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PREVENTION AND MANAGEMENT OF LEGIONELLA SPP. SPREAD IN HOSPITAL WATER SYSTEM (ESTABLISHING AN EFFECTIVE SYSTEM WITHOUT USING CHEMICALS IN UNIVERSITY CLINIC OF RESPIRATORY AND ALLERGIC DISEASES GOLNIK)
Mojca Novak, 2016, master's thesis

Abstract: The hospital water system can be a causative agent for acquiring hospital-acquired infection. Many microorganisms can be detected in potable water and one of this is Legionella spp. These bacteria live also in nature, but are usually present in low numbers. When entering into the buildings and their water supply, Legionella finds ideal conditions to multiply, especially if this systems are extensive and old. To control the conditions in the levels that cannot harm humans, many procedures – physical and chemical – have been established. All of them have advantages as well as limitations. According to these facts, in University Clinic of Respiratory and Allergic Diseases Golnik we tried to reestablish the protocols that would keep us on the safe side and be environmentally and health friendly as well. We have been trying to use the protocol without added chemicals – just with maintaining proper temperatures, heat disinfection and flushing for many years now. With this study we wanted to extend our knowledge of our hospital water system, so we intensified the sampling and introduced extended measures. We found out that the presence of Legionella in water system is connected to moderate temperatures and it is present more frequently in high risk zones (inappropriate temperatures, dead legs, water stagnation). With constant measures, the Legionella can be controlled but not eradicated. To contain it on a safe level, the group of experts must work together and introduce procedures that will provide safe environment for the patients and employees.
Keywords: Legionella spp., hospital water system, prevention, temperature, flushing.
Published in RUNG: 30.09.2016; Views: 7192; Downloads: 288
.pdf Full text (2,81 MB)

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