History
The bacterium Legionella pneumophila was first identified in this year as the etiologic agent responsible for an outbreak of severe pneumonia at a convention.
1976
This is the most common form of Legionella transmission
Inhalation of contaminated aerosols
The total number of LD cases in Region 5 for 2016
1516
With more than 56,000 members from over 132 nations, this is a diverse organization representing building system design and industrial processes professionals around the world.
ASHRAE American Society of Heating, Refrigerating and Air-Conditioning Engineers
The city and state where the first Legionella outbreak was discovered in 1976
Philadelphia, PA
These are the preferred diagnostic tests for Legionnaires' disease.
Legionella urinary antigen test and culture of lower respiratory secretions
The percentage of affected individuals in long term care facilities nationwide in (2016) compared to hospitals
19% compared to hospitals who only have 15%
According to the revised July 6, 2018 S & C memo, the surveyors expected the facility to have these in their water management plan.
1. facility wide water safety risk assessment
2. implement a WMP based on the ASHRAE and the CDC toolkit
3. Define and specify testing protocols
This is the milder, self-limiting influenza -like illness often confused as LD.
Pontiac Fever
The risk factors for developing Legionnaires' Disease.
50 years and older, smokers, individuals with underlying medical condition and chronic lung disease or immunosuppression
The state that has the highest reported cases of Legionella in 2016 for our regions (RO V and VII)
Ohio-503
This tool in addition to ASHRAE standards, is used by facilities in their WMPs
The CDC toolkit for reducing Legionella growth
The incubation period of Legionnaires' Disease
2-10 days
The following conditions promote Legionella growth
Low level of disinfectant in the water system
Stagnation
Biofilm
Temperature between 20 and 50 degrees C
Ph 5.0 and 8.5
This is the QSO 17-30 revised on 7/6/18
What is the requirement to reduce the Legionella risk in Healthcare Facility Water Systems
In addition to the CDC Toolkit this standard is also used in the facility for their WMP
The ASHRAE standard 188: Legionellosis: Risk Management for Building Water Systems June 26, 2015
This is the origin of the word Legionellosis
Convention of American Legions
Legionella is of concern when it grows and spreads in water systems such as these.
Shower heads, cooling towers, hot tubs and decorative fountains
This is a part of the Infection Control Task and not of the Emergency Preparedness Survey. TRUE OR FALSE
TRUE
At a minimum healthcare facilities must include these in their WMPs
Conducts a facility risk assessment
Develops and implement water management program that considers the ASHRAE industry standard and the CDC toolkit
Specifies testing protocols and acceptable ranges for control measures, and document the results of testing and corrective action taken when control limits are not maintained
Maintains compliance with other applicable Federal, State and Local requirements