Bio‐Psycho‐Socio‐Ecological Risk Factors for <i>Legionella</i> Infection among Japanese 24‐Hour Hot Water Bath Users and Non‐Users
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- IRIE Masahiro
- Department of Mental Health, Institute of Industrial Ecological Sciences
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- MIYAMOTO Hiroshi
- Department of Microbiology, School of Medicine
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- NAGATA Shoji
- Department of Mental Health, Institute of Industrial Ecological Sciences
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- IKEDA Masato
- Department of Occupational Health Economics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health,
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- YOSHIDA Shin-ichi
- Department of Bacteriology, Graduate School of Medical Sciences, Kyushu University
書誌事項
- タイトル別名
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- Bio-Psycho-Socio-Ecological Risk Factors for Legionella Infection among Japanese 24-Hour Hot Water Bath Users and Non-Users.
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Bio-Psycho-Socio-Ecological Risk Factors for Legionella Infection among Japanese 24-Hour Hot Water Bath Users and Non-Users: Masahiro IRIE, et al. Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health—The purpose of this study was to examine the risk of Legionella pneumophila (Lp) infection due to the use of a 24-h hot water bath (24HHWB), which is popular for bathing in Japan because of its water conservation through the use of recycled bath water, and to investigate other possible factors that may be associated with Legionella infection. The risk of anti-Lp serum antibody formation associated with the 24HHWB use and various bio-psycho-socio-ecological factors was estimated based on the logistic model among 204 employees (161 men, 43 women) who were either 24HHWB users or non-users. There was a significantly higher rate of anti-Legionella antibody titers (≥ 8) in the 24HHWB users than in the non-users, particularly against Lp serogroup (SG) 5 (odds ratio, 16.3; 95% Cl, 2.1-126.5; p<0.01) and Lp SG 6 (odds ratio, 2.9; 95% Cl, 1.3-6.5; p<0.01). However, most of the titers were <64, and no clinical cases of Legionnaires' disease among the 24HHWB users were found. No significant correlations were observed between the duration of the 24HHWB use and the increased antibody titers. The impossibility of relieving stress, a decrease in age, the use of artificial marble bathtubs, and a decrease in the bathing frequency per week were also related to the increased antibody titers against Lp SG 6 (odds ratio, 5.9; 95% Cl, 1.6-22.1; p<0.01), Lp SG 3 (odds ratio, 0.9; 95% Cl, 0.8-1.0; p<0.01: odds ratio, 10.5; 95% Cl, 1.4-76.9; p<0.05), and Lp SG 1 (odds ratio, 1.9; 95% Cl, 1.2-3.2; p<0.05), respectively. The anti-Legionella antibodies were considered to be IgM dominant, because most of the antibodies were sensitive to 2-mercaptoethanol treatment. In conclusion, the use of a 24HHWB was associated with Legionella sensitization, but not with clinically apparent legionellosis. Psychological, environmental, and lifestyle factors also seemed to have causal relations to antibody formation.
収録刊行物
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- journal of Occupational Health
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journal of Occupational Health 42 (4), 205-212, 2000
公益社団法人 日本産業衛生学会
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詳細情報 詳細情報について
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- CRID
- 1390282679432812544
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- NII論文ID
- 130003527472
- 110003723104
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- NII書誌ID
- AA11090645
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- ISSN
- 13489585
- 13419145
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- NDL書誌ID
- 5492702
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
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