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首页> 外文期刊>感染症学雑誌 >An outbreak of legionellosis in a new facility of hot spring bath in Hiuga City
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An outbreak of legionellosis in a new facility of hot spring bath in Hiuga City

机译：在Hiuga市的温泉浴新设施中的爆发了

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Following cerebrating ceremony in 20 June 2002, for the completion of Hiuga Sun-Park Hot Spring Bath "Ofunade-no-Yu" facilities, Miyazaki Prefecture, Kyushu Island, 200 neighbors were invited each day to experience bathing on 20 and 21 June. The Bath "Ofunade-no-Yu" officially opened on 1 July 2002. On 18 July, Hiuga Health Center was informed that 3 suspected Legionella pneumonia patients in a hospital and all of them have bathing history of "Ofunade-no-Yu". Health Center officers notified Hiuga City, the main proprietor of the Bath business, that on-site inspection on sanitary managements will be done next day and requested the City to keep the bath facilities as they are. On 19 July, Health Center officers collected bath water from seven places and recommended voluntary-closing of "Ofunade-no-Yu" business. Because of various reasons, Hiuga City did not accept the recommendation and continued business up to 23 July. Because Legionella pneumophila serogroup 1 strains from 4 patients' sputa and severalbath water specimens were determined genetically similar by Pulsed Field Gel Electrophoresis of Sfi I-cut DNA. "Ofunede-no-Yu" was regarded as the source of infection of this outbreak. On 24 July, Ofunade-no-Yu 19,773 persons who took the bath during the period from 20 June to 23 July, 295 became ill, and 7 died. Among them, 34 were definitely diagnosed as Legionella pneumonia due to L. pneumophila SG 1, by either one or two tests of positive sputum culture, Legionella-specific urinary antigen, and significant rise of serum antibody titer against L. pneumophila SG 1. In addition to the 8 items shown by Miyazaki-Prefecture Investigation Committee as the cause of infection. Hiuga City Investigation Committee pointed out following 3 items: 1) Insufficient knowledge and understanding of stuffs on Legionella and legionellosis; 2) Residual water in tubing system after trial runs might lead multiplication of legionellae in it; and 3) Inadequate disinfection and washing for whole circulation system prior the experience bathing. The Hiuga City Committee directed 24 measures to improve the sanitary condition of the facility including following 5 items. 1) Fix the manual for maintenance and management of the bath. 2) Keep sufficient overflow of bath water. 3) Put disinfection of filters into practice. 4) Precise measurement and control of the residual chlorine concentration in bath water. 5) Replacement of filtrating material from crushed porous ceramic into natural sand.
机译：在2002年6月20日的脑电图仪式之后，为完成Hiuga Sun-Park温泉浴池“Outunade-No-yu”设施，宫崎县，九州岛，200个邻居每天都在邀请20日和21日沐浴6月21日。 2002年7月1日正式开业的“Ofunade-No-yu”。7月18日，Hiuga Health Centre被告知一家医院的3名疑似军团肺炎患者，所有这些患者都有“Ofunade-No-yu”的沐浴历史。健康中心官员通知浴室业务的主要所有者的Hiuga City，即在第二天的卫生管理中的现场检查将在卫生管理中完成，并要求城市保持浴室设施。 7月19日，保健中心官员从七个地方收集浴水，并推荐自愿关闭“OFUNADE-NO-YU”的业务。由于各种原因，Hiuga City不接受七月二十三日的推荐和持续的业务。因为军团菌血管菌血清群1菌株从4名患者的烟草和几种水表水标本进行遗传相似，通过SFI I-Cut DNA的脉冲场凝胶电泳确定。 “Ofunede-no-yu”被认为是这种爆发的感染源。 7月24日，在7月20日至7月20日，295期间洗澡的19,773人19,773岁的人生病了，7人死亡。其中，由于L.Pneumophila SG 1，通过阳性痰培养，军团菌特异性尿抗原和血清抗体滴度的显着升高而导致L.Pneumophila SG1，34曾经被诊断为军团菌肺炎。除了Miyazaki-Prefecture调查委员会显示的8件物品作为感染的原因。 Hiuga City调查委员会指出了以下3项：1）知识和对军团和军队中的东西的了解不足; 2）试验后的管道系统中的残留水可能导致Legionellae的乘法; 3）在经验沐浴之前对整个循环系统的消毒和洗涤不足。 Hiuga市委员会指示24项措施，以改善设施的卫生状况，包括以下5项。 1）修复手册以进行浴缸维护和管理。 2）保持足够的沐浴水溢流。 3）将过滤器消毒到实践中。 4）精确测量和控制浴水中残留的氯浓度。 5）从碎孔陶瓷中的滤液材料置换为天然砂。

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