Legionnaires Disease Surveillance in US Department of Veterans Affairs Medical Facilities and Assessment of Health Care Facility Association | Zendy

Shantini D. Gamage | Zendy; Meredith Ambrose | Zendy; Stephen M. Kralovic | Zendy; Loretta A. Simbartl | Zendy; Gary A. Roselle | Zendy

Open Access

Legionnaires Disease Surveillance in US Department of Veterans Affairs Medical Facilities and Assessment of Health Care Facility Association

Author(s) -

Shantini D. Gamage,

Meredith Ambrose,

Stephen M. Kralovic,

Loretta A. Simbartl,

Gary A. Roselle

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.0230

Subject(s) - medicine , veterans affairs , legionella , population , emergency medicine , retrospective cohort study , incidence (geometry) , health care , environmental health , ambulatory care , cohort study , economics , biology , economic growth , genetics , physics , bacteria , optics

Key Points Question What is the Legionnaires disease burden in the US Department of Veterans Affairs medical facilities, a health care system that has prioritized Legionnaires disease prevention with policy? Findings In this cohort study, the number of Legionnaires disease cases was low (n = 491) and 91% of cases had no VA exposure or only outpatient VA exposure. Total rates of Legionnaires disease significantly increased from 2014 to 2016, but rates in cases with overnight health care system exposure significantly decreased. Meaning Although total Legionnaires disease rates increased, health care system–associated (overnight stay) rates decreased significantly, suggesting that prevention efforts may have contributed to improved patient safety in these settings.

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