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Evaluation of standardized scored inspections for Legionnaires' disease prevention, during the Athens 2004 Olympics

dc.creatorHadjichristodoulou, Chen
dc.creatorGoutziana, G.en
dc.creatorMouchtouri, V.en
dc.creatorKapoula, Chen
dc.creatorKonstantinidis, A.en
dc.creatorVelonakis, E.en
dc.creatorVatopoulos, A.en
dc.creatorKremastinou, J.en
dc.date.accessioned2015-11-23T10:29:19Z
dc.date.available2015-11-23T10:29:19Z
dc.date.issued2006
dc.identifier10.1017/S0950268806006042
dc.identifier.issn9502688
dc.identifier.urihttp://hdl.handle.net/11615/28256
dc.description.abstractThe study was designed to determine the contribution of standardized scored inspections implemented during the Athens 2004 Pre-Olympic and Olympic period, in assessing the presence of Legionella spp. in water sites. Inspection grading scores of 477 water supply systems, 127 cooling towers and 134 decorative fountains were associated with the corresponding microbiological test results of 2514 samples for Legionella spp. Nine violations of water supply systems and nine of cooling towers significantly associated with positive microbiological test results, and four violations of water supply systems and one of cooling towers were among those designated as 'critical' water safety hazards in the inspection reports. The study documents a strong correlation [water supply systems (RR 1·92), cooling towers (RR 1·94)] between unsatisfactory inspection scoring results and Legionella-positive microbiological test results (in excess of 10000 c.f.u./l) and suggests the utility of inspection scoring systems in predicting Legionella proliferation of water systems and in preventing Legionnaires' disease. © 2006 Cambridge University Press.en
dc.source.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-33748351209&partnerID=40&md5=8bc537e2a7260fc049e5c5f6426d022a
dc.subjectarticleen
dc.subjectbacterium contaminationen
dc.subjectcontrolled studyen
dc.subjectcooling toweren
dc.subjectcorrelation analysisen
dc.subjectGreeceen
dc.subjecthazard assessmenten
dc.subjectLegionella pneumophilaen
dc.subjectlegionnaire diseaseen
dc.subjectmicrobiological examinationen
dc.subjectnonhumanen
dc.subjectpredictionen
dc.subjectprophylaxisen
dc.subjectsafetyen
dc.subjectscoring systemen
dc.subjectstandardizationen
dc.subjectwater analysisen
dc.subjectwater contaminationen
dc.subjectwater qualityen
dc.subjectwater supplyen
dc.subjectwater treatmenten
dc.subjectAir Conditioningen
dc.subjectAnalysis of Varianceen
dc.subjectChi-Square Distributionen
dc.subjectDisease Outbreaksen
dc.subjectFemaleen
dc.subjectHousingen
dc.subjectHumansen
dc.subjectLegionnaires' Diseaseen
dc.subjectMaleen
dc.subjectROC Curveen
dc.subjectSportsen
dc.subjectWater Microbiologyen
dc.titleEvaluation of standardized scored inspections for Legionnaires' disease prevention, during the Athens 2004 Olympicsen
dc.typejournalArticleen


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