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Kim J, Lee JM, Kang J. Smart cities and disaster risk reduction in South Korea by 2022: The case of daegu. Heliyon 2023; 9:e18794. [PMID: 37576205 PMCID: PMC10415893 DOI: 10.1016/j.heliyon.2023.e18794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 07/16/2023] [Accepted: 07/27/2023] [Indexed: 08/15/2023] Open
Abstract
Smart cities have been introduced globally. It involves technical development and economic, social, and environmental objectives. In response to the Fourth Industrial Revolution (Industry 4.0) and global trends, Korea has prepared legal and institutional measures for smart city composition. This study reviewed the importance of key documents and agreements in Daegu Metropolitan City to reduce disaster risk for the vulnerable in the context of smart cities. 25 research studies were critically and systematically reviewed from the perspective of disaster risk reduction in smart cities. In its disaster safety areas, Daegu Metropolitan City aims to reduce property damage and casualties that may occur because of physical events such as collapse, water-related disasters, and heatwaves by up to 20%. Smart disaster mitigation involves data collection, sharing, and propagation. The entire process is handled on a safety platform called Data hub. According to the Daegu Metropolitan City government, solving social problems and managing disasters is key to a smart city, and it is striving to improve the efficiency of other cities. However, Daegu has limitations because it is a service-oriented smart city, and it is necessary to engage citizens to participate, raise awareness of the smart city, and educate them on the platform. The study results recommend future research that focus on disaster risk reduction and resilience in smart cities worldwide.
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Affiliation(s)
- Jaekyoung Kim
- Interdisciplinary Program in Landscape Architecture, Seoul National University, Seoul 08826, Republic of Korea
- Transdisciplinary Program in Smart City Global Convergence, Seoul National University, Seoul 08826, Republic of Korea
| | - Jung-Min Lee
- Land & Housing Institute, Daejeon 34047, Republic of Korea
| | - Junsuk Kang
- Interdisciplinary Program in Landscape Architecture, Seoul National University, Seoul 08826, Republic of Korea
- Transdisciplinary Program in Smart City Global Convergence, Seoul National University, Seoul 08826, Republic of Korea
- Department of Landscape Architecture and Rural Systems Engineering, Seoul National University, Seoul 08826, Republic of Korea
- Research Institute of Agriculture and Life Sciences, Seoul National University, Seoul 08826, Republic of Korea
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Lombardi A, Borriello T, De Rosa E, Di Duca F, Sorrentino M, Torre I, Montuori P, Trama U, Pennino F. Environmental Monitoring of Legionella in Hospitals in the Campania Region: A 5-Year Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085526. [PMID: 37107807 PMCID: PMC10138562 DOI: 10.3390/ijerph20085526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/06/2023] [Accepted: 04/13/2023] [Indexed: 05/11/2023]
Abstract
Legionella is a pathogen that colonizes soils, freshwater, and building water systems. People who are most affected are those with immunodeficiencies, so it is necessary to monitor its presence in hospitals. The purpose of this study was to evaluate the presence of Legionella in water samples collected from hospitals in the Campania region, Southern Italy. A total of 3365 water samples were collected from January 2018 to December 2022 twice a year in hospital wards from taps and showers, tank bottoms, and air-treatment units. Microbiological analysis was conducted in accordance with the UNI EN ISO 11731:2017, and the correlations between the presence of Legionella and water temperature and residual chlorine were investigated. In total, 708 samples (21.0%) tested positive. The most represented species was L. pneumophila 2-14 (70.9%). The serogroups isolated were 1 (27.7%), 6 (24.5%), 8 (23.3%), 3 (18.9%), 5 (3.1%), and 10 (1.1%). Non-pneumophila Legionella spp. represented 1.4% of the total. Regarding temperature, the majority of Legionella positive samples were found in the temperature range of 26.0-40.9 °C. An influence of residual chlorine on the presence of the bacterium was observed, confirming that chlorine disinfection is effective for controlling contamination. The positivity for serogroups other than serogroup 1 suggested the need to continue environmental monitoring of Legionella and to focus on the clinical diagnosis of other serogroups.
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Affiliation(s)
- Annalisa Lombardi
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Tonia Borriello
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Elvira De Rosa
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Fabiana Di Duca
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Michele Sorrentino
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Ida Torre
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Paolo Montuori
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
| | - Ugo Trama
- General Directorate of Health, Campania Region, Centro Direzionale C3, 80143 Naples, Italy
| | - Francesca Pennino
- Department of Public Health, University “Federico II”, Via Sergio Pansini N° 5, 80131 Naples, Italy
- Correspondence:
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Taha A, Flury DV, Enodien B, Taha-Mehlitz S, Schmid RA. The development of machine learning in lung surgery: A narrative review. Front Surg 2022; 9:914903. [PMID: 36171812 PMCID: PMC9510630 DOI: 10.3389/fsurg.2022.914903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 08/22/2022] [Indexed: 11/20/2022] Open
Abstract
Background Machine learning reflects an artificial intelligence that allows applications to improve their accuracy to predict outcomes, eliminating the need to conduct explicit programming on them. The medical field has increased its focus on establishing tools for integrating machine learning algorithms in laboratory and clinical settings. Despite their importance, their incorporation is minimal in the medical sector yet. The primary goal of this study is to review the development of machine learning in the field of thoracic surgery, especially lung surgery. Methods This article used the Preferred Reporting Items for Systematic and Meta-analyses (PRISMA). The sources used to gather data are the PubMed, Cochrane, and CINAHL databases and the Google Scholar search engine. Results The study included 19 articles, where ten concentrated on the application of machine learning in especially lung surgery, six focused on the benefits and limitations of machine learning algorithms in lung surgery, and three provided an overview of the future of machine learning in lung surgery. Conclusion The outcome of this study indicates that the field of lung surgery has attempted to integrate machine learning algorithms. However, the implementation rate is low, owing to the newness of the concept and the various challenges it encompasses. Also, this study reveals the absence of sufficient literature discussing the application of machine learning in lung surgery. The necessity for future research on the topic area remains evident.
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Affiliation(s)
- Anas Taha
- Department of Biomedical Engineering, Faculty of Medicine, University of Basel, Allschwil, Switzerland
| | - Dominik Valentin Flury
- Department of Thoracic Surgery, Hirslanden Clinic Beau-Site (Hirslanden Group) / Lindenhof Hospital (Lindenhof Group Bern); University of Bern, Bern, Switzerland
| | - Bassey Enodien
- Department of Surgery, Wetzikon Hospital, Wetzikon, Switzerland
| | - Stephanie Taha-Mehlitz
- Clarunis, University Centre for Gastrointestinal and Liver Diseases, St. Clara Hospital and University Hospital Basel, Basel, Switzerland
| | - Ralph A. Schmid
- Thorax-Schweiz, Hirslanden Cooperate Office, Glattpark, Switzerland
- Correspondence: Ralph A. Schmid
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Molina JJ, Bennassar M, Palacio E, Crespi S. Low Efficacy of Periodical Thermal Shock for Long-Term Control of Legionella spp. in Hot Water System of Hotels. Pathogens 2022; 11:pathogens11020152. [PMID: 35215095 PMCID: PMC8875211 DOI: 10.3390/pathogens11020152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 01/21/2022] [Accepted: 01/21/2022] [Indexed: 02/04/2023] Open
Abstract
Different guidelines and regulations for the prevention of legionellosis in public facilities include the recommendation of a periodical thermal shock in the hot water system. The purpose of this study was to assess the efficacy of periodical thermal shocks along a 1-year period on the presence of Legionella spp. in the domestic hot water system of hotels. The Legionella testing results from the period January–December 2019 coming from a group of 77 hotel facilities in the Balearic Islands (Spain) conducting periodical thermal shocks were analyzed. A second group of 44 hotels operating without periodical thermal shocks was used for a comparative analysis. In the facilities where the periodical thermal shock was performed, 16.0% of the results (429 hot water samples collected) were positive for Legionella spp., compared to 21.1% (298 samples), where periodical thermal shock was not performed. Overall, in the thermal shock group, 32.5% of the sites presented at least 1 positive sample along the period of study versus 45.5% in the control group. None of these differences was statistically significant (p-value > 0.05). These findings suggest that the efficacy of regular thermal shock for long-term control of Legionella spp. in domestic hot water systems of hotels is low.
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Affiliation(s)
- Jhon J. Molina
- Biolinea Int., 07007 Palma, Spain; (J.J.M.); (M.B.)
- Environmental Analytical Chemistry Group, University of the Balearic Islands, 07122 Palma, Spain;
| | | | - Edwin Palacio
- Environmental Analytical Chemistry Group, University of the Balearic Islands, 07122 Palma, Spain;
| | - Sebastian Crespi
- Biolinea Int., 07007 Palma, Spain; (J.J.M.); (M.B.)
- Correspondence: ; Tel.: +34-971724701
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Quero S, Párraga-Niño N, Garcia-Núñez M, Pedro-Botet ML, Gavaldà L, Mateu L, Sabrià M, Mòdol JM. The impact of pipeline changes and temperature increase in a hospital historically colonised with Legionella. Sci Rep 2021; 11:1916. [PMID: 33479467 PMCID: PMC7820426 DOI: 10.1038/s41598-021-81625-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 01/01/2021] [Indexed: 01/25/2023] Open
Abstract
Healthcare-related Legionnaires’ disease has a devastating impact on high risk patients, with a case fatality rate of 30–50%. Legionella prevention and control in hospitals is therefore crucial. To control Legionella water colonisation in a hospital setting we evaluated the effect of pipeline improvements and temperature increase, analysing 237 samples over a 2-year period (first year: 129, second year: 108). In the first year, 25.58% of samples were positive for Legionella and 16.67% for amoeba. Assessing the distance of the points analysed from the hot water tank, the most distal points presented higher proportion of Legionella colonisation and lower temperatures (nearest points: 6.4% colonised, and temperature 61.4 °C; most distal points: 50% and temperature 59.1 °C). After the first year, the hot water system was repaired and the temperature stabilised. This led to a dramatic reduction in Legionella colonisation, which was negative in all the samples analysed; however, amoeba colonisation remained stable. This study shows the importance of keeping the temperature stable throughout the circuit, at around 60 °C. Special attention should be paid to the most distal points of the circuit; a fall in temperature at these weak points would favour the colonisation and spread of Legionella, because amoeba (the main Legionella reservoir) are not affected by temperature.
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Affiliation(s)
- S Quero
- Infectious Diseases Unit, Fundació Institut d'Investigació Germans Trias I Pujol, Carretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Barcelona, Spain. .,CIBER de Enfermedades Respiratorias, CIBERES, Av. de Monforte de Lemos, 3-5, 28029, Madrid, Spain. .,Institut d'Investigació i Innovació Parc Taulí, I3PT, Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
| | - N Párraga-Niño
- Infectious Diseases Unit, Fundació Institut d'Investigació Germans Trias I Pujol, Carretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Barcelona, Spain
| | - M Garcia-Núñez
- Infectious Diseases Unit, Fundació Institut d'Investigació Germans Trias I Pujol, Carretera de Can Ruti, Camí de les Escoles s/n, 08916, Badalona, Barcelona, Spain.,CIBER de Enfermedades Respiratorias, CIBERES, Av. de Monforte de Lemos, 3-5, 28029, Madrid, Spain.,Institut d'Investigació i Innovació Parc Taulí, I3PT, Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain
| | - M L Pedro-Botet
- CIBER de Enfermedades Respiratorias, CIBERES, Av. de Monforte de Lemos, 3-5, 28029, Madrid, Spain.,Hospital Universitari Germans Trias i Pujol, Carretera de Canyet, s/n, 08916, Badalona, Barcelona, Spain
| | - L Gavaldà
- Hospital Universitari de Bellvitge-IDIBELL, Feixa Llarga, s/n., 08907, L'Hospitalet de Llobregat, Barcelona, Spain
| | - L Mateu
- Hospital Universitari Germans Trias i Pujol, Carretera de Canyet, s/n, 08916, Badalona, Barcelona, Spain
| | - M Sabrià
- CIBER de Enfermedades Respiratorias, CIBERES, Av. de Monforte de Lemos, 3-5, 28029, Madrid, Spain.,Hospital Universitari Germans Trias i Pujol, Carretera de Canyet, s/n, 08916, Badalona, Barcelona, Spain
| | - J M Mòdol
- Hospital Universitari Germans Trias i Pujol, Carretera de Canyet, s/n, 08916, Badalona, Barcelona, Spain
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Marchesi I, Paduano S, Frezza G, Sircana L, Vecchi E, Zuccarello P, Oliveri Conti G, Ferrante M, Borella P, Bargellini A. Safety and Effectiveness of Monochloramine Treatment for Disinfecting Hospital Water Networks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17176116. [PMID: 32842654 PMCID: PMC7503937 DOI: 10.3390/ijerph17176116] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 08/12/2020] [Accepted: 08/20/2020] [Indexed: 11/16/2022]
Abstract
The formation of potentially carcinogenic N-nitrosamines, associated with monochloramine, requires further research due to the growing interest in using this biocide for the secondary disinfection of water in public and private buildings. The aim of our study was to evaluate the possible formation of N-nitrosamines and other toxic disinfection by-products (DBPs) in hospital hot water networks treated with monochloramine. The effectiveness of this biocide in controlling Legionella spp. contamination was also verified. For this purpose, four different monochloramine-treated networks, in terms of the duration of treatment and method of biocide injection, were investigated. Untreated hot water, municipal cold water and, limited to N-nitrosamines analysis, hot water treated with chlorine dioxide were analyzed for comparison. Legionella spp. contamination was successfully controlled without any formation of N-nitrosamines. No nitrification or formation of the regulated DBPs, such as chlorites and trihalomethanes, occurred in monochloramine-treated water networks. However, a stable formulation of hypochlorite, its frequent replacement with a fresh product, and the routine monitoring of free ammonia are recommended to ensure a proper disinfection. Our study confirms that monochloramine may be proposed as an effective and safe strategy for the continuous disinfection of building plumbing systems, preventing vulnerable individuals from being exposed to legionellae and dangerous DBPs.
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Affiliation(s)
- Isabella Marchesi
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy; (S.P.); (G.F.); (P.B.); (A.B.)
- Correspondence: ; Tel.: +39-059-2055460
| | - Stefania Paduano
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy; (S.P.); (G.F.); (P.B.); (A.B.)
| | - Giuseppina Frezza
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy; (S.P.); (G.F.); (P.B.); (A.B.)
| | - Luca Sircana
- University Hospital Policlinico of Modena, Largo del Pozzo 71, 41124 Modena, Italy; (L.S.); (E.V.)
| | - Elena Vecchi
- University Hospital Policlinico of Modena, Largo del Pozzo 71, 41124 Modena, Italy; (L.S.); (E.V.)
| | - Pietro Zuccarello
- Environmental and Food Hygiene Laboratory (LIAA), Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, Italy; (P.Z.); (G.O.C.); (M.F.)
| | - Gea Oliveri Conti
- Environmental and Food Hygiene Laboratory (LIAA), Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, Italy; (P.Z.); (G.O.C.); (M.F.)
| | - Margherita Ferrante
- Environmental and Food Hygiene Laboratory (LIAA), Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, Italy; (P.Z.); (G.O.C.); (M.F.)
| | - Paola Borella
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy; (S.P.); (G.F.); (P.B.); (A.B.)
| | - Annalisa Bargellini
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy; (S.P.); (G.F.); (P.B.); (A.B.)
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7
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Paduano S, Marchesi I, Casali ME, Valeriani F, Frezza G, Vecchi E, Sircana L, Romano Spica V, Borella P, Bargellini A. Characterisation of Microbial Community Associated with Different Disinfection Treatments in Hospital hot Water Networks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17062158. [PMID: 32213901 PMCID: PMC7143765 DOI: 10.3390/ijerph17062158] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/20/2020] [Accepted: 03/22/2020] [Indexed: 12/16/2022]
Abstract
Many disinfection treatments can be adopted for controlling opportunistic pathogens in hospital water networks in order to reduce infection risk for immunocompromised patients. Each method has limits and strengths and it could determine modifications on bacterial community. The aim of our investigation was to study under real-life conditions the microbial community associated with different chemical (monochloramine, hydrogen peroxide, chlorine dioxide) and non-chemical (hyperthermia) treatments, continuously applied since many years in four hot water networks of the same hospital. Municipal cold water, untreated secondary, and treated hot water were analysed for microbiome characterization by 16S amplicon sequencing. Cold waters had a common microbial profile at genera level. The hot water bacterial profiles differed according to treatment. Our results confirm the effectiveness of disinfection strategies in our hospital for controlling potential pathogens such as Legionella, as the investigated genera containing opportunistic pathogens were absent or had relative abundances ≤1%, except for non-tuberculous mycobacteria, Sphingomonas, Ochrobactrum and Brevundimonas. Monitoring the microbial complexity of healthcare water networks through 16S amplicon sequencing is an innovative and effective approach useful for Public Health purpose in order to verify possible modifications of microbiota associated with disinfection treatments.
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Affiliation(s)
- Stefania Paduano
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
| | - Isabella Marchesi
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
| | - Maria Elisabetta Casali
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
- University Hospital Policlinico of Modena, 41124 Modena, Italy; (E.V.); (L.S.)
| | - Federica Valeriani
- Department of Movement, Human and Health Sciences, Public Health Unit, University of Rome ‘Foro Italico’, 00135 Rome, Italy; (F.V.); (V.R.S.)
| | - Giuseppina Frezza
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
| | - Elena Vecchi
- University Hospital Policlinico of Modena, 41124 Modena, Italy; (E.V.); (L.S.)
| | - Luca Sircana
- University Hospital Policlinico of Modena, 41124 Modena, Italy; (E.V.); (L.S.)
| | - Vincenzo Romano Spica
- Department of Movement, Human and Health Sciences, Public Health Unit, University of Rome ‘Foro Italico’, 00135 Rome, Italy; (F.V.); (V.R.S.)
| | - Paola Borella
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
| | - Annalisa Bargellini
- Department of Biomedical, Metabolic and Neural Sciences, Section of Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy; (S.P.); (I.M.); (M.E.C.); (G.F.); (P.B.)
- Correspondence:
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Advances in Legionella Control by a New Formulation of Hydrogen Peroxide and Silver Salts in a Hospital Hot Water Network. Pathogens 2019; 8:pathogens8040209. [PMID: 31671765 PMCID: PMC6963979 DOI: 10.3390/pathogens8040209] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 10/24/2019] [Accepted: 10/25/2019] [Indexed: 01/22/2023] Open
Abstract
Legionella surveillance is an important issue in public health, linked to the severity of disease and the difficulty associated with eradicating this bacterium from the water environment. Different treatments are suggested to reduce Legionella risk, however long-term studies of their efficiency are lacking. This study focused on the activity of a new formulation of hydrogen peroxide and silver salts, WTP828, in the hospital hot water network (HWN) to contain Legionella contamination during two years of treatment. The effectiveness of WTP828 was tested measuring physical-chemical and microbiological parameters such as Legionella, Pseudomonas aeruginosa (P. aeruginosa), and a heterotopic plate count (HPC) at 36 °C. Legionella isolates were identified by serotyping and genotyping. WTP 828 induced a reduction in Legionella–positive sites (60% to 36%) and contamination levels (2.12 to 1.7 log10 CFU/L), with isolates belonging to L. pneumophila SG1 (ST1 and ST104), L. anisa and L. rubrilucens widely distributed in HWN. No relevant contamination was found for other parameters tested. The long-term effect of WTP828 on Legionella containment suggest the easy and safe application of this disinfectant, that combined with knowledge of building characteristics, an adequate environmental monitoring and risk assessment plan, become the key elements in preventing Legionella contamination and exposure.
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Sharma L, Losier A, Tolbert T, Dela Cruz CS, Marion CR. Atypical Pneumonia: Updates on Legionella, Chlamydophila, and Mycoplasma Pneumonia. Clin Chest Med 2016; 38:45-58. [PMID: 28159161 DOI: 10.1016/j.ccm.2016.11.011] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Community-acquired pneumonia (CAP) has multiple causes and is associated with illness that requires admission to the hospital and mortality. The causes of atypical CAP include Legionella species, Chlamydophila, and Mycoplasma. Atypical CAP remains a diagnostic challenge and, therefore, likely is undertreated. This article reviews the advancements in the evaluation and treatment of patients and discusses current conflicts and controversies of atypical CAP.
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Affiliation(s)
- Lokesh Sharma
- Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, TAC S440, New Haven, CT 06510, USA
| | - Ashley Losier
- Department of Internal Medicine, Norwalk Hospital, 34 Maple Street, Norwalk, CT 06856, USA
| | - Thomas Tolbert
- Department of Internal Medicine, Yale University School of Medicine, 330 Cedar Street, New Haven, CT 06510, USA
| | - Charles S Dela Cruz
- Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, TAC S440, New Haven, CT 06510, USA
| | - Chad R Marion
- Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, TAC S440, New Haven, CT 06510, USA.
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