Elimination of <i>Legionella</i> colonization in a hospital water system: evidence from 23 years of chlorine dioxide use
A hospital water system colonized with <i>Legionella</i> bacteria (three of four buildings, with > 50% of positive samples) was able to reduce detections to <1% positivity in the long term only after ClO<sub>2</sub> was iteratively added first to the cold-water and then hot-water systems followed by pipe replacements (n = 6835 total samples).
Authors
- Clare Rock (ORCID: https://orcid.org/0000-0001-6502-8096)
- Kellogg J. Schwab (ORCID: https://orcid.org/0000-0002-4966-8517)
- Melanie S. Curless
- Lisa L. Maragakis (ORCID: https://orcid.org/0000-0003-0272-1939)
- Lindsay Avolio (ORCID: https://orcid.org/0000-0002-5484-567X)
- Natalie G. Exum (ORCID: https://orcid.org/0000-0002-8374-4034)
- Gregory Bova
Institutions
- Johns Hopkins University (US)
- Trinity College Dublin (IE)
- Johns Hopkins Medicine (US)
- Health Service Executive (IE)
- Johns Hopkins Hospital (US)
- National Patient Safety Foundation (US)
Publication Details
- Journal
- Infection Control and Hospital Epidemiology
- Published
- 2025-02-24
- DOI
- https://doi.org/10.1017/ice.2025.25
- Primary Topic
- Legionella and Acanthamoeba research
- Type
- article
- Field-Weighted Citation Impact
- 0.00