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The Hospital Tap Water System as a Source of Nosocomial Infections for Staff Members and Patients in West Bank Hospitals

机译:医院自来水系统是西岸医院工作人员和患者医院感染的来源

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The number of nosocomial infections due to Legionella pneumophila and Pseudomonas aeruginosa is probably underestimated in many countries. This article discusses the risk of legionellosis due to Legionella and P. aeruginosa for patients and hospitals staff members from the water system in different Palestinian hospitals. A total of 134 water samples were collected in 2005 from six governmental hospitals located in the West Bank. L. pneumophila serogroup 2-14 was isolated from 33 of 53 samples, and P. aeruginosa was isolated from 17 of 81 before thermal disinfection. Thermal disinfection at 80℃ and progressively flushing the hot water outlets around the system was successfully efficient to eliminate Legionella and P. aeruginosa pathogens in water distribution systems. The current study is an example of how microbiological methods and site history may be used to successfully track the source of bacterial water contamination and subsequently remediate it. Thorough contaminant characterization and forensic source identification is important for designing of appropriate management strategies.
机译:在许多国家,可能由于肺炎军团菌和铜绿假单胞菌引起的医院感染数量被低估了。本文讨论了来自不同巴勒斯坦医院水系统的患者和医院工作人员因军团菌和铜绿假单胞菌而引起的军团菌病风险。 2005年,共从位于西岸的六家政府医院收集了134个水样本。在热消毒之前,从53个样本中的33个中分离出了嗜肺乳杆菌血清群2-14,从81个样本中的17个中分离出了铜绿假单胞菌。在80℃进行热消毒并逐步冲洗系统周围的热水出口,已成功地有效消除了供水系统中的军团菌和铜绿假单胞菌病原体。当前的研究是如何使用微生物学方法和场所历史成功追踪细菌水污染源并随后对其进行补救的一个例子。全面的污染物表征和法医鉴定对设计合适的管理策略很重要。

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