title: Monochloramine use for prevention of Legionella in hospital water systems.
abstract: Eradication of Legionella species from water distribution systems especially in hospital settings has proven to be challenging. Legionella species causes Legionnaire's disease that is a potentially fatal respiratory disease often acquired through the aerosolization of contaminated water. Monochloramine has been used successfully in the municipal water systems to eradicate Legionella and there is currently limited data to support its use in the hospital setting. This technology appears to be affordable, safe and effective at penetrating biofilm in water distribution systems.
authors: Division of Infectious Diseases, Emory University Hospital, 550 Peachtree St, MOT 7th Floor, Atlanta, GA 30308, USA. sheetal.kandiah@emory.edu.
authors: Sheetal
authors: S
authors: Kandiah
authors: Mohamed H
authors: MH
authors: Yassin
authors: Janet
authors: J
authors: Stout
mesh_terms: D018441:Biofilms / Q000187:drug effects; D002700:Chloramines / Q000009:adverse effects / Q000494:pharmacology*; D004202:Disinfectants / Q000009:adverse effects / Q000494:pharmacology*; D006761:Hospitals; D006801:Humans; D017053:Infection Control; D007875:Legionella / Q000187:drug effects* / Q000254:growth & development / Q000502:physiology; D007876:Legionellosis / Q000382:microbiology / Q000517:prevention & control*; D050296:Microbial Viability / Q000187:drug effects; D014504:Urban Health; D018508:Water Purification; D014881:Water Supply
chemical_list: D002700:Chloramines; D004202:Disinfectants; C030816:chloramine