#918: Treatment and prevention of Legionella Infection ###
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          Reporter:  rinocata1983  |        Type:  task        
            Status:  new           |    Priority:  major       
         Milestone:                |   Component:  Architecture
          Severity:  New Ticket    |    Keywords:              
Who will test this:  And           |  
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 The mortality of community-acquired Legionnaires' disease ranges from 16
 to 30 percent if untreated or treated with inactive antibiotics; the
 mortality for nosocomial Legionnaires' disease can approach 50 percent
 given the underlying condition of the individual. With the development of
 improved diagnostic methods leading to livlier and earlier diagnosis
 therapies, mortality has been reduced to less than 10 % in patients with
 community-acquired legionellosis.

 The treatment of Legionella disease is likely to be [http://www.yan588.com
 /treating-legionnairesa-disease/ human resources manager] examined here.
 The pathogenesis, epidemiology, clinical manifestations, and diagnosis of
 this entity are discussed separately.

 Vulnerability ASSESSMENT

 In since methods haven't been standardized vitro susceptibility email
 address details are not readily interpretable for Legionella. Main-stream
 in vitro susceptibility techniques in broth and agar have proven
 unreliable. For example, agar is extracted by the charcoal in buffered
 charcoal yeast used for Legionella solitude binds antibiotics, and thus,
 activity of those antibiotics against the organism is incorrectly
 decreased. Also, several commercially available antibiotics, which have
 exceptional in vitro activity against Legionella by traditional screening
 (eg, beta-lactam agents and aminoglycosides), have shown to be relatively
 ineffective in patients with Legionnaires' disease.

 The intracellular site of the virus is applicable to the efficacy of the
 antibiotic. Antibiotics capable of reaching intracellular concentrations
 higher than the minimum inhibitory concentration (MIC) are far more
 effective clinically than medicines with poor intracellular penetration.
 Medicines with intracellular penetration are the macrolides, quinolones,
 tetracyclines, and rifampin.

 The empiric discovering that tetracycline and erythromycin seemed to be
 more effective than beta-lactam brokers and aminoglycosides in early
 outbreaks of Legionnaires' disease was in line with in vitro results in
 intracellular and animal models of Legionnaires' disease. Determination of
 the susceptibility of Legionella spp to antimicrobial agents is currently
 based on animal models and such intracellular of Legionella infection

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