Pontiac fever among retirement home nurses associated with airborne legionella

Summary The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement...

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Published inThe Journal of hospital infection Vol. 78; no. 4; pp. 269 - 273
Main Authors Hautemaniere, A, Remen, T, Mathieu, L, Deloge-Abarkan, M, Hartemann, P, Zmirou-Navier, D
Format Journal Article
LanguageEnglish
Published Kidlington Elsevier Ltd 01.08.2011
Elsevier
WB Saunders
Subjects
Adult
Aerosol
Aerosols
Air Microbiology
Biological and medical sciences
Colony-forming cells
Data processing
Dose-response effects
Epidemiology
Female
Fever
Hospitals
Humans
Infectious Disease
Infectious diseases
Legionella
Legionella - isolation & purification
Legionellosis
Legionellosis - diagnosis
Legionellosis - epidemiology
Legionellosis - pathology
Life Sciences
Long-Term Care
Male
Medical personnel
Medical sciences
Microbiology and Parasitology
Middle Aged
Nurses
Nursing
Occupational Exposure
Pontiac fever
Santé publique et épidémiologie
Shower
Water Microbiology
Legionella
Shower
Pontiac fever
Occupational exposure
Epidemiology
Aerosol
Legionellaceae
Health care staff
Fever
Infection
Work safety
Aerosols
Bacteria
Occupational medicine
Public health
Nurse
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Abstract Summary The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations >103 cfu legionella per litre were associated with an increased risk of PF, with dose–response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 103 cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
AbstractList The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations >10(3) cfu legionella per litre were associated with an increased risk of PF, with dose-response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 103 cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations >10(3) cfu legionella per litre were associated with an increased risk of PF, with dose-response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 103 cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations >103 cfu legionella per litre were associated with an increased risk of PF, with dose–response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 103 cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
Research investigating residential care and nursing home nurses' occupational exposure to legionella bacteria while helping residents take showers. The incidence of symptoms of Pontiac fever among nurses at 19 retirement homes was recorded over a 4-month period, along with the number and location of showers they assisted with on a daily basis. The water and air bacterial quality were examined to ascertain the level of concentration of legionella bacteria that was associated with an increased risk of Pontiac fever.
Summary The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations >103 cfu legionella per litre were associated with an increased risk of PF, with dose–response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 103 cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella bacteria among retirement home nurses who help residents take their shower. Within a non-epidemic framework, 104 nurses of 19 retirement homes were followed up during an average period of four months. Data on symptoms, number and location of showers they attended were recorded daily by each participant. Water and aerosol bacterial quality was characterised at the end of follow-up using the culturable and the in-situ hybridisation techniques. Among 11 Pontiac-like episodes, eight cases complied with the study definition of PF. Water concentrations 10 super(3) cfu legionella per litre were associated with an increased risk of PF, with dose-response patterns. No association was established between the aerosol legionella concentrations and PF events. A threshold value of 10 super(3) cfu legionella per litre of water might be used with a view to protection from legionella-associated occupational conditions.
Author Mathieu, L
Remen, T
Hautemaniere, A
Deloge-Abarkan, M
Hartemann, P
Zmirou-Navier, D
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Issue 4
Keywords Legionella
Shower
Pontiac fever
Occupational exposure
Epidemiology
Aerosol
Legionellaceae
Health care staff
Fever
Infection
Work safety
Aerosols
Bacteria
Occupational medicine
Public health
Nurse
Language English
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Snippet Summary The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to...
The aim of this study was to ascertain incidence of symptoms compatible with Pontiac fever (PF) and to assess their association with exposure to legionella...
Research investigating residential care and nursing home nurses' occupational exposure to legionella bacteria while helping residents take showers. The...
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StartPage 269
SubjectTerms Adult
Aerosol
Aerosols
Air Microbiology
Biological and medical sciences
Colony-forming cells
Data processing
Dose-response effects
Epidemiology
Female
Fever
Hospitals
Humans
Infectious Disease
Infectious diseases
Legionella
Legionella - isolation & purification
Legionellosis
Legionellosis - diagnosis
Legionellosis - epidemiology
Legionellosis - pathology
Life Sciences
Long-Term Care
Male
Medical personnel
Medical sciences
Microbiology and Parasitology
Middle Aged
Nurses
Nursing
Occupational Exposure
Pontiac fever
Santé publique et épidémiologie
Shower
Water Microbiology
Title Pontiac fever among retirement home nurses associated with airborne legionella
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https://dx.doi.org/10.1016/j.jhin.2011.03.022
https://www.ncbi.nlm.nih.gov/pubmed/21752493
https://search.proquest.com/docview/1000262302
https://search.proquest.com/docview/883021041
https://search.proquest.com/docview/886915803
https://hal.science/hal-00876304
Volume 78
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