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Legionella Disinfection of Water Distribution Systems: Principles, Problems, and Practice

Published online by Cambridge University Press:  21 June 2016

Victor L. Yu ,
Zeming Liu ,
Janet E. Stout  and
Angella Goetz
Victor L. Yu*
Affiliation:
Departments of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
Zeming Liu
Affiliation:
Departments of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania
Janet E. Stout
Affiliation:
Special Pathogens Laboratory, Veterans Administration Medical Center, Pittsburgh, Pennsylvania
Angella Goetz
Affiliation:
Departments of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
*
Veteran Affairs Medical Center, Infectious Disease Section, University Drive C, Pittsburgh, PA 15240
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Abstract

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Type
Editorial
Information
Infection Control & Hospital Epidemiology , Volume 14 , Issue 10 , October 1993 , pp. 567 - 570
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1993 

References

1. Shands, K, Ho, J, Meyer, R, et al. Potable water as a source of Legionnaires' disease. JAMA 1985;253:1412–1416.10.1001/jama.1985.03350340064018CrossRefGoogle ScholarPubMed
2. Thomson, RB, File, TM, Plouffe, J, Stephens, C, Ricks, R. Use of Tam-Pure to eradicate L pneumophila from a hospital hot water system. Presented at the 90th Annual Meeting of the American Society of Microbiology; May 13-17, 1990; Anaheim, California. Abstract L18.Google Scholar
3. Helms, CM, Massanari, R, Zeiter, S, et al. Legionnaires' disease associated with a hospital water system: a cluster of 24 nosocomial cases. Ann Intern Med 1983; 99:172–178.10.7326/0003-4819-99-2-172CrossRefGoogle ScholarPubMed
4. Matulonis, U, Rosenfeld, CS, Shadduck, RK. Prevention of Legionella infections in a bone marrow transplant unit: multifaceted approach to decontamination of a water system. Infect Control Hosp Epidemiol 1993;14:571–575.10.1086/646639CrossRefGoogle Scholar
5. Muraca, PW, Yu, VL, Goetz, A. Disinfection of water distribution systems for Legionella: a review of application procedures and methodologies. Infect Control Hosp Epidemiol 1990;11:79–88.10.1086/646126CrossRefGoogle ScholarPubMed
6. Liu, Z, Stout, JE, Tedesco, L, Boldin, M, Hwang, CC, Yu, VL. Evaluation of ultraviolet light irradiation of potable water for prevention of Legionella colonization of hospital water fixtures. Pressented at the American Society of Heating, Refrigeration, and Air Conditioning Engineers Inc. Meeting; January 2425, 1994; New Orleans, Louisiana.Google Scholar
7. Liu, Z, Stout, JE, Tedesco, L, et al. Controlled evaluation of copper/silver ionization in fixtures. Presented at the APIC 20th Annual Conference and International Meeting; May 2328.1993; Orlando, Florida. Abstract 101.Google Scholar
8. Baker, RL, Stevens, J, Fish, L, Criggar, D. Nosocomial Legionnaires' disease controlled by UV light and low-level silver/copper ions. Presented at the Third International Conference on Nosocomial Infections; July 31-August 3, 1990; Atlanta, Georgia. Abstract 72.Google Scholar
9. Ezzedine, H. VanOssel, C, Delmee, M, Wauters, G. Legionella spp. in a hospital hot water system: effect of control measures../ Hosp Infect 1989;13:121–131.10.1016/0195-6701(89)90018-2CrossRefGoogle Scholar
10. Vickers, RM, Stout, JE, Yu, VL, Rihs, JD. Culture methodology for the isolation of Legionella pneumophila and other Legionellaceae from clinical and environmental specimens. Semin Respir Infect 1987;2:274–279.Google Scholar
11. Muder, RR, Yu, VL, McClure, J, et al. Nosocomial Legionnaires' disease uncovered in a prospective pneumonia study: implications for underdiagnosis. JAMA 1983;249:3184–3188.10.1001/jama.1983.03330470024025CrossRefGoogle Scholar
12. Tompkins, IS, Loutit, JS. Detection of Legionella by molecular methods. In: Legionella-Current Status and Emerging Perspectives. Barbaree, JM, Breiman, RF, Dufbur, AP, eds. Washington, DC: American Society of Microbiology; 1993.Google Scholar
13. Yu, VL, Beam, TR. Lumish, R, et al. Routine culturing for legionella in the hospital environment may be a good idea: 3 hospital prospective studies. Am I Med Sci 1987:294:97–103.10.1097/00000441-198708000-00007CrossRefGoogle Scholar
14. Best, M, Yu, VL, Stout, J, et al. Legionellaceae in the hospital water supply-epidemiological link with disease and evaluation of a method of control of nosocomial Legionnaires' disease and Pittsburgh pneumonia. Lancet 1983:2:307–310.CrossRefGoogle ScholarPubMed
15. Grosserode, M, Wenzel, R, Pfaller, M, Helms, C. Continuous hyperchlorination for control of nosocomial Legionella pneumophila pneumonia: a ten-year follow-up efficacy, environmental effects, and costs. In: Legionella-Current Status and Emerging Perspectives. Barbaree, JM, Breiman, RF, Dufour, Al’, eds. Washington, DC: American Society of Microbiology; 1993.Google Scholar
16. Morris, RD, Audet, AM, Angelillo, IF, Chalmers, TC, Mosteller, F. Chlorination, chlorination by-products, and cancer: a metaanalysis. Am J Public Health 1992;82:955–963.10.2105/AJPH.82.7.955CrossRefGoogle Scholar
17. Vickers, RM, Yu, VL, Hanna, S, et al. Determinants of Legionella pneumophila contamination of water distribution systems: 15-hospital prospective study. Infect Control 1987;8:357–363.10.1017/S0195941700067412CrossRefGoogle ScholarPubMed
18. Alary, M, Joly, JR. Factors contributing to the contamination of hospital water distribution system by Legionellae. J Infect Dis 1992;165,565–569.CrossRefGoogle Scholar
19. Stout, JE, Joly, J, Para, M, et al. Comparison of molecular methods for subtyping patients and epidemiologically linked environmental isolates of L pneumophila . J Infect Dis 1988;157:486–494.10.1093/infdis/157.3.486CrossRefGoogle Scholar
20. Barbaree, JM. Selecting a subtyping technique for use in investigation of legionellosis. In: Legionella—Current Status and Emerging Perspectives. Barbaree, JM, Breiman, RF, Dufour, AP, eds. Washington, DC: American Society of Microbiology; 1993.Google Scholar
21. Goetz, A, Yu, VL. Screening for nosocomial legionellosis by culture of the water supply and targeting of high-risk patients for specialized laboratory testing. Am J Infect Control 1991;63–66.10.1016/0196-6553(91)90040-JCrossRefGoogle ScholarPubMed
22. Edelstein, PH. Legionnaires disease. Clin Infect Dis 1993;16:741–749.CrossRefGoogle ScholarPubMed
23. Marrie, TJ, Haldane, D, Bezanson, G, Peppard, R. Each water outlet is a unique ecological niche for Legionella pneumophila . Epidemiol Infect 1992;108:261–270.10.1017/S0950268800049736CrossRefGoogle ScholarPubMed