Date Sent: 06/07/2016 04:38 PM EDT
Sender: Michigan Health Alert Network
Subject: UPDATED - Water Management Planning to Reduce Risk of Legionella Transmission
In April of this year, the MDHHS shared a HAN message that included information on the first draft release of the CDC’s toolkit, “Water Management Planning to Reduce Risk of Legionella Transmission”. Today, the CDC announced the nationwide release of the formal edition of this document.
As you know, members of the healthcare community are key to recognizing and correctly diagnosing Legionnaires’ disease—both community- and healthcare-associated. CDC’s latest Vital Signs (http://www.cdc.gov/vitalsigns/legionnaires/) finds hotels, long-term care facilities, and hospitals are the most common places for Legionnaires’ disease outbreaks. Tools and information are available to help healthcare facility and hospital administrators and managers carry out Legionella water management programs based on newly published standards.
Cases of Legionnaires’ disease in the US grew by nearly 4 times from 2000 through 2014. Clinicians should be testing patients with healthcare-associated pneumonia for Legionnaires’ disease using both a urinary antigen test and a lower respiratory specimen culture. This testing is especially important if other patients have been diagnosed with Legionnaires’ disease, environmental tests are positive for Legionella, or recent changes to water quality could lead to Legionella growth in water systems and devices. Other indications that warrant testing include patients who have failed outpatient antibiotic therapy for community-acquired pneumonia, patients with severe pneumonia, immunocompromised patients with pneumonia, patients with pneumonia in the setting of a Legionnaires’ disease outbreak, and patients with a travel history within 2 weeks before the onset of illness.
Explore CDC’s new Vital Signs on preventing Legionnaires’ disease, including the latest version of the toolkit at http://www.cdc.gov/legionella/maintenance/wmp-toolkit.html. The latest version of the toolkit is also copied as “UPDATED WATER MANAGEMENT TOOLKIT in the “Alert Details” section of the MIHAN Document Library.