| Chen YS |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=2.333 ------>paper_class3=2 ------>paper_class2=1 ------>vol=33 ------>confirm_bywho=ncchang ------>insert_bywho=yungching ------>Jurnal_Rank=53.5 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=610 ------>medlineContent= ------>unit=E0109 ------>insert_date=20090312 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=Am J Infect Control ------>paper_name=Abbreviated duration of superheat-and-flush and disinfection of taps for Legionella disinfection: lessons learned from failure. ------>confirm_date=20090313 ------>tch_id=097070 ------>pmid=16330310 ------>page1=606 ------>fullAbstract=One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires~ disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-and-flush was selected for hospital water supply disinfection because it required no special equipment, and it can be initiated expeditiously. We conducted 2 episodes of superheat-and-flush based on the published recommendations from the Department of Health, Taiwan; US Centers for Disease Control and Prevention; and American Society of Heating, Refrigerating, and Air-Conditioning Engineers. Both flushes failed to control colonization of Legionella in the hospital water supply. The rate of distal sites positive for Legionella in wards and ICUs was 14% and 66%, respectively, 10 days after the second flush. The effect of replacement of faucets and showerheads in ICUs appeared to be insignificant in colonization of Legionella. The application of superheat-and-flush for flush duration of 5 minutes was ineffective. Superheat-and-flush may not be economic for a large medical center because it could be costly and labor intensive. ------>tmu_sno=None ------>sno=21404 ------>authors2=Liu YC ------>authors3=Lee SSJ ------>authors4=Tsai HC ------>authors5=Wann SR ------>authors6=Kao CH, Chang CL, Huang WK, Huang TS, Chao HL, Li CH, Ke CM, Lin YSE ------>authors6_c= ------>authors=Chen YS ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Abbreviated duration of superheat-and-flush and disinfection of taps for Legionella disinfection: lessons learned from failure. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2005 ------>submit_flag=None ------>publish_month=1 |