Evidence map›Paper›PMID 38834949›Full record

ArticleBMC public health2024

Adherence to Legionella control regulations and guidelines in Norwegian nursing homes: a cross-sectional survey.

Anders Bekkelund, Line Ødegård Angeloff, Ettore Amato, Susanne Hyllestad

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anders BekkelundDepartment of Zoonotic, Food- and Waterborne Infections, Norwegian Institute of Public Health, Oslo, P.O. box 222, Norway.
Line Ødegård AngeloffDepartment of Zoonotic, Food- and Waterborne Infections, Norwegian Institute of Public Health, Oslo, P.O. box 222, Norway.
Ettore AmatoDepartment of Zoonotic, Food- and Waterborne Infections, Norwegian Institute of Public Health, Oslo, P.O. box 222, Norway.
Susanne HyllestadDepartment of Zoonotic, Food- and Waterborne Infections, Norwegian Institute of Public Health, Oslo, P.O. box 222, Norway. susanne.hyllestad@fhi.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfection by Legionella bacteria is a risk to elderly individuals in health care facilities and should be managed by preventing bacterial proliferation in internal water systems. Norwegian legislation calls for a mandatory Legionella-specific risk assessment with the subsequent introduction of an adapted water management programme. The present study investigates adherence to legislation and guidelines on Legionella control and prevention in Norwegian nursing homes.

methodsA cross-sectional survey was distributed to Norwegian municipalities to investigate the status of Legionella specific risk assessments of internal water distribution systems and the introduction of water management programmes in nursing homes.

resultsA total of 55.1% (n = 228) of the participating nursing homes had performed Legionella-specific risk assessments, of which 55.3% (n = 126) stated that they had updated the risk assessment within the last year. 96.5% introduced a water management programme following a risk assessment, whereas 59.6% of the ones without a risk assessment did the same. Nursing homes with risk assessments were more likely to monitor Legionella levels than those without (61.2% vs 38.8%), to remove dead legs (44.7% vs 16.5%), and to select biocidal preventive treatment over hot water flushing (35.5% vs 4.6%).

conclusionsThis study presents novel insight into Legionella control in Norway, suggesting that adherence to mandatory risk assessment in nursing homes is moderate-low. Once performed, the risk assessment seems to be advantageous as an introduction to future Legionella prevention in terms of the scope and contents of the water management programme.

Indexed as

Guideline AdherenceNursing HomesWater MicrobiologyAgedCross-Sectional StudiesHumansLegionellaLegionellosisNorwayRisk AssessmentWater SupplyLegionellaNursing homesPreventive measuresRisk assessmentWater systems

Identifiers

PMID38834949
PMCPMC11149300

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.