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首页> 外文期刊>Burns: Including Thermal Injury >One-year surveillance of legionellosis in burned patients and Legionella environmental monitoring.
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One-year surveillance of legionellosis in burned patients and Legionella environmental monitoring.

机译:烧伤患者军团菌病的一年监测和军团菌环境监测。

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摘要

Burned patients have a theoretically high risk of Legionella infection because burns produce a compromised immune system. Cutaneous surfaces are without protective barriers, and bathing tank water is frequently used for washing and caring. A one-year surveillance study was performed on 65 burned patients by antibody determination and by culture of bronchial aspirates. Environmental culturing for Legionella was done in the patients' care areas every four months during the same period. Low titers ranging from 8 to 32 were found in 30 (46.1%) subjects against 18 antigens including several Legionella species. No increase in antibody titers was shown in 193 patients' sera. Cultures of respiratory samples were negative. L. pneumophila serogroups 4, 5, 6 and 8 and L. rubrilucens were isolated from 55.5% of water samples. Despite no evidence of Legionella infection among patients included in this study, the authors believe it to be advisable to improve control measures in hospital water supplies, used by burned patients, to minimise the risk of legionellosis.
机译:从理论上讲,烧伤的病人有军团菌感染的高风险,因为烧伤会损害免疫系统。皮肤表面没有保护性屏障,洗澡水经常用于洗涤和护理。通过抗体测定和支气管抽吸物培养对65名烧伤患者进行了为期一年的监视研究。同一时期内,每四个月在患者护理区进行军团菌的环境培养。在30名(46.1%)受试者中针对18种抗原(包括几种军团菌)发现了8至32的低滴度。 193名患者的血清中未显示抗体滴度增加。呼吸道样本培养阴性。从55.5%的水样中分离出嗜肺乳杆菌血清群4、5、6和8和红杆菌。尽管没有证据表明该研究中的患者有军团菌感染,但作者认为,应改善烧伤患者使用的医院供水中的控制措施,以将军团菌病的风险降至最低。

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