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Query: UMLS:C0023241 (Legionella)
 6,990 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The efficacy of ozonation, copper-silver ionization and increased temperature in controlling Legionella spp. in the hot water distribution networks of a university hospital was evaluated. Two separate water distribution networks were studied; network 1 which supplies the surgical intensive care units, and network 2 which supplies the medical intensive care units and the emergency room. Network 1 has been disinfected by ozonation since 1995, and network 2 has been disinfected by ionisation since 1999. The hot water temperature was increased from 50 to 65 degrees C in 1998 and 2000 in networks 1 and 2, respectively. Water samples and swabs of the water outlets were cultured for Legionella spp. between four and six times each year, providing data before and after implementation of the disinfection procedures. There was no significant difference in the proportion of samples positive for Legionella spp. after ozonation in network 1 or after ionization in network 2. In both networks, there was a significant reduction in legionella isolates after increasing the hot water temperature to 65 degrees C. Maintaining the hot water temperature above 50 degrees C throughout both networks proved to be the most effective control measure in our hospital.
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PMID:Water disinfection with ozone, copper and silver ions, and temperature increase to control Legionella: seven years of experience in a university teaching hospital. 1621 60

In the alpha-, beta- and gamma-Proteobacteria, the so-called cytochrome c maturation (Ccm) system is known to promote the covalent attachment of the haem to periplasmic apocytochrome c. However, in species of Pseudomonas, Rhizobium, Paracoccus and Legionella, mutations in ccm genes result in phenotypes that cannot be readily explained by the simple loss of a c-type cytochrome. These phenotypes include loss of siderophore production and utilization, reduced abilities to grow in low-iron conditions and in mammalian and protozoan host cells, and alterations in copper sensitivity and manganese oxidation. These various data suggest that Ccm proteins may perform one or more functions in addition to Ccm, which are critical for bacterial physiology and growth. Novel hypotheses that should be explored include the utilization of Ccm-associated haem for processes besides attachment to apocytochrome c, the export of a non-haem compound through the Ccm system, and the negative effects of protoporphyrin IX accumulation.
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PMID:Impact of the bacterial type I cytochrome c maturation system on different biological processes. 1591 94

Legionella pneumophila was grown in a model warm water system with pipes of copper (Cu), stainless steel (SS) and cross-linked polyethylene (PEX) during recirculation of tap water at 25--35 degrees C. Subsequently, domestic use of warm (37 degrees C) water was simulated using tap water with a low AOC concentration (<10 microg C/L). Two times each week the temperature of the water in the electric heaters (not in the pipes) was elevated to 70 degrees C for 30 min. ATP concentrations in the water sampled from the pipes over a 2-year period were significantly different for the pipe materials, with median values of 2.1 ng/l (Cu), 2.5 ng/l (SS) and 4.5 ng/l (PEX), respectively. Median values of the biofilm concentration were similar on Cu and SS (about 630 pg ATP/cm(2)) and 1870 pg ATP/cm(2) on PEX. Legionella multiplied in these biofilms and median values of Legionella concentrations in water were 1500 CFU/l (Cu) and about 4300 CFU/l for SS and PEX. Legionella to ATP ratios in water had median values of about 0.8 CFU/pg. Hot water flushing (70 degrees C) of the pipes on day 552, followed by 2 weeks of recirculation at 37 degrees C, caused strongly increased concentrations of ATP (up to 300 ng/l) and Legionella (>10(7)CFU/l), with about 100 CFU/pg ATP. Concentrations declined to original levels within 1 week of domestic water use, etc. Legionella concentrations in water and biofilms were at the same levels for all materials after 2 years. Hence, copper temporarily limited the growth of Legionella under the applied conditions and a rapid biomass development strongly increased the Legionella to ATP ratio.
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PMID:Biofilm formation and multiplication of Legionella in a model warm water system with pipes of copper, stainless steel and cross-linked polyethylene. 1601 51

The aim of this study was to compare the efficiency of different disinfectants applicable to Legionella control in domestic water systems. A domestic water supply simulation unit that allowed simulation of real-world conditions was developed for this purpose. The system, consisting of seven identical rigs, was used to compare treatment efficiency under equivalent conditions of system design, materials, hydraulics, water quality, temperature and initial contamination. During the study, each of six loops received continuous application of one of the following disinfectants: chlorine, electro-chlorination, chlorine dioxide, monochloramine, ozone, or copper/silver. The seventh loop was used as a control and remained untreated. Performance evaluation of these disinfectants was based on their ability to reduce not only Legionella, but also protozoa and biofilms, which contribute to the establishment and dissemination of these bacteria in water systems, and their resistance to treatments. Regarding these criteria, chlorine dioxide and chlorine (as bleach or obtained by electro-chlorination) were the most effective treatments in this study. However, in comparison with chlorine, chlorine dioxide showed a longer residual activity in the system, which constituted an advantage in the perspective of an application to extensive pipework systems.
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PMID:Comparison of disinfectants for biofilm, protozoa and Legionella control. 1645 47

We evaluated the impact of the copper-silver ionization system in a hospital where hyperendemic nosocomial legionellosis and was present and all previous disinfection measures had failed. After implementation of the copper-silver ionization system, environmental colonization with Legionella species decreased significantly, and the incidence of nosocomial legionellosis decreased dramatically, from 2.45 to 0.18 cases per 1000 patient discharges.
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PMID:Hospital-acquired legionnaires disease in a university hospital: impact of the copper-silver ionization system. 1755 18

The property of Legionella pneumophila entering into a viable but noncultivable (VBNC) state under drinking water conditions (50 mL, pH 7.0, and 25 degrees C) and the intracellular resuscitation in Acanthamoeba polyphage cells were investigated. Then, the survival profiles of L. pneumophila residing in the planktonic phase and the endosymbiosis phase against antimicrobial silver and copper reagents were differentially compared with the case of Pseudomonas aeruginosa. The number of L. pneumophila in a cultivable state was rapidly reduced to below the detection limit (5.0 log reduction) within 30 days of incubation in synthetic drinking water, while the number of L. pneumophila in a viable state varied in only 0.1 log reduction during the same period, and the levels were sustained constantly for 190 days; in contrast, P. aeruginosa multiplied even in drinking water and continuously maintained its cultivability and viabilityfor 190 days. Distinctively, the numbers of E. coli in both cultivable and viable states were simultaneously diminished as 3.0 log and 1.6 log reduction. The cultivability of L. pneumophila in the VBNC state was recovered and started to multiply after coincubation with A. polyphage in the same environment (initial population of inoculated amoeba was adjusted as 1.0 x 10(5) amoeba/ mL), and P. aeruginosa also multiplied in amoeba cells. Finally, the populations of L. pneumophila in the planktonic phase after 10 days coincubation were detected at 1.7 x 10(7) CFU/mL, and this population was considered to have originated from the release of bacteria residing inside amoeba caused by the destruction of amoeba cells. Bacteria in the planktonic phase that were exposed to silver and copper were completely inactivated (more than 7 log reduction) within 30 min, while bacteria in the endosymbiosis phase showed much higher resistance against the exposure to the same concentrations of silver and copper. L. pneumophila and P. aeruginosa in A. polyphage cells survived to levels of 5.6 x 10(1) and 1.1 x 10(1) CFU/mL at the silver exposure (0.1 mgAg/L) and 7.3 x 10(3) and 6.1 x 10(4) CFU/ mL at the copper exposure (1.0 mgCu/L), respectively, after 7 days.
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PMID:Effect of intracellular resuscitation of Legionella pneumophila in Acanthamoeba polyphage cells on the antimicrobial properties of silver and copper. 1718 Oct

A total of 452 samples from hot water systems of randomly selected single family residences in the suburbs of two German cities were analysed for the occurrence of Legionella. Technical data were documented using a standardized questionnaire to evaluate possible factors promoting the growth of the bacterium in these small plumbing systems. All houses were supplied with treated groundwater from public water works. Drinking water quality was within the limits specified in the German regulations for drinking water and the water was not chlorinated. The results showed that plumbing systems in private houses that provided hot water from instantaneous water heaters were free of Legionella compared with a prevalence of 12% in houses with storage tanks and recirculating hot water where maximum counts of Legionella reached 100,000 CFU/100ml. The presence of L. pneumophila accounted for 93.9% of all Legionella positive specimens of which 71.8% belonged to serogroup 1. The volume of the storage tank, interrupting circulation for several hours daily and intermittently raising hot water temperatures to >60 degrees C had no influence on Legionella counts. Plumbing systems with copper pipes were more frequently contaminated than those made of synthetic materials or galvanized steel. An inhibitory effect due to copper was not present. Newly constructed systems (<2 years) were not colonized. The type of hot water preparation had a marked influence. More than 50% of all houses using district heating systems were colonized by Legionella. Their significantly lower hot water temperature is thought to be the key factor leading to intensified growth of Legionella. Although hot water systems using solar energy to supplement conventional hot water supplies operate at temperatures 3 degrees C lower than conventional systems, this technique does not seem to promote proliferation of the bacterium. Our data show convincingly that the temperature of the hot water is probably the most important or perhaps the only determinant factor for multiplication of Legionella. Water with a temperature below 46 degrees C was most frequently colonized and contained the highest concentrations of legionellae. It is evident that the same factors affecting colonization by Legionella in large buildings also exist in small residential water systems. If temperatures are low there is no difference between large and small systems and Legionella counts are high in both. Since private residences are an important source of community-acquired legionellosis, these findings emphasize the need for preventive control measures in small residential buildings. In some situations it may be necessary to install filtration devices at the point-of-use.
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PMID:Occurrence of Legionella in hot water systems of single-family residences in suburbs of two German cities with special reference to solar and district heating. 1740 22

Copper and silver ionization is a well-recognized disinfection method to control Legionella species in water distribution systems in hospitals. These systems may also serve as a potential indoor reservoir for fungi. The prevalence of fungi was significantly lower in ionized than in nonionized water samples from health care facilities. The clinical consequences of this finding require further investigation.
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PMID:Impact of copper and silver ionization on fungal colonization of the water supply in health care centers: implications for immunocompromised patients. 1755 6

In this study, silver cations dissolved as silver nitrate at various concentrations were exposed to Legionella pneumophila, Pseudomonas aeruginosa, and Escherichia coli to quantitatively estimate the bactericidal ability of silver. Observed data were analyzed using a newly developed model (Cs x T) that introduced a specific amount of chemisorbed silver onto a bacterial cell (Cs), which represented the chemisorption properties of silver on the bacterial cell body. Silver cations were rapidly chemisorbed onto bacterial cells after injection into samples, and Cs values (initial concentration of silver was 0.1 mg Ag/l) were calculated as 1.810 x 10(-6) (L. pneumophila), 1.102 x 10(-6) (P. aeruginosa), and 1.638 x 10(-6) microg Ag/cell(i) (E. coli) after incubation for 8 h. During that time, the three tested bacteria were completely inactivated under the detection limit (>7.2 log reduction). Based on the calculated Cs values, bacterial tolerance against silver was estimated by using the equation (Cs x T) multiplying the Cs values with exposure time (T). The Cs x T values well represented the bactericidal abilities of silver against the tested bacteria. The demanded Cs x T values to accomplish a 1 log inactivation (90% reduction) of L. pneumophila, P. aeruginosa, and E. coli (the initial numbers of bacteria were 1.5 x 10(7) CFU/ml, approximately) were estimated as 2.44 x 10(-6), 0.63 x 10(-6), and 0.46 x 10(-6) microgh/cell(i) of silver. The values were significantly reduced to 1.54 x 10(-6), 0.31 x 10(-6), and 0.25 x 10(-6) microgh/cell(i), respectively, with simultaneous injection of silver and copper. This study shows the successful quantitative estimation of the bactericidal ability of silver by applying the newly developed model (Cs x T). Among the tested bacteria, L. pneumophila showed the strongest tolerance to exposure of the same concentration of silver.
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PMID:Inactivation of Legionella pneumophila and Pseudomonas aeruginosa: evaluation of the bactericidal ability of silver cations. 1760 86

Pseudomonas aeruginosa, Stenotrophomonas maltophilia and Acinetobacter baumannii are major opportunistic waterborne pathogens causing hospital-acquired infections. Copper-silver ionization has been shown to be effective in controlling Legionella colonization in hospital water systems. The objective was to determine the efficacy of copper and silver ions alone and in combination in eradicating P. aeruginosa, S. maltophilia and A. baumannii at the concentration applied to Legionella control. Kill curve experiments and mathematical modeling were conducted at copper and silver ion concentrations of 0.1, 0.2, 0.4, 0.8 and 0.01, 0.02, 0.04, 0.08 mg/L, respectively. The combinations of copper and silver ions were tested at concentrations of 0.2/0.02 and 0.4/0.04 mg/L, respectively. Initial organism concentration was ca. of 3 x 10(6)cfu/mL, and viability of the test organisms was assessed at predetermined time intervals. Samples (0.1 mL) withdrawn were mixed with 10 microL neutralizer solution immediately, serially diluted and plated in duplicate onto blood agar plates. The culture plates were incubated for 48 h at 37 degrees C and enumerated for the cfu (detection limit 10 cfu/mL). The results showed all copper ion concentrations tested (0.1-0.8 mg/L) achieved more than 99.999% reduction of P. aeruginosa which appears to be more susceptible to copper ions than S. maltophilia and A. baumannii. Silver ions concentration of 0.08 mg/L achieved more than 99.999% reduction of P. aeruginosa, S. maltophilia and A. baumannii in 6, 12 and 96 h, respectively. Combination of copper and silver ions exhibited a synergistic effect against P. aeruginosa and A. baumannii while the combination exhibited an antagonistic effect against S. maltophilia. Ionization may have a potential to eradicate P. aeruginosa, S. maltophilia and A. baumannii from hospital water systems.
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PMID:In vitro efficacy of copper and silver ions in eradicating Pseudomonas aeruginosa, Stenotrophomonas maltophilia and Acinetobacter baumannii: implications for on-site disinfection for hospital infection control. 1765 12


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