The Journal of infectious diseases · 2003
Legionnaires' disease outbreak in an automobile engine manufacturing plant.
СтатьяНазвание и аннотация: Перевод в очереди
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Fry Alicia M, Rutman Miai, Allan Terry, Scaife Heidi, Salehi Ellen, Benson Robert, Fields Barry, Nowicki Scott, Parrish Mary Kay, Carpenter Joseph, Brown Ellen, Lucas Claressa, Horgan Timothy, Koch Elizabeth, Besser Richard E
Аннотация
We investigated 4 cases of legionnaires' disease (LD) reported among workers at an Ohio automotive plant in March 2001. A "confirmed" case of LD was defined as x-ray-confirmed pneumonia and a confirmatory laboratory test. A "possible" case of LD was defined as elevated titers of antibody and respiratory symptoms. Legionella pneumophila serogroup 1 (LP1) was isolated from 1 case patient. Legionella was isolated from 18 (9%) of 197 environmental samples; 3 isolates were LP1 but did not match the case isolate. We conducted a case-control study; 17 case patients with confirmed or possible LD and 86 control subjects (workers with low antibody titers and without symptoms) were enrolled. Visiting a specific cleaning line (odds ratio, [OR], 7.29; 95% confidence interval [CI], 2.31-23.00) and working in the cleaning region of the plant (OR, 3.22; 95% CI, 1.11-9.38) were associated with LD. LD can be transmitted in industrial settings in which aerosols are produced. Clinicians should consider LD when treating persons from these settings for pneumonia.