RESUMO
We describe an outbreak of Legionnaires' disease in 2006 in Amsterdam, the Netherlands. Comparisons with the outbreak that took place in 1999 are made to evaluate changes in legionella prevention and outbreak management. The 2006 outbreak was caused by a wet cooling tower. Thirty-one patients were reported. The outbreak was detected two days after the first patient was admitted to hospital, and the source was eliminated five days later. The 1999 outbreak was caused by a whirlpool at a flower show, and 188 patients were reported. This outbreak was detected 14 days after the first patient was admitted to hospital, and two days later the source was traced. Since 1999, the awareness of legionellosis among physicians, the availability of a urinary antigen tests and more efficient early warning and communication systems improved the efficiency of legionellosis outbreak management. For prevention, extensive legislation with clear responsibilities has been put in place. For wet cooling towers, however, legislation regarding responsibility and supervision of maintenance needs to be improved.
Assuntos
Surtos de Doenças , Doença dos Legionários/epidemiologia , Doença dos Legionários/prevenção & controle , Ar Condicionado/instrumentação , Ar Condicionado/legislação & jurisprudência , Antígenos de Bactérias/análise , Antígenos de Bactérias/urina , Impressões Digitais de DNA , Notificação de Doenças , Surtos de Doenças/legislação & jurisprudência , Surtos de Doenças/prevenção & controle , Humanos , Legionelose/urina , Doença dos Legionários/diagnóstico , Doença dos Legionários/genética , Países Baixos/epidemiologiaRESUMO
Tattooing, body piercing and permanent makeup are increasing in popularity. Here, we describe the procedures involved in these practices, their risks, the content of guidelines developed by the Municipal Health Service in Amsterdam (the Netherlands) to reduce infection risks, the legislation in the city of Amsterdam, and results of monitoring in tattoo and piercing studios.
Assuntos
Piercing Corporal , Técnicas Cosméticas , Monitoramento Ambiental , Guias como Assunto , Higiene , Controle de Infecções/métodos , Legislação como Assunto , Tatuagem , Humanos , Controle de Infecções/legislação & jurisprudência , Países Baixos , Administração em Saúde PúblicaRESUMO
Tattooing, body piercing and permanent makeup are increasing in popularity. Here, we describe the procedures involved in these practices, their risks, the content of guidelines developed by the Municipal Health Service in Amsterdam (the Netherlands) to reduce infection risks, the legislation in the city of Amsterdam, and results of monitoring in tattoo and piercing studios.
RESUMO
The regulation of and the optimum conditions for polyphosphate accumulation in Acinetobacter sp. were determined. Acinetobacter strain 210A accumulated polyphosphate in the presence of an intra- or extracellular energy source. The accumulation of polyphosphate during endogenous respiration was stimulated by streptomycin and inhibited by KCN. The highest amount of polyphosphate was found in cells in which energy supply was not limited, namely at low growth rates under sulphur limitation, and in the stationary phase of growth when either the nitrogen or the sulphur source was depleted. The phosphorus accumulation was not affected by the pH between 6.5 and 9. There was a pronounced effect of the temperature on phosphorus accumulation but is varied from strain to strain. Acinetobacter strain 210A accumulated more phosphate at low temperatures, strain B8 showed an optimum accumulation at 27.5 degrees C, while strain P accumulated phosphorus independently of the temperature. The optimum temperature for growth of Acinetobacter strains tested ranged from 25 to 33 degrees C, and the optimum pH was between 6 and 9.