Abstract
Environmental and patient-care control measures were initiated in response to an outbreak of legionellosis in an intensive care unit in 1992. The measures included maintaining elevated potable hot-water temperatures following superheating and using sterile water for administrations through nasogastric tubes. Legionella species remained below detectable levels in the potable hot-water system upon reevaluation in 1999. Nosocomial cases of legionellosis have not been reported since the outbreak.
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