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Preventing hospital-acquired Legionnaires’ disease: A snapshot of clinical practices and water management approaches in US acute-care hospitals

  • Karen M. Ehret (a1), Allison T. Chamberlain (a1), Ruth L. Berkelman (a1) and Scott K. Fridkin (a1) (a2)


In 2017, we surveyed 101 SHEA Research Network hospitals regarding Legionnaires’ disease (LD). Of 29 respondents, 94% have or are developing a water management plan with varying characteristics and personnel engaged. Most LD diagnostic testing is limited to urine antigen testing. Many opportunities to improve LD prevention and diagnosis exist.


Corresponding author

Author for correspondence: Allison T. Chamberlain PhD, 1518 Clifton Road, Atlanta, GA 30318. E-mail:


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PREVIOUS PRESENTATION: These data were presented at the SHEA Spring Conference on March 19, 2018, in Portland, Oregon.

Cite this article: Ehret KM, et al. (2018). Preventing hospital-acquired Legionnaires’ disease: A snapshot of clinical practices and water management approaches in US acute-care hospitals. Infection Control & Hospital Epidemiology 2018, 39, 1470–1472. doi: 10.1017/ice.2018.240



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1. Falkinham, JO, Hilborn, ED, Arduino, MJ, Pruden, A, Edwards, MA. Epidemiology and ecology of opportunistic premise plumbing pathogens: Legionella pneumophila, Mycobacterium avium, and Pseudomonas aeruginosa. Envir Health Perspect 2015;123:749758.
2. Soda, EA, Barskey, AE, Shah, PP, et al. Vital signs: healthcare-associated Legionnaires’ disease surveillance data from 20 states and a large metropolitan area—United States, 2015. Morb Mortal Wkly Rep 2017;66:584589.
3. American Society of Heating Refrigerating and Air-Conditioning Engineers. Standard 188-2015. Legionellosis: risk management for building water systems. Atlanta: ASHRAE; 2015, p. 8.
4. Centers for Disease Control and Prevention. Developing a water management plan to reduce Legionella growth and spread in buildings: a practical guide to implementing industry standards. Atlanta: CDC; 2016.
5. Center for Clinical Standards and Quality/Survey and Certification Group. Requirement to reduce Legionella risk in healthcare facility water systems to prevent cases and outbreaks of Legionnaires’ disease. Baltimore, MD: US Department of Health and Human Services; 2017.
6. Danila, RN, Koranteng, N, Como-Sabetti, KJ, Robinson, TJ, Laine, ES. Hospital water management programs for Legionella prevention, Minnesota, 2017. Infect Control Hosp Epidemiol 2018;39:336338.
7. Garrison, LE, Shaw, KMS, McCollum, JT, et al. On-site availability of Legionella testing in acute care hospitals, United States. Infect Control Hosp Epidemiol 2016;35:898900.
8. Formica, N,Yates, M, Beers, M, et al. The impact of diagnosis by legionella urinary antigen test on the epidemiology and outcomes of Legionnaires’ disease. Epidemiol Infect 2001;127:275280.
9. Yu, VL, Plouffe, JF, Pastoris, MC, et al. Distribution of Legionella species and serogroups isolated by culture in patients with sporadic community-acquired legionellosis: an international collaborative survey. J Infect Dis 2002;186:127128.
10. Kazandjian, D, Chiew, R, Gilbert, GL. Rapid diagnosis of Legionella pneumophila serogroup 1 infection with the Binax enzyme immunoassay urinary antigen test. J Clin Microbiol 1997;35:954956.


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