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Nosocomial Legionnaires' disease in England and Wales, 1980-92.
Epidemiol Infect. 1994 Apr; 112(2):329-45.EI

Abstract

Two hundred and eighteen nosocomial cases of Legionnaires' disease with 68 deaths were reported to the National Surveillance Scheme for Legionnaires Disease between 1980 and 1992, representing 15% of the reported infections acquired in England and Wales. Twenty-two nosocomial outbreaks accounted for 135 (62%) of these cases, the remainder occurring as single cases either in hospitals where other single cases or outbreaks had been reported in different years or as 'sporadic' cases in hospitals from which no other cases were reported. A clinical history prior to onset of Legionnaires' disease was available for 124 patients, 61 of whom had undergone recent transplant therapy or were immunosuppressed for other reasons. Sixty cases (27%) were diagnosed by culture of the organism and isolates from 56 patients were typed; 25 (42%) were non L. pneumophila serogroup 1 infections. Methods for prevention and control of nosocomial outbreaks are discussed, in particular the susceptibility to Legionnaires' disease of certain groups of hospital patients.

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Authors+Show Affiliations

Joseph CA
PHLS Communicable Disease Surveillance Centre, Central Public Health Laboratory, London, UK.
Watson JM
No affiliation info available
Harrison TG
No affiliation info available
Bartlett CL
No affiliation info available

MeSH

AdolescentAdultAgedAged, 80 and overBacterial Typing TechniquesChildChild, PreschoolCross InfectionDisease OutbreaksEnglandFemaleHumansImmunosuppressionInfantLegionella pneumophilaLegionnaires' DiseaseMaleMiddle AgedPopulation SurveillanceRisk FactorsSeasonsWales

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8150007

Citation

Joseph, C A., et al. "Nosocomial Legionnaires' Disease in England and Wales, 1980-92." Epidemiology and Infection, vol. 112, no. 2, 1994, pp. 329-45.
Joseph CA, Watson JM, Harrison TG, et al. Nosocomial Legionnaires' disease in England and Wales, 1980-92. Epidemiol Infect. 1994;112(2):329-45.
Joseph, C. A., Watson, J. M., Harrison, T. G., & Bartlett, C. L. (1994). Nosocomial Legionnaires' disease in England and Wales, 1980-92. Epidemiology and Infection, 112(2), 329-45.
Joseph CA, et al. Nosocomial Legionnaires' Disease in England and Wales, 1980-92. Epidemiol Infect. 1994;112(2):329-45. PubMed PMID: 8150007.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nosocomial Legionnaires' disease in England and Wales, 1980-92. AU - Joseph,C A, AU - Watson,J M, AU - Harrison,T G, AU - Bartlett,C L, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 329 EP - 45 JF - Epidemiology and infection JO - Epidemiol Infect VL - 112 IS - 2 N2 - Two hundred and eighteen nosocomial cases of Legionnaires' disease with 68 deaths were reported to the National Surveillance Scheme for Legionnaires Disease between 1980 and 1992, representing 15% of the reported infections acquired in England and Wales. Twenty-two nosocomial outbreaks accounted for 135 (62%) of these cases, the remainder occurring as single cases either in hospitals where other single cases or outbreaks had been reported in different years or as 'sporadic' cases in hospitals from which no other cases were reported. A clinical history prior to onset of Legionnaires' disease was available for 124 patients, 61 of whom had undergone recent transplant therapy or were immunosuppressed for other reasons. Sixty cases (27%) were diagnosed by culture of the organism and isolates from 56 patients were typed; 25 (42%) were non L. pneumophila serogroup 1 infections. Methods for prevention and control of nosocomial outbreaks are discussed, in particular the susceptibility to Legionnaires' disease of certain groups of hospital patients. SN - 0950-2688 UR - https://www.unboundmedicine.com/medline/citation/8150007/Nosocomial_Legionnaires'_disease_in_England_and_Wales_1980_92_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8150007/ DB - PRIME DP - Unbound Medicine ER -