Legionnaires disease associated with a whirlpool spa display - Virginia, September-October 1996

Article Abstract:

Whirlpool spas may become contaminated with Legionella, the bacterium that causes Legionnaire's disease. In Oct, 1996, the Virginia Department of Health was notified of several cases of Legionnaire's disease at 2 hospitals. An investigation by the CDC uncovered 23 cases. A detailed analysis of 15 of those cases revealed that 14 of the patients had visited a home improvement center that had a whirlpool spa on display. In two cases, the bacterium isolated from sputum samples matched a Legionella species found in the filter of one of the spas. The patients were probably exposed as they walked by the spa.

Causes of, Health clubs, Contamination, Whirlpools

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Legionnaires disease associated with potable water in a hotel-ocean city, Maryland, October 2003-February 2004

Article Abstract:

Eight cases of Legionnaires disease (LD) were identified in October 2003-Feburary 2004 among guests at a hotel in Ocean City, Maryland, implying the potable hot water system of the hotel as the most likely source of infection. A confirmed case of LD was defined as radiographically confirmed pneumonia with laboratory evidence of Legionella infection in a resident or visitor to Ocean City during October 2003-February 2004, whose illness began within 10 days of time spent in Ocean City.

Drinking water, Legionellosis

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Use of gastric acid-suppressive agents and the risk of community-acquired Clostridium difficile-associated disease

Article Abstract:

Two population-based case-control studies were conducted to assess whether the use of gastric acid-suppressive agents is associated with increased risk of Clostridium difficile-associated disease (CDAD) in the community. The findings suggested that prescribed use of gastric acid-suppressive therapy, particularly proton pump inhibitor, is associated with an increased risk of community-acquired Clostridium difficile.

Pharmaceutical Preparation Manufacturing, Digestive & Genito-Urinary Preps, Usage, Proton pump inhibitors, Gastrointestinal agents, Clostridium difficile

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