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. 2010 Jun;16(6):761-3.
doi: 10.1111/j.1469-0691.2009.02890.x. Epub 2009 Jul 14.

Epidemiological investigation of a case of nosocomial Legionnaires' disease in Taiwan: implications for routine environmental surveillance

S T Chien  1 , J C Hsueh, H-H Lin, H-Y Shih, T-M Lee, R-J Ben, S-T Chou, C-M Fong, Y E Lin, L-R Tseng, C-S Chiang
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Free article

Epidemiological investigation of a case of nosocomial Legionnaires' disease in Taiwan: implications for routine environmental surveillance

S T Chien et al. Clin Microbiol Infect. 2010 Jun.
Free article

Abstract

An epidemiological investigation with Legionella and molecular subtyping was conducted to determine the source of a case of nosocomial Legionnaires' disease (LD) who was hospitalized in three hospitals within a month. Legionella pneumophila serogroup 3, an uncommon serogroup for infection, was isolated from the patient's sputum. Environmental surveillance revealed Legionella colonization in all three hospitals; the patient isolate matched the isolate from the first hospital by molecular typing. Culturing the hospital water supply for Legionella is a pro-active strategy for detection of nosocomial LD even in hospitals experiencing no previous cases.

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