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Development of a standardized subgrouping scheme for Legionella pneumophila serogroup 1 using monoclonal antibodies.

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TLDR
A panel of monoclonal antibodies to Legionella pneumophila serogroup 1 and a subclassification scheme were developed in a collaborative project among three laboratories and a standard protocol for the indirect fluorescent antibody procedure was developed.
Abstract
A panel of monoclonal antibodies to Legionella pneumophila serogroup 1 and a subclassification scheme were developed in a collaborative project among three laboratories. The seven most useful monoclonal antibodies were selected from three previously developed panels on the basis of indirect fluorescent antibody patterns with 83 strains of L. pneumophila serogroup 1 that were obtained from widely distributed geographic locations. The isolates were divided into 10 major subgroups on the basis of reactivity patterns that can be readily reproduced in any laboratory and are not subject to major inconsistencies of interpretation of staining intensity. A standard protocol for the indirect fluorescent antibody procedure was also developed.

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Legionella and Legionnaires' Disease: 25 Years of Investigation

TL;DR: There is optimism that newly developed guidelines and water treatment practices can greatly reduce the incidence of this preventable illness, and there is a critical need for surveillance for travel-related legionellosis in the United States.

Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)

TL;DR: This report reviews previous guidelines and strategies for preventing environment-associated infections in health-care facilities and offers recommendations, including evidence-based recommendations supported by studies and experienced opinions based upon infection-control and engineering practices.
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Guidelines for Preventing Health-Care-- Associated Pneumonia, 2003 Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee

TL;DR: The new guidelines are designed to reduce the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health-care settings (e.g., ambulatory and longterm care institutions) and other facilities where health care is provided.
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Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC).

TL;DR: A review of previous guidelines and strategies for preventing environment-associated infections in health-care facilities and offers recommendations can be found in this article, where the authors suggest a series of performance measurements as a means to evaluate infection-control efforts.

Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee

TL;DR: The new guidelines are designed to reduce the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health-care settings (e.g., ambulatory and long-term care institutions) and other facilities where health care is provided.
References
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Journal ArticleDOI

Legionnaires' Disease: Description of an Epidemic of Pneumonia

TL;DR: An explosive, common-source outbreak of pneumonia caused by a previously unrecognized bacterium affected primarily persons attending an American Legion convention in Philadelphia in July, 1976, killing 29 people, and epidemiologic analysis suggested that exposure may have occurred in the lobby of the headquarters hotel or in the area immediately surrounding the hotel.
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Legionnaires' disease: isolation of a bacterium and demonstration of its role in other respiratory disease.

TL;DR: It is concluded that Legionnaires' disease is caused by a gram-negative bacterium that may be responsible for widespread infection.
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Ecological distribution of Legionella pneumophila.

TL;DR: The data suggest that Legionella pneumophila is part of the natural aquatic environment and that the bacterium is capable of surviving extreme ranges of environmental conditions, and demonstrate the effectiveness of the direct fluorescent-antibody technique for detecting L. pneumophILA in natural aquatic systems.
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An outbreak of Legionnaires' disease associated with a contaminated air-conditioning cooling tower

TL;DR: A significant association was demonstrated between acquisition of Legionnaires' disease and prior hospitalization in those areas of Hospital A that received ventilating air from air intakes near the auxiliary cooling tower.
Journal ArticleDOI

Legionnaires' disease in a transplant unit: isolation of the causative agent from shower baths.

TL;DR: Patients in a transplant unit diagnosed in two patients having occupied the same postoperative cubicle shortly before onset of their illnesses had Legionnaires' disease, and water taken from the cubicle shower bath and from other showers in the unit was treated with chlorine.
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