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Published on: November 22, 2013
Nosocomial (Health Care-Associated) Legionnaire's Disease
Shanu Agarwal1, Virginia Abell2, Thomas M File3
1Infectious Disease Division, Summa Health, 1077 Forge Boulevard, Akron, OH 44310, USA; Department of Medicine, Northeast Ohio Medical University, 4029 Street Rt 44, Rootstown, OH 44272, USA.
Abstract:
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.
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