MODERN CONCEPTION OF ORGANIZATION OF EPIDEMIOLOGICAL SURVEILLANCE FOR LEGIONELLA INFECTIONS


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Abstract

Evolution of views on legionellosis is analyzed in the review: from extremely dangerous rare infection to sufficiently widespread severe pneumonia emergence of which is determined by features of ecology and prevalence of natural water microorganism in potentially dangerous water systems created by man. Epidemiologic features of 3 main groups of legionellosis determined according to place of acquisition are discussed: sporadic (communityacquired) legionellosis; nosocomial legionellosis; legionellosis related with trip or travel. Modern principles of organization of epidemiologic surveillance for legionellosis based on the disease’s incidence monitoring, observation on circulation of the agent in potentially dangerous water systems, conducting of prophylactic measures aimed at prevention of sporadic cases and epidemic outbreaks. Organization of epidemiological sur veillance for Legionella infection in Russian Federation in present time is developed on the basis of international standards, recommendations of World Health Organization, home practical experience from elimination of epidemic outbreaks of legionellosis, and results of Legionella isolation from potentially dangerous water objects on territory of Russia.

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СОВРЕМЕННАЯ КОНЦЕПЦИЯ ОРГАНИЗАЦИИ ЭПИДЕМИОЛОГИЧЕСКОГО НАДЗОРА ЗА ЛЕГИОНЕЛЛЕЗНОЙ ИНФЕКЦИЕЙ
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About the authors

G. G Onischenko

Federal Service for Surveillance for Protection of Consumers Rights and Human Welfare

Yu. V Demina

Federal Service for Surveillance for Protection of Consumers Rights and Human Welfare

I. S Tartakovsky

Gamaleya Research Institute of Epidemiology and Microbiology, Moscow, Russia

References

  1. Карпова Т.И., Дронина Ю.Е., Тартаковский И.С. и др. Природные биопленки легионелл и их роль в эпидемиологии инфекции. Журн. микробиол. 2008, 2: 13-16.
  2. Методические указания по выявлению бактерий Legionella pneumophila в объектах окру- жающей среды. МУК 4.2.22-17-07. М., 2007.
  3. Методические указания «Эпидемиологический надзор за легионеллезной инфекцией». МУ 3.1.2.2412-08. М., 2008.
  4. Онищенко Г.Г., Покровский В.И., Тартаковский И.С. и др. Современные взгляды на эпидемиологию легионеллеза: алгоритм действия при эпидемических вспышках и профилактическом мониторинге. Журн. микробиол. 2008, 2: 5-9.
  5. Онищенко Г.Г., Лазикова Г.Ф., Чистякова Г.Г. и др. Эпидемиологическая характеристика вспышки легионеллеза в г. Верхняя Пышма. Там же. 2008, 2: 82-85.
  6. Покровский В.И., Прозоровский С.В., Малеев В.В., Тартаковский И.С. Этиологическая диагностика и этиотропная терапия острых пневмоний. М., Медицина, 1995.
  7. Прозоровский С.В., Васильева В.И., Тартаковский И.С. Выявление болезни легионеров на территории СССР. Журн.микробиол. 1980, 7: 105-107.
  8. Прозоровский С.В., Покровский В.И., Тартаковский И.С. Болезнь легионеров. М., Медицина, 1984.
  9. Тартаковский И.С.Болезнь легионеров: итоги 25-летнего изучения инфекции, проблемы и перспективы исследования. Вестн. РАМН. 2001, 11: 11-14.
  10. Тартаковский И.С., Гинцбург А.Л., Лазикова Г.Ф.и др. Стандарты лабораторной диагностики легионеллеза и их применение во время эпидемической вспышки пневмоний в г.Верхняя Пышма. Журн.микробиол. 2008, 2: 16-19.
  11. Colbourne J.S.,Dennis P.I. Distribution and persistence of Legionella in water systems. Microbiol. Sci. 1985, 2: 40-43.
  12. Cuhna B.F. Clinical features of Legionnaires disease. Sem. Res. Infect. 1998, 13 (2): 116-127.
  13. Edelstein P.H., Meyer R.D. Legionella pneumonias. In: J.E Pennington (ed.). Respiratory infections: diagnosis and management. N.York, Raven Press Ltd., 1994.
  14. European guidelines for control and prevention of travel associated legionellosis. 2002.
  15. Fraser D.W., Tsai T.F., Ornstein W. et.al. Legionnaires disease. Description of an epidemic of pneumonia. New Engl. J. Med. 1977, 297 (22): 1189-1197.
  16. Joseph C.A. Epidemiology of legionnaires disease in Europe 2000-2002. Epidemiol. Infect. 2004, 132: 417-424.
  17. Joseph C.A. European surveillance of travel-associated legionnaires disease.Eurosurveillance. 2004, 9 (2): 15-18.
  18. Kirby B.D., Snyder K.M., Meyer R.D. et al. Legionnaires disease: Report of sixty-five nosocomially acquired cases and review of the literature. Medicine. 1980,59: 188-205.
  19. Legionella and the prevention of legionellosis. WHO, 2007.
  20. Luck P.C., Helbig J.H.,Schuppler M. Epidemiology and laboratory diagnosis of Legionella infections. J. Lab.Med. 2002, 26 (2/3): 174-182.
  21. Macrae A.D., Appleton P.N., Laverick A. Legionnaires disease in Nottingham, England. Ann. Intern. Med. 1979, 90: 580-583.
  22. Management of spa pools: controlling the risk of infection. London, Health protection agency, 2006.
  23. Nguyen T.M., Ilef D., Jarraud S. et al. A community-wide outbreak of legionnaires disease linked to industrial cooling towers-how far can contaminated aerosol spread? J. Infect. Dis. 2006, 193, 1:102-111.
  24. Park D., Pugliese A., Cuhna B.A. Legionella micdadei prosthetic valve endocarditis. Infection. 1994, 22: 213-215.
  25. Singh N.J., Stout J.E., Yu V.L. Legionnaires disease in a transplant recipient acquired from the patient’s home: implications for management.Transplantation. 2002, 74 (6): 755-757.
  26. Storey M.V., Ashbolt J., Stenstrom T.A. The fate of legionellae within distribution pipe biofilms: measurement of their persistence, inactivation and detachment. Water Sci. Technol. 2004, 50: 77-82.
  27. Stout J.E., Yu V.L. Legionellosis. New Engl. J. Med. 1997, 337: 682-687.
  28. Tartakovskiy I., Karpova T., Demina Y. et.al. Lessons from large community outbreak in Verhnaya Pyshma (Russia). Abstracts of the 23th European working group for Legionella infection. 2008.
  29. WHO recommended surveillance standards, 2nd ed. 1999.

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