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Title: The impact of pipeline changes and temperature increase in a hospital historically colonised with Legionella
Author: Quero, S.
Párraga Niño, N.
García Núñez, Marian
Pedro Botet, M. L.
Gavaldà, L.
Mateu, Lourdes
Sabrià, M.
Mòdol, Josep M.
Keywords: Legionel·la
Infeccions nosocomials
Nosocomial infections
Issue Date: 21-Jan-2021
Publisher: Springer Science and Business Media LLC
Abstract: Healthcare-related Legionnaires' disease has a devastating impact on high risk patients, with a case fatality rate of 30-50%. Legionella prevention and control in hospitals is therefore crucial. To control Legionella water colonisation in a hospital setting we evaluated the effect of pipeline improvements and temperature increase, analysing 237 samples over a 2-year period (first year: 129, second year: 108). In the first year, 25.58% of samples were positive for Legionella and 16.67% for amoeba. Assessing the distance of the points analysed from the hot water tank, the most distal points presented higher proportion of Legionella colonisation and lower temperatures (nearest points: 6.4% colonised, and temperature 61.4 °C; most distal points: 50% and temperature 59.1 °C). After the first year, the hot water system was repaired and the temperature stabilised. This led to a dramatic reduction in Legionella colonisation, which was negative in all the samples analysed; however, amoeba colonisation remained stable. This study shows the importance of keeping the temperature stable throughout the circuit, at around 60 °C. Special attention should be paid to the most distal points of the circuit; a fall in temperature at these weak points would favour the colonisation and spread of Legionella, because amoeba (the main Legionella reservoir) are not affected by temperature.
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It is part of: Scientific Reports, 2021, vol. 11, num. 1916
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Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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