Healthcare-Associated Legionnaires' Disease, Europe, 2008-2017

被引：24

作者：

Beaute, Julien ^{[1
,3
]}

Plachouras, Diamantis ^{[2
]}

Sandin, Sven ^{[3
,4
,5
]}

Giesecke, Johan ^{[3
]}

Sparen, Par ^{[3
]}

机构：

[1] European Ctr Dis Prevent & Control, Surveillance & Response Support Unit, Stockholm, Sweden

[2] European Ctr Dis Prevent & Control, Stockholm, Sweden

[3] Karolinska Inst, Stockholm, Sweden

[4] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[5] Seaver Autism Ctr Res & Treatment Mt Sinai, New York, NY USA

来源：

EMERGING INFECTIOUS DISEASES | 2020年 / 26卷 / 10期

关键词：

RISK-FACTORS; LEGIONELLA; EPIDEMIOLOGY; PNEUMONIA; HOSPITALS; WATER;

D O I：

10.3201/eid2610.181889

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Healthcare-associated Legionnaires' disease (HCA LD) can cause nosocomial outbreaks with high death rates. We compared community-acquired LD cases with HCA LD cases in Europe during 2008-2017 using data from The European Surveillance System. A total of 29 countries reported 40,411 community-acquired and 4,315 HCA LD cases. Of the HCA LD cases, 2,937 (68.1%) were hospital-acquired and 1,378 (31.9%) were linked to other healthcare facilities. The odds of having HCA LD were higher for women, children and persons <20 years of age, and persons >= 60 years of age. Out of the cases caused by Legionella pneumophila with a known serotype, community-acquired LD was more likely to be caused by L. pneumophila serogroup 1 (92.3%) than was HCA LD (85.1%). HCA LD patients were more likely to die. HCA LD is associated with specific patient demographics, causative strains, and outcomes. Healthcare facilities should consider these characteristics when designing HCA LD prevention strategies.

引用

页码：2309 / 2318

页数：10

共 27 条

[1] Are there effective interventions to prevent hospital-acquired Legionnaires' disease or to reduce environmental reservoirs of Legionella in hospitals? A systematic review [J].