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- W1991796392 abstract "<h3>To the Editor.</h3> —The report by the Centers for Disease Control and Prevention (CDC) on transmission of nosocomial legionnaires disease<sup>1</sup>documents failure to eradicate<i>Legionella</i>organisms from the water distribution systems of 2 hospitals despite the use of hyperchlorination, thermal disinfection, and/ or metal ionization. The efficacy of these decontamination methods can be compromised by a variety of factors. The duration of thermal decontamination (160°F/71°C at the tap) used in hospital Y was only 5 minutes. The original report on the use of this method specified a 30-minute flush at the tap.<sup>2</sup>Thus, failure to maintain the elevated temperature for a sufficient period undoubtedly contributed to this failure to eradicate<i>Legionella</i>. In fact, when one California hospital applied thermal eradication with a flush time of 5 minutes, as recommended by the CDC, distal site colonization by<i>Legionella</i>organisms was unaffected. When the process was repeated using a 30-minute flush" @default.
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- W1991796392 date "1997-11-05" @default.
- W1991796392 modified "2023-10-14" @default.
- W1991796392 title "Eradicating Legionella From Hospital Water" @default.
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- W1991796392 doi "https://doi.org/10.1001/jama.1997.03550170034024" @default.
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