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Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States

Identifieur interne : 000046 ( Pmc/Curation ); précédent : 000045; suivant : 000047

Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States

Auteurs : Alyssa Parr ; Ellen A. Whitney ; Ruth L. Berkelman

Source :

RBID : PMC:4519350

Abstract

This study describes policies and guidelines to prevent Legionella contamination in water systems in buildings in the United States.


Url:
DOI: 10.1097/PHH.0000000000000123
PubMed: 25203696
PubMed Central: 4519350

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PMC:4519350

Le document en format XML

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<title xml:lang="en">Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States</title>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Public Health Manag Pract</journal-id>
<journal-id journal-id-type="iso-abbrev">J Public Health Manag Pract</journal-id>
<journal-id journal-id-type="publisher-id">JPUMP</journal-id>
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<journal-title>Journal of Public Health Management and Practice</journal-title>
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<issn pub-type="ppub">1078-4659</issn>
<issn pub-type="epub">1550-5022</issn>
<publisher>
<publisher-name>Lippincott Williams & Wilkins</publisher-name>
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<article-meta>
<article-id pub-id-type="pmid">25203696</article-id>
<article-id pub-id-type="pmc">4519350</article-id>
<article-id pub-id-type="doi">10.1097/PHH.0000000000000123</article-id>
<article-id pub-id-type="art-access-id">00020</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Legionellosis on the Rise: A Review of Guidelines for Prevention in the United States</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Parr</surname>
<given-names>Alyssa</given-names>
</name>
<degrees>MPH</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Whitney</surname>
<given-names>Ellen A.</given-names>
</name>
<degrees>MPH</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Berkelman</surname>
<given-names>Ruth L.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff>Center for Public Health Preparedness and Research, Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.</aff>
</contrib-group>
<author-notes>
<corresp>
<bold>Correspondence:</bold>
Ruth L. Berkelman, MD, Center for Public Health Preparedness and Research, Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Rd, NE, Atlanta, GA 30322 (
<email>rberkel@emory.edu</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>7</month>
<year>2015</year>
</pub-date>
<volume>21</volume>
<issue>5</issue>
<fpage>E17</fpage>
<lpage>E26</lpage>
<permissions>
<copyright-statement>© 2015 Wolters Kluwer Health, Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
<license>
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="jpump-21-e17.pdf"></self-uri>
<abstract abstract-type="toc">
<p>This study describes policies and guidelines to prevent
<italic>Legionella</italic>
contamination in water systems in buildings in the United States.</p>
</abstract>
<abstract>
<sec>
<title>Context:</title>
<p>Reported cases of legionellosis more than tripled between 2001 and 2012 in the United States. The disease results primarily from exposure to aerosolized water contaminated with
<italic>Legionella</italic>
.</p>
</sec>
<sec>
<title>Objective:</title>
<p>To identify and describe policies and guidelines for the primary prevention of legionellosis in the US.</p>
</sec>
<sec>
<title>Design:</title>
<p>An Internet search for
<italic>Legionella</italic>
prevention guidelines in the United States at the federal and state levels was conducted from March to June 2012. Local government agency guidelines and guidelines from professional organizations that were identified in the initial search were also included.</p>
</sec>
<sec>
<title>Setting:</title>
<p>Federal, state, and local governing bodies and professional organizations.</p>
</sec>
<sec>
<title>Results:</title>
<p>Guidelines and regulations for the primary prevention of legionellosis (ie, Legionnaires' disease and Pontiac fever) have been developed by various public health and other government agencies at the federal, state, and local levels as well as by professional organizations. These guidelines are similar in recommending maintenance of building water systems; federal and other guidelines differ in the population/institutions targeted, the extent of technical detail, and support of monitoring water systems for levels of
<italic>Legionella</italic>
contamination.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Legionellosis deserves a higher public health priority for research and policy development. Guidance across public health agencies for the primary prevention of legionellosis requires strengthening as this disease escalates in importance as a cause of severe morbidity and mortality. We recommend a formal and comprehensive review of national public health guidelines for prevention of legionellosis.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Legionella</kwd>
<kwd>legionellosis</kwd>
<kwd>Legionnaires' disease</kwd>
<kwd>prevention</kwd>
<kwd>public health</kwd>
<kwd>water supply safety</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>OPEN-ACCESS</meta-name>
<meta-value>TRUE</meta-value>
</custom-meta>
<custom-meta>
<meta-name>STATUS</meta-name>
<meta-value>ONLINE-ONLY</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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