LINARES SPAIN
AUGUST 2001

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23 August 2001

Detected two possible cases of legionella in a hospital of Linares
 

LINARES (JAÉN)
the direction medical of the Hospital Saint Agustín of Linares (Jaén) recognize yesterday the existence of two case suspicious of legionella in two old people  in the center with pneumonia, although reject the hypothesis of that have infect in the same hospital because not be enter in the center in the last month.

The manager of the hospital, Antonio Resola, said both patients had entered the hospital from last Monday in the Unit of Care Intensive have 72 and 80 year of age, both neighbour of Linares, that find at the moment enter in state serious in the Unit of Care Intensive with a diagnosis of pneumonia communitarian or extra hospitable with suspicion of legionella " in a 99.9 percent of probability ". Both patients began to feel ill the 18th of August, reason why they decided to go to the emurgencies of San Agustín de Linares Monday, once verified that they felt worse. In this unit pneumonia was diagnosed to them extra hospitable and were entered.

The sources added that in the day the state of both people worsened yesterday, reason why entered the Unit of Intensive Cares, where they are being put under a specific processing, and bacteriological analyses were asked for to determine the causes of this ailment, including a study on legionella pneumophila. These analyses will be known in a maximum term of 72 hours. The direction of the hospital remembered that these patients were not admitted the hospital in the last months, reason why discarded that in principle they could have been infected in the hospitable enclosure. For that reason, the manager discarded that some type of risk for the rest of patients exists.
The relatives of one of the old ones who could be infected of legionella in the hospital san Agustín de Linares assured that " nobody in the hospital has informed to us into which the possibility that exists it has been able to contract legionella, to only have spoken us of pneumonia extra hospitable ".
 
 

Both patient of neumonía by legionella which they remain entered in the Hospital San Agustín de Linares (Jaén) evolves of very different form. The greater one of them, Pedro Gea, of 80 years, is responding to the processing and within the gravity it evolves favorably, whereas Jose Viedma, of 72, is in critical state. The Service Andalusian of Health investigates where it could be the origin of the virus, since at the moment any connection between both old is not known.	Both old patients of legionella entered in the Hospital San Agustín de Linares improved this last night, although one of them, J.V.C., of 72 years, continues in serious state, according to the last spread medical report today by the hospitable center.  The other patient, P.G.I., of 80 years, has evolved favourably and presents/displays a good radiological evolution.
One of old entered by one pneumonia the extrahospitable one because of legionella, P. G. I., of 80 years of age, passed away this tomorrow to 10. 00 hours due to a respiratory shutdown, according to sources informed into the Hospital San Agustín de Linares, where it found entered the past from Monday.  This patient, neighbour of Linares, left Saturday the past Unit of Cuidados Intensive (UCI), and had happened to the plant of internal medicine of the linarense hospital, where until yesterday it evolved favourably.	J.V.C., of 72 years of age, the patient of legionella that was entered the last week in the Hospital San Agustín de Linares, remains very serious  although stable, after the past Saturday was transferred to the hospitable center City of Jaén - where still he remains entered due to an multiorganic failure, that produced a renal insufficiency to him.

The Meeting investigates a outbreak in Linares after detecting two cases of legionella   The entered ones are in " very serious " state  Jaén/Pamplona  The Delegation of Health of the Meeting of Andalusia in Jaén ordered yesterday the processing of a study epidemiologist of Linares, where two very serious patients of legionella extra hospitable are entered in the UCI of the hospital San Agustín of the locality. The delegate of Health in Jaén, Juan White Francisco, said that in addition to the search of more cases in the surroundings of the patients also he is investigating himself if the disease has a center common in both cases or it is sporadic episodios. Both patient of pneumonía by legionella extra hospitable, Jose V. C., of 72 years, and Pedro G. I., of 80 years, remains with prognosis muy serious entered in the UCI of the hospital San Agustín de Linares, where 20 of August went the past after before presenting/displaying the first symptoms in their addresses two days. These two cases are united to other two registered in Andalusia, concretely in the onubense hospital Juan Ramon Jiménez, that affected two women, of 32 and 63 years, respectively, that passed away days after becoming public the cases. The husband of one of the deceaseds, Vicente of the Rose, assured yesterday that es lie the report presented/displayed by the Delegation Health of the Meeting in Huelva that indicated a single center in a shower of the center after analysing ten water samples of the refrigeration system and showers.  In the last weeks three have been detected I appear of legionella, most serious of them in Pamplona. Of 19 affected in the Virgin hospital of the Way of City five they have passed away and seven still remain entered. The other four affected were registered yesterday. The workers of the center of Pamplona concentrated themselves yesterday to denounce the lack of information on the part of the director who, according to them, knew the happened thing from principles August.	Andalusia. - The study of the cases of legionella of Linares (Jaén) concludes that they are isolated and extrahospitable JAÉN, 3 September 2001 The Provincial Delegation of Health in Jaén concluded the study and survey epidemiologist of both cases described of legionella in Linares, that affected to two old ones of 72 and 80 years, -- this one last one deceased the past Monday --, assuring that one was two cases " extrahospitable, that is to say, contracted outside the enclosure hospitable, and totally isolated one of the other ", indicated the delegate of Health, Juan White Francisco, who returned to deny the existence of algun center. White, that attributed to " an accidental " fact the circumstance that both patients entered the same day with the same pathology and in same city, remembered that these cases of legionella " take place of it forms sporadic throughout the year and are within the parameters normal of incidence of the disease ". The past Mondays one of the old ones entered by one pneumonia extrahospitable because of legionella, P.G.I., of 80 years, it passed away due to a respiratory shutdown, after remaining one week in the Hospital San Agustín de Linares. The other old one aquejado of this ailment, J.V.C., of 72 years, continues very serious although stable and without changes in its state, after for more than one week he was transferred to the Hospital City of Jaén due to a failure multiorganic, that produced a renal insulinemia to him. Both old ones were affected by pneumonia extrahospitable and they are infected of the bacterium legionella pneumophila. Both patient, neighbouring of Linares, they began a to feel ill the 18th of August, reason why they decided to go a Urgencies of San Agustín the past Monday, once verified that they felt worse. In this unit pneumonia was diagnosed to them extrahospitable and they were entered in the UCI, where they were put under a specific processing.
PAMPLONA OUTBREAK HUELVA..OUTBREAK (C) Copyright 2001 All photographs (c) by others	Email..Denis at legion@q-net.net.au