legionella species from the environment and isolation of six possible new species. Applied and Environmental Microbiology, 56:796–802. Williams JF, Molinari JA, Andrews N (1996). Microbial contamination of dental unit waterlines: origins and characteristics. Compendium of Continuing Education in Dentistry, 17:538–540. Wimpenny J, Manz W, Szewzyk U (2000). Heterogeneity in biofilms. FEMS Microbiology Reviews, 24:661–671. Winston DJ, Seu P, Busuttil RW (1998). Legionella pneumonia in liver transplant recipients. Transplantation, 66:410. LEGIONELLA AND THE PREVENTION OF LEGIONELLOSIS
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LEGIONELLA AND THE PREVENTION OF LE
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LEGIONELLA AND THE PREVENTION OF LE
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Foreword Legionellosis is a collect
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Contents Foreword . . . . . . . . .
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Chapter 5 Cooling towers and evapor
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Chapter 9 Disease surveillance and
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Tables Table 1.1 Main characteristi
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Figure 8.1 Visible biofilm on inter
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Acknowledgements The World Health O
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• John Newbold, Health and Safety
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Executive summary Legionellosis is
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• Health-care facilities — Chap
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Chapter 1 Legionellosis Britt Horne
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Legionnaires’ disease is often in
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1.1.2 Pontiac fever Symptoms Pontia
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Table . Extrapulmonary nfect ons ca
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Proteins produced by the body’s i
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Aspiration may occur in patients wi
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Table . R sk factors for Legionella
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In the outbreak of Legionnaires’
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Table . Potent al treatments for d
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1.4.2 Species and serogroups associ
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Other causes of infection In Europe
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The interaction of virulent legione
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1.5.2 Surface structures involved i
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1.5.4 Host defence The host defence
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Chapter 2 Ecology and environmental
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L. pneumophila is thermotolerant an
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2.2.3 Environmental factors and vir
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Figure 2.1 Biofilm formation Biofil
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2.4 Sources of Legionella infection
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Chapter 3 Approaches to risk manage
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Table . Cool ng tower outbreaks Fac
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Even when a source reaches a state
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The WSP should be prepared in conju
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Identify control measures Control m
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F gure . Dec mal reduct on t mes fo
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Method Advantages D sadvantages Dos
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Validate effectiveness of water saf
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• clear statements of responsibil
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Chapter 4 Potable water and in-buil
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The remainder of this chapter provi
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4.3.1 Document and describe the sys
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Construction materials — risk fac
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Where temperature controls (discuss
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4.4.2 Monitor control measures This
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Chapter 5 Cooling towers and evapor
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5.1.1 Cross-flow cooling towers As
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water treatments (including chemica
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5.3 System assessment This section
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Spray drift — risk factors Even w
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The section on control measures for
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• periodic or continuous bleed-of
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Box . Po nts to be noted when clean
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In certain circumstances, samples m
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Table . Example documentat on for m
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Chapter 6 Health-care facilities Ma
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For 1999 and 2000, a total of 384 c
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6.3 System assessment This section
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Table . Type of colon zat on of wat
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6.4.1 Identify control measures Thi
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6.5.1 Prepare management procedures
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Until the situation is under contro
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Chapter 7 Hotels and ships Roisin R
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F gure . Detected and reported case
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Table . Rev ew of outbreaks (more t
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7.2 Water safety plan overview WSPs
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The risk of legionellosis is increa
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Kingdom to 66% in Spain (Starlinger
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Agency, Legionella Section, United
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Given the complexity of distributio
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Chapter 8 Natural spas, hot tubs an
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Spas “Natural spa”, denotes fac
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Rare cases of Legionnaires’ disea
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Process step P pework Water n hot t
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Hosepipes may sometimes be used to
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Hot tubs that are not effectively d
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Nutrients — control measures Bath
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Various additives may also be used
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• descriptions of any significant
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Table . Examples of m crob olog cal
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Chapter 9 Disease surveillance and
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Exposure histories allow cases to b
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F gure . Invest gat ng a s ngle cas
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Box . (cont nued) Since the incepti
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Country United Kingdom All reported
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F gure . Annual reported cases, - 0
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Training opportunities Trainees in
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Box . Example of terms of reference
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ecause doing anything more could un
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9.4 Case studies This section descr
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9.4.4 Concrete batcher process on a
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Chapter 10 Regulatory aspects David
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• validation of the effectiveness
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• operating conditions, such as t
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10.4.6 Outbreak investigation and n
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hot water (e.g. health-care facilit
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General prevent on Country DW Wp SB
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Country General prevent on DW Wp SB
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Chapter 11 Laboratory aspects of Le
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• detection of the bacterium in t
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Method Sens t v ty (%) PCR • Rapi
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11.2.2 Detecting Legionella antigen
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DFA has been used successfully with
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• Serologic testing can be used f
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Although not all strains can be rel
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Generally, any water source that ma
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During outbreak investigations, swa
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• other Legionella species that d
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Appendix 1 Example of a water syste
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Weekly water system check list Week
Page 223 and 224: Appendix 2 Example of a 2-week foll
Page 225 and 226: Travel Work/travel in the UK: ❑ Y
Page 227 and 228: Checklist of local places Health/sp
Page 229 and 230: Appendix 3 Example of a national su
Page 231 and 232: Strictly Confidential 2 Hospital Ac
Page 233 and 234: Glossary aerobic bacteria Bacteria
Page 235 and 236: health-care acquired Legionellosis
Page 237 and 238: surveillance The process of systema
Page 239 and 240: References Abu KY, Eisenstein BI, E
Page 241 and 242: Barbaree JM et al. (1987). Protocol
Page 243 and 244: Blatt SP et al. (1994). Legionnaire
Page 245 and 246: Byrne B, Swanson MS (1998). Express
Page 247 and 248: Crespi S (1993). Legionella y legio
Page 249 and 250: Edelstein PH (1982b). Comparative s
Page 251 and 252: Falguera M et al. (2001). Nonsevere
Page 253 and 254: Gaia V et al. (2003). Sequence-base
Page 255 and 256: Hayden RT et al. (2001). Direct det
Page 257 and 258: Ingram JG, Plouffe JF (1994). Dange
Page 259 and 260: Ko KS et al. (2003). Molecular evol
Page 261 and 262: Loret JF et al. (2003). Comparison
Page 263 and 264: McEvoy M et al. (2000). A cluster o
Page 265 and 266: Olaechea PM et al. (1996). A predic
Page 267 and 268: Regan CM et al. (2003). Outbreak of
Page 269 and 270: Schulze-Robbecke R, Rodder M, Exner
Page 271 and 272: Surman SB, Morton LHG, Keevil CW (1
Page 273: Tully M, Williams A, Fitzgeorge RB
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