{"product_id":"legionellosis-legionnaire-disease-a-simple-guide-to-the-condition-diagnosis-treatment-and-related-conditions","title":"Legionellosis, (Legionnaire Disease) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eThis book describes Legionellosis, Diagnosis and Treatment and Related Diseases\u003cbr\u003e\r\nI always thought that Legionnaire’s Disease is a French disease because of the word Legionnaire but it is not related to France but the Legionella bacteria that like to grow in wet places.\u003cbr\u003e\r\nThe bacterium causing the illness among people attending a convention of the American Legion was named Legionella pneumophila and the name of the illness was changed to Legionellosis.\u003c\/p\u003e\r\n\u003cp\u003eLegionellosis (Legionnaire's Disease) is an infection of the lungs and airways produced by Legionella bacteria\u003cbr\u003e\r\nLegionellosis (Legionnaire's Disease) can produce a type of atypical pneumonia.\u003cbr\u003e\r\nSigns and symptoms are cough, shortness of breath, high fever, muscle pains, and headaches.\u003cbr\u003e\r\nThis often begins two to ten days after exposure.\u003cbr\u003e\r\nThe bacterium is found naturally in fresh water.\u003cbr\u003e\r\nIt can pollute hot water tanks, hot tubs, and cooling towers of large air conditioners.\u003cbr\u003e\r\nIt is normally spread by breathing in mist that contains the bacteria.\u003cbr\u003e\r\nIt normally does not spread directly between people and most people who are exposed do not become infected.\u003cbr\u003e\r\nThe patient gets the infection by breathing in droplets of water which contain legionella germs (bacteria) from contaminated water systems\u003cbr\u003e\r\nPontiac fever is a mild infection also caused by legionella normally without pneumonia formation\u003cbr\u003e\r\nCause:\u003cbr\u003e\r\nLegionnaires' disease is normally spread by the breathing in of aerosolized water and soil contaminated with the Legionella bacteria\u003cbr\u003e\r\nThe bacteria grow best at warm temperatures between 25 and 45 C (77 and 113 F), with an optimum temperature of 35 C (95 F).\u003cbr\u003e\r\nTemperatures above 60 C (140 F) kill it.\u003cbr\u003e\r\nSources where temperatures allow the bacteria to thrive are hot water tanks, cooling towers, and evaporative condensers of large air conditioning systems, such as those often found in hotels and large office buildings\u003cbr\u003e\r\nSymptoms:\u003c\/p\u003e\r\n\u003cp\u003eSymptoms tend to get worse during the first 4 - 6 days.\u003c\/p\u003e\r\n\u003cp\u003eThey most often improve in another 4 - 5 days.\u003c\/p\u003e\r\n\u003cp\u003eSymptoms start off with:\u003cbr\u003e\r\n1.Sudden onset of malaise\u003cbr\u003e\r\n2.High fever 39-40 C\u003cbr\u003e\r\n3.Chills, rigors\u003cbr\u003e\r\n4.Headache\u003cbr\u003e\r\n5.Dry coughs\u003cbr\u003e\r\nDiagnosis:\u003cbr\u003e\r\nDiagnosis is by a blood and urinary antigen test and sputum culture.\u003cbr\u003e\r\nChest x-ray shows patchy consolidation and evidence of pneumonia\u003cbr\u003e\r\nIndirect legionna bacterial antibody is higher than 1.256\u003cbr\u003e\r\nTreatment:\u003cbr\u003e\r\nTreatment is started with antibiotics as soon as possible.\u003cbr\u003e\r\nNormally they are given intravenously (IV) which means into a vein\u003cbr\u003e\r\nIV fluids are often given to keep the patient well hydrated\u003cbr\u003e\r\nDelay in giving the proper antibiotic leads to higher mortality.\u003cbr\u003e\r\nRecommended antibiotics are fluoroquinolones, azithromycin, or doxycycline.\u003cbr\u003e\r\nIsolation in hospital is not necessary.\u003cbr\u003e\r\nPulmonary care -nebulizer, oxygen, deep breathing exercises, steam inhalation, cough mixture\u003cbr\u003e\r\nThe most successful antibiotics are most macrolides, tetracyclines, ketolides, and quinolones\u003cbr\u003e\r\nMacrolides (azithromycin) are given in all age groups, while tetracyclines (doxycycline) are given for children above the age of 12 and quinolones (levofloxacin) above the age of 18\u003cbr\u003e\r\nRifampicin can be used in combination with a quinolone or macrolide\u003cbr\u003e\r\nPatients with moderate or mild pneumonia in whom Legionnaires’ disease is suspected on strong grounds or in whom a rapid positive diagnosis has been achieved using urinary legionella antigen assays may be switched to better agents if they are failing to improve on initial therapy.\u003cbr\u003e\r\nPatients on older macrolides and β-lactams may be switched to azithromycin or quinolones.\u003cbr\u003e\r\nInitial, empirical therapy increasingly is azithromyin or quinolones for hospitalized patients with suspected legionellosis.\u003cbr\u003e\r\nIntensive care with supportive treatments such as assisted ventilation may be needed if the pneumonia is severe.\u003c\/p\u003e\r\n\u003cp\u003eTABLE OF CONTENT\u003cbr\u003e\r\nIntroduction\u003cbr\u003e\r\nChapter 1 Legionellosis\u003cbr\u003e\r\nChapter 2 Causes\u003cbr\u003e\r\nChapter 3 Symptoms\u003cbr\u003e\r\nChapter 4 Diagnosis\u003cbr\u003e\r\nChapter 5 Treatment\u003cbr\u003e\r\nChapter 6 Prognosis\u003cbr\u003e\r\nChapter 7 Pontaic Fever\u003cbr\u003e\r\nChapter 8 Pneumonia\u003cbr\u003e\r\nEpilogue\u003c\/p\u003e\r\n","brand":"None","offers":[{"title":"Livre numérique Kobo","offer_id":46602621321426,"sku":"01065ef4-4e8d-3ead-8489-82afe42cd8a8","price":4.99,"currency_code":"CAD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0655\/8980\/5233\/files\/image_e67c2552-e203-4068-b925-ee9ac899d24b.jpg?v=1763077580","url":"https:\/\/www.indigo.ca\/fr\/products\/legionellosis-legionnaire-disease-a-simple-guide-to-the-condition-diagnosis-treatment-and-related-conditions","provider":"Indigo","version":"1.0","type":"link"}