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  • Title: Nosocomial Legionnaires' disease uncovered in a prospective pneumonia study.
    Author: Muder RR, Yu VL, McClure JK, Kroboth FJ, Kominos SD, Lumish RM.
    Journal: JAMA; 1983 Jun 17; 249(23):3184-8. PubMed ID: 6854847.
    Abstract:
    Most hospitals have yet to record a case of nosocomial legionnaires' disease; the importance of isolation of Legionella pneumophila in the water system of such an institution is unclear. We undertook a prospective pneumonia study in tandem at a veterans hospital where legionnaires' disease was known to be endemic and a community teaching hospital where legionnaires' disease had never been documented. Legionella serological tests were performed on all patients with pneumonia; selective culture media and direct fluorescent antibody testing for Legionella were made readily available. Simultaneous environmental surveys for Legionella were performed. At the community hospital, we discovered that 64% of sites in the water distribution system yielded L pneumophila and that 14.3% of nosocomial pneumonias were legionnaires' disease. The epidemiologic implications of these findings are discussed. Options concerning case detection and eradication measures in the face of hospital water contamination with L pneumophila are presented.
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