Background: Legionella species cause health care-acquired infections in which immunocompromised patients are disproportionately affected. Epidemiologic studies have demonstrated that point-of-use water fixtures are the reservoirs for these infections. The current approach to prevention is system-wide chemical disinfection of the hospital water system. These methods affect both low-risk and high-risk areas. A more effective approach to prevention may be a targeted approach aimed at protecting high-risk patients. One option is the application of a physical barrier (filter) at the point-of-use water fixture.
Objectives: To evaluate the ability of point-of-use filters to eliminate Legionella and other pathogens from water.
Methods: One hundred twenty-milliliter hot water samples were collected from 7 faucets (4 with filters and 3 without) immediately and after a 1-minute flush. Samples were collected every 2 or 3 days for 1 week. This cycle was repeated for 12 weeks. Samples were cultured for Legionella, total heterotrophic plate count (HPC) bacteria, and Mycobacterium species.
Results: Five hundred ninety-four samples were collected over 12 cycles. No Legionella or Mycobacterium were isolated from the faucets with filters between T = 0 and T = 8 days. The mean concentration of L pneumophila and Mycobacterium from the control faucets was 104.5 CFU/mL and 0.44 CFU/mL, respectively. The filters achieved a greater than 99% reduction in HPC bacteria in the immediate and postflush samples.
Conclusions: Point-of-use filters completely eliminated L pneumophila and Mycobacterium from hot water samples. These filter units could prevent exposure of high-risk patients to waterborne pathogens.