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Water Safety and Health Care: Preventing Infections Caused by Opportunistic Premise Plumbing Pathogens
Shantini D Gamage1, Meredith Ambrose2, Stephen M Kralovic3
1National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, Department of Veterans Affairs (VA), Washington, DC, USA; Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Abstract:
Health care facility water systems have been associated with the transmission of opportunistic premise plumbing pathogens such as Legionella and nontuberculous mycobacteria. These pathogens can enter a building's water system in low numbers and then proliferate when conditions are conducive to their growth. Patients and residents in health care facilities are often at heightened risk for opportunistic infections, and cases and outbreaks in the literature highlight the importance of routine water management programs and occasions for intervention to prevent additional cases. A multidisciplinary proactive approach to water safety is critical for sustained prevention of health care-associated water-related infections.
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