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Chapter 8 : Nosocomial L Infection in the County of Copenhagen, 2000–2004

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Nosocomial L Infection in the County of Copenhagen, 2000–2004, Page 1 of 2

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Abstract:

In Denmark (5,400,000 inhabitants), infection is a notifiable disease. Two departments at Statens Serum Institut (SSI) in Copenhagen are involved in collecting data about these cases, since (i) notifications based on clinical and local laboratory data are sent to the Department of Epidemiology; (ii) all cultured patient isolates are referred to the Department of Bacteriology, Mycology, and Parasitology (ABMP) from local departments of clinical microbiology for confirmatory identification and serotyping; and (iii) water samples from environmental investigations are sent to AMBP for culture and DNA typing. Every local clinical microbiology department in Denmark has its own infectious disease control unit, which is responsible for the surveillance and investigation of nosocomial infections. The diagnosis of infection was made by the detection of species in respiratory specimens by PCR, a positive urinary antigen test, or a significant rise in antibody titre. Diagnostic results and clinical data, including onset of disease and location of the patients, were retrieved from the laboratory information system at DCM Herlev. During the period of 2000 to 2004, several efforts were made to combat nosocomial Legionella infection, such as increasing the hot water temperature and replacing hot water tanks with heat exchangers.

Citation: Bangsborg J, Jarløv J, Uldum S. 2006. Nosocomial L Infection in the County of Copenhagen, 2000–2004, p 33-36. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch08

Key Concept Ranking

Real-Time PCR
0.59000003
Infectious Diseases
0.5585212
Legionella
0.47319725
0.59000003
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FIGURE 1

Reporting procedure for cases of infection (LI) in Denmark.

Citation: Bangsborg J, Jarløv J, Uldum S. 2006. Nosocomial L Infection in the County of Copenhagen, 2000–2004, p 33-36. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch08
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References

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1. Bangsborg, J. M.,, S. Uldum,, J. S. Jensen, and, B. G. Bruun. 1995. Nosocomial legionellosis in three heart-lung transplant patients: case reports and environmental observations. Eur. J. Clin. Microbiol. Infect. Dis. 14:99104.
2. Darelid, J.,, S. Bernander,, K. Jacobson, and, S. Löfgren. 2004. The presence of a specific genotype of Legionella pneumophila serogroup 1 in a hospital and municipal water distribution system over a 12-year period. Scand. J. Infect. Dis. 36:417423.
3. Den Boer, J. W. and, E. P. F. Yzerman. 2004. Diagnosis of Legionella infection in Legionnaires’ disease. Eur. J. Clin. Microbiol. Infect. Dis. 23:871878.
4. Helbig, J. H.,, S. Bernander,, M. Castellani Pastoris,, J. Etienne,, V. Gaia,, S. Lauwers,, D. Lindsay,, P. C. Lück, T. Marques,, S. Mentula,, M. F. Peeters,, C. Pelaz,, M. Struelens,, S. A. Uldum,, G. Wewalka, and, T. G. Harrison. 2002. Pan-European study on culture-proven Legionnaires’ disease: distribution of Legionella pneumophila serogroups and monoclonal subgroups. Eur. J. Clin. Microbiol. Infect. Dis. 21:710716.
5. Kool, J. L.,, A. E. Fiore,, C. M. Kioski,, E. W. Brown,, R. F. Benson,, J. M. Pruckler,, C. Glasby,, J. C. Butler,, G. D. Cage,, J. C. Carpenter,, R. M. Mandel,, B. England, and, R. F. Breiman. 1998. More than 10 years of unrecognized nosocomial transmission of Legionnaires’ disease among transplant patients. Infect. Contr. Hosp. Epidemiol. 19:898904.
6. Marrie, T. J.,, D. Haldane,, S. MacDonald,, K. Clarke,, C. Fanning,, S. Le Fort-Jost,, G. Bezanson, and, J. Joly. 1991. Control of endemic nosocomial legionnaires’ disease by using sterile potable water for high risk patients. Epidemiol. Infect. 107:591605.

Tables

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TABLE 1

National (Statens Serum Institut, SSI) and local (Department of Clinical Microbiology at Herlev University Hospital [DCM Herlev]) data showing nosocomial and possible nosocomial cases of infection as compared to the total number of cases.

Citation: Bangsborg J, Jarløv J, Uldum S. 2006. Nosocomial L Infection in the County of Copenhagen, 2000–2004, p 33-36. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch08

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