Nosocomial legionella pneumonia in a population of head and neck cancer patients
Identifieur interne : 001F27 ( Istex/Corpus ); précédent : 001F26; suivant : 001F28Nosocomial legionella pneumonia in a population of head and neck cancer patients
Auteurs : Jonas T. Johnson ; Victor L. Yu ; Robin L. Wagner ; Michele G. BestSource :
- The Laryngoscope [ 0023-852X ] ; 1985-12.
Abstract
A prospective study of nosocomial pneumonia following major head and neck surgery was conducted when it was recognized that Legionella contaminated the hospital water supply. Legionella pneumonia had not previously been diagnosed in our hospital. Every head and neck patient with nosocomial pneumonia had specialized tests performed. During the 18‐month study period, 29% of patients with nosocomial pneumonia (7 of 27) had evidence of legionellosis. The sero‐group of the infecting Legionella was the same as the Legionella in the water supply. Legionella was seen exclusively in patients with clinically evident aspiration. Legionella pneumonia was not demonstrated in patients undergoing laryngectomy. We conclude that specialized testing must be employed to avoid delay in diagnosis and failure to administer specific antibiotic therapy. Legionellosis may be underdiagnosed in hospitalized patients.
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DOI: 10.1288/00005537-198512000-00006
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type="product">LARY</idno><imprint><biblScope unit="vol">95</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1468">1468</biblScope><biblScope unit="page" to="1471">1471</biblScope><biblScope unit="page-count">4</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="1985-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p>A prospective study of nosocomial pneumonia following major head and neck surgery was conducted when it was recognized that <hi rend="italic">Legionella</hi> contaminated the hospital water supply. <hi rend="italic">Legionella pneumonia</hi> had not previously been diagnosed in our hospital.</p><p>Every head and neck patient with nosocomial pneumonia had specialized tests performed. During the 18‐month study period, 29% of patients with nosocomial pneumonia (7 of 27) had evidence of legionellosis. The sero‐group of the infecting <hi rend="italic">Legionella</hi> was the same as the <hi rend="italic">Legionella</hi> in the water supply.</p><p><hi rend="italic">Legionella</hi> was seen exclusively in patients with clinically evident aspiration. <hi rend="italic">Legionella pneumonia</hi> was not demonstrated in patients undergoing laryngectomy. We conclude that specialized testing must be employed to avoid delay in diagnosis and failure to administer specific antibiotic therapy. Legionellosis may be underdiagnosed in hospitalized patients.</p></abstract><textClass><keywords rend="articleCategory"><term>Article</term></keywords><keywords rend="tocHeading1"><term>Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/86F1ECD609B6A7A34446C1572811729500101B43/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Inc.</publisherName><publisherLoc>Hoboken, NJ</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-4995</doi><issn type="print">0023-852X</issn><issn type="electronic">1531-4995</issn><idGroup><id type="product" value="LARY"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="LARYNGOSCOPE">The Laryngoscope</title><title type="short">The Laryngoscope</title></titleGroup></publicationMeta><publicationMeta level="part" position="120"><doi origin="wiley" registered="no">10.1002/lary.v95:12</doi><numberingGroup><numbering type="journalVolume" number="95">95</numbering><numbering type="journalIssue">12</numbering></numberingGroup><coverDate startDate="1985-12">December 1985</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley" registered="yes">10.1288/00005537-198512000-00006</doi><idGroup><id type="unit" value="LARY5540951206"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="articleCategory">Article</title><title type="tocHeading1">Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 1985 The Triological Society</copyright><eventGroup><event type="firstOnline" date="2009-01-04"></event><event type="publishedOnlineFinalForm" date="2009-01-04"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.1 mode:FullText source:HeaderRef result:HeaderRef" date="2010-02-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">1468</numbering><numbering type="pageLast">1471</numbering></numberingGroup><correspondenceTo>Otolaryngology Department, Eye and Ear Hospital of Pittsburgh, 230 Lothrop St., Pittsburgh, PA 15213</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:LARY.LARY5540951206.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="2"></count><count type="referenceTotal" number="13"></count></countGroup><titleGroup><title type="main" xml:lang="en">Nosocomial <i>legionella pneumonia</i> in a population of head and neck cancer patients<link href="#fn1"></link><link href="#fn2"></link></title><title type="short" xml:lang="en">NOSOCOMIAL <fi>LEGIONELLA PNEUMONIA</fi></title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Jonas T.</givenNames><familyName>Johnson</familyName><degrees>MD, FACS</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Victor L.</givenNames><familyName>Yu</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Robin L.</givenNames><familyName>Wagner</familyName></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Michele G.</givenNames><familyName>Best</familyName><degrees>MS</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Pittsburgh, PA</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>A prospective study of nosocomial pneumonia following major head and neck surgery was conducted when it was recognized that <i>Legionella</i> contaminated the hospital water supply. <i>Legionella pneumonia</i> had not previously been diagnosed in our hospital.</p><p>Every head and neck patient with nosocomial pneumonia had specialized tests performed. During the 18‐month study period, 29% of patients with nosocomial pneumonia (7 of 27) had evidence of legionellosis. The sero‐group of the infecting <i>Legionella</i> was the same as the <i>Legionella</i> in the water supply.</p><p><i>Legionella</i> was seen exclusively in patients with clinically evident aspiration. <i>Legionella pneumonia</i> was not demonstrated in patients undergoing laryngectomy. We conclude that specialized testing must be employed to avoid delay in diagnosis and failure to administer specific antibiotic therapy. Legionellosis may be underdiagnosed in hospitalized patients.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Presented at the Meeting of the Eastern Section of the American Laryngological, Rhinological and Otological Society, Inc., Syracuse, NY, January 25, 1985.</p></note><note xml:id="fn2"><p>From the Department of Otolaryngology (J.T.J., R.L.W.,), University of Pittsburgh School of Medicine, Eye and Ear Hospital of Pittsburgh and the Division of Infectious Disease (V.L.Y., M.G.B.), University of Pittsburgh School of Medicine and the Veterans Administration Medical Center, Pittsburgh, PA.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Nosocomial legionella pneumonia in a population of head and neck cancer patients</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>NOSOCOMIAL LEGIONELLA PNEUMONIA</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Nosocomial legionella pneumonia in a population of head and neck cancer patients</title></titleInfo><name type="personal"><namePart type="given">Jonas T.</namePart><namePart type="family">Johnson</namePart><namePart type="termsOfAddress">MD, FACS</namePart><affiliation>Pittsburgh, PA</affiliation><affiliation>Correspondence address: Otolaryngology Department, Eye and Ear Hospital of Pittsburgh, 230 Lothrop St., Pittsburgh, PA 15213</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Victor L.</namePart><namePart type="family">Yu</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Pittsburgh, PA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robin L.</namePart><namePart type="family">Wagner</namePart><affiliation>Pittsburgh, PA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michele G.</namePart><namePart type="family">Best</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>Pittsburgh, PA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">Hoboken, NJ</placeTerm></place><dateIssued encoding="w3cdtf">1985-12</dateIssued><copyrightDate encoding="w3cdtf">1985</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">2</extent><extent unit="references">13</extent></physicalDescription><abstract lang="en">A prospective study of nosocomial pneumonia following major head and neck surgery was conducted when it was recognized that Legionella contaminated the hospital water supply. Legionella pneumonia had not previously been diagnosed in our hospital. Every head and neck patient with nosocomial pneumonia had specialized tests performed. During the 18‐month study period, 29% of patients with nosocomial pneumonia (7 of 27) had evidence of legionellosis. The sero‐group of the infecting Legionella was the same as the Legionella in the water supply. Legionella was seen exclusively in patients with clinically evident aspiration. Legionella pneumonia was not demonstrated in patients undergoing laryngectomy. We conclude that specialized testing must be employed to avoid delay in diagnosis and failure to administer specific antibiotic therapy. Legionellosis may be underdiagnosed in hospitalized patients.</abstract><note type="content">*Presented at the Meeting of the Eastern Section of the American Laryngological, Rhinological and Otological Society, Inc., Syracuse, NY, January 25, 1985.</note><note type="content">*From the Department of Otolaryngology (J.T.J., R.L.W.,), University of Pittsburgh School of Medicine, Eye and Ear Hospital of Pittsburgh and the Division of Infectious Disease (V.L.Y., M.G.B.), University of Pittsburgh School of Medicine and the Veterans Administration Medical Center, Pittsburgh, PA.</note><relatedItem type="host"><titleInfo><title>The Laryngoscope</title></titleInfo><titleInfo type="abbreviated"><title>The Laryngoscope</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Article</topic></subject><identifier type="ISSN">0023-852X</identifier><identifier type="eISSN">1531-4995</identifier><identifier type="DOI">10.1002/(ISSN)1531-4995</identifier><identifier type="PublisherID">LARY</identifier><part><date>1985</date><detail type="volume"><caption>vol.</caption><number>95</number></detail><detail type="issue"><caption>no.</caption><number>12</number></detail><extent unit="pages"><start>1468</start><end>1471</end><total>4</total></extent></part></relatedItem><identifier type="istex">86F1ECD609B6A7A34446C1572811729500101B43</identifier><identifier type="ark">ark:/67375/WNG-WRH3MPJM-5</identifier><identifier type="DOI">10.1288/00005537-198512000-00006</identifier><identifier type="ArticleID">LARY5540951206</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1985 The Triological Society</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>John Wiley & Sons, Inc.</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/86F1ECD609B6A7A34446C1572811729500101B43/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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|type= RBID
|clé= ISTEX:86F1ECD609B6A7A34446C1572811729500101B43
|texte= Nosocomial legionella pneumonia in a population of head and neck cancer patients
}}
| This area was generated with Dilib version V0.6.38. |  |