Prevalence of legionella waterline contamination and Legionella pneumophila antibodies in general dental practitioners in London and rural Northern Ireland

British Dental Journal

Volumn 195, Issue 10, 2003, Pages 591-594

  Pankhurst, C L ^a   Coulter, W ^b   Philpott Howard, J J ^c   Harrison, T ^d   Warburton, F ^e   Platt, S ^d   Surman, S ^d   Challacombe, S ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b QUEEN'S UNIVERSITY BELFAST   (United Kingdom)

^c South London PHL ^*  (United Kingdom)

^d CENTRAL PUBLIC HEALTH LABORATORY   (United Kingdom)

^e PUBLIC HEALTH ENGLAND   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

BACTERIUM ANTIBODY; TAP WATER; WATER;

ARTICLE; BACTERIUM ISOLATION; BLOOD SAMPLING; COHORT ANALYSIS; CONTROLLED STUDY; DENTAL SURGERY; DENTIST; GENERAL PRACTITIONER; HUMAN; IRELAND; LEGIONELLA PNEUMOPHILA; NONHUMAN; PREVALENCE; SEROLOGY; UNITED KINGDOM; WATER CONTAMINATION; WATER SAMPLING; BLOOD; CHI SQUARE DISTRIBUTION; DENTAL EQUIPMENT; HEALTH; IMMUNOLOGY; ISOLATION AND PURIFICATION; LEGIONELLA; MICROBIOLOGY; OCCUPATIONAL EXPOSURE; RISK ASSESSMENT; WATER SUPPLY;

ANTIBODIES, BACTERIAL; CHI-SQUARE DISTRIBUTION; COHORT STUDIES; DENTAL EQUIPMENT; DENTISTS; HUMANS; LEGIONELLA; LEGIONELLA PNEUMOPHILA; LONDON; NORTHERN IRELAND; OCCUPATIONAL EXPOSURE; RISK ASSESSMENT; RURAL HEALTH; URBAN HEALTH; WATER MICROBIOLOGY; WATER SUPPLY;

EID: 1542389547     PISSN: 00070610     EISSN: None     Source Type: Journal    
DOI: 10.1038/sj.bdj.4810735     Document Type: Article

References (25)

1. Pankhurst C L, Johnson N W, Woods R G. Microbial contamination of dental unit waterlines: the scientific argument. Int Dent J 1998; 48: 359-368.
2. Shearer B G. Biofilm and the dental office. J Am Dent Assoc 1996; 127: 181-189.
3. Mills S E. The dental unit waterline controversy: defusing the myths, defining the solutions. J Am Dent Assoc 2000; 131: 1427-1441.
4. Wadowsky R M, Wolford R, McNamara A M, Yee R B. Effect of temperature, pH and oxygen level on the multiplication of naturally occurring Legionella pneumophila in potable water. Appl Environ Microbiol 1985; 48: 1197-1205.
5. Ciesielski C A, Blaser M J, Wang W L. Role of stagnation and obstruction of water flow in isolation of Legionella pneumophila from hospital plumbing. Appl Environ Microbiol 1985; 48: 984-987.
6. King C H, Shotts E B, Wooley R E, Porter K G. Survival of coliforms and bacterial pathogens within protozoa during chlorination. Appl Environ Microbiol 1988; 54: 3023-3033.
7. Pankhurst C L, Phillpott-Howard J N, Hewitt J H, Casewell M W. The efficacy of chlorination and filtration in the control and eradication of Legionella from dental chair water systems. J Hosp Infect 1990; 16: 9-18.
8. Joseph C A. Surveillance of Legionnaires' disease in Europe. In Marre R. (Ed) Legionella. Washington: ASM, 2002 pp 311-317.
9. Health and Safety Commission (2000). Legionnaires' disease. The control of legionella bacteria in water systems. Approved Code of Practice and Guidance. Third Edition. London: HMSO.
10. Marston B J, Lipman H, Brelman R F. Surveillance for Legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994; 154: 2417-2422.
11. Reinthaler F F, Mascher F, Stunzer D. Serological examination for antibodies against Legionella species in dental personnel. J Dent Res 1988; 67: 942-942.
12. Fotos P G, Westfall H N, Synder I S, Miller R W, Mutchler B M. Prevalence of Legionella-specific IgG and IgM antibody in a dental clinic population. J Dent Res 1985; 64: 1382-1385.
13. Atlas R M, Williams J F, Huntingdon M K. Legionella contamination of dental-unit water. Appl Environ Microbiol 1995; 61: 1208-1213.
14. Walker J T, Bradshaw D J, Bennett A M Fulford M R, Martin M V, Marsh P D. Microbial biofilm formation and contamination of dental-unit water systems in general practice. Appl Environ Microbiol 2000; 66: 3363-3367.
15. Zanetti F, Stampi S, De Luca G, Fatch-Moghdam P, Antonietta M, Sabattini B, Checchi L. Water characteristics associated with the occurrence of Legionella pneumophila in dental units. Europ J Oral Sci 2000; 108: 22-28.
16. Challacombe S J, Fernandes L L. Detecting Legionella pneumophila in water systems: a comparison of various dental units. J Am Dent Assoc 1995; 126: 603-608.
17. Detection and enumeration of Legionella organisms in water and related materials. British Standard Institute DD211, 1992.
18. Harrison T G, Taylor A G. Identification of legionellae by serological methods. In Harrison T G, Taylor A G (Eds). A laboratory manual for legionella. Chichester: J. Wiley & Sons 1988, pp 57-68.
19. Harrison T G, Taylor A G. Demonstration of legionellae in clinical specimens. In Harrison T G, Taylor A G (Eds). A laboratory manual for legionella. Chichester: J. Wiley & Sons 1988, pp 103-112.
20. Rangel-Frausto M S, Rhomberg P, Mollis R J, Pfaller M A, Wenzel R P, Helms C M, Herwaldt L A. Persistence of Legionella pneumophila in a hospital water system: a 13-year survey. Infect Cont Hosp Epidemiol 1999; 20: 793-797.
21. Mauchline W S, James B W, Fitzgeorge R B, Dennis P J, Keevil C W. Growth temperature reversibly modulates the virulence of Legionella pneumophila. Infect Immunol 1994; 62: 2995-2997.
22. Zacheous O M, Martikainen P J. Occurrence of Legionella in hot water distribution systems of Finnish apartment buildings. Can J Microbiol 1994; 40: 993-999.
23. Oppenheim B A, Sefton A M, Gill O N, Tyler J E, O'Mahony M C, Richards P J L, Harrison T G. Widespread Legionella pneumophila contamination of dental stations in a dental school without apparent human infection. Epidemiol Infect 1987; 99: 159-166.
24. Bartlett C L, Bibby L F. Epidemic Legionellosis in England and Wales. Zentrablatt Bak Mikrobiol Hyg 1983; 255: 64-70.
25. Pankhurst C L. British Dental Association Fact File- Contaminated dental unit waterlines. July 2000. www.bda.org.