Salud
Causa de conglomerado de neumonías en Argentina identificada como legionella
Un grupo de casos de neumonía en Tucumán, Argentina, fue causado por legionella, la bacteria que causa la enfermedad del legionario, dijo la Organización Panamericana de la Salud.
Hasta el sábado se habían identificado un total de 11 casos de neumonía como parte del brote asociado a una clínica de salud en la ciudad de San Miguel de Tucumán, incluidas cuatro muertes en pacientes con condiciones de salud subyacentes, dijo la organización.
Todos los casos experimentaron síntomas de neumonía bilateral, fiebre, dolores musculares, dolor abdominal y dificultad para respirar entre el 18 y el 25 de agosto y están epidemiológicamente relacionados con el centro de salud, según un comunicado de la Organización Mundial de la Salud publicado el lunes. De los 11 casos, ocho son trabajadores de la salud del establecimiento; tres son pacientes del establecimiento de salud. Tres de las cuatro muertes fueron entre trabajadores de la salud. Cuatro casos seguían hospitalizados hasta el sábado.
Se obtuvieron muestras de sangre, respiratorias y de tejidos de los 11 casos, y las pruebas preliminares realizadas en el Laboratorio de Salud Pública local dieron negativo para virus respiratorios y otros agentes virales, bacterianos y fúngicos, según el comunicado de la OMS.
La OPS dijo el sábado que el Ministerio de Salud de Argentina informó que la legionela fue la causa, y agregó que las autoridades ahora están investigando la fuente.
El ministerio está «recolectando muestras ambientales, realizando evaluaciones de riesgo e implementando acciones en la clínica de atención médica relacionadas con el brote», según la actualización. «La OPS está brindando apoyo a las autoridades sanitarias argentinas desde su Sede y la Representación de la OPS en Argentina para investigar y caracterizar el brote».
La declaración de la OMS dijo: «Brotes esporádicos de neumonía por legionelosis se han informado antes en Argentina. Se están implementando actividades de vigilancia sólidas en el centro de salud afectado. No obstante, en ausencia de una fuente identificada de la bacteria Legionella, el riesgo de desarrollar Legionelosis para personas que trabajan u hospitalizadas en el mismo establecimiento de salud es actualmente moderada».
En su declaración, la OMS recomienda continuar con los análisis de laboratorio y la investigación del brote, pero no recomienda ninguna medida diferente específica para los viajeros o restricciones a los viajes o el comercio según la información actual disponible.
La enfermedad del legionario es un tipo grave de neumonía causada por la bacteria legionella. Las personas pueden enfermarse cuando respiran pequeñas gotas de agua que contienen la bacteria, lo que provoca una infección en los pulmones. La enfermedad se puede tratar con antibióticos.
La bacteria puede ocurrir en cabezales de ducha y grifos, bañeras de hidromasaje, torres de enfriamiento, tanques de agua caliente, fuentes decorativas o sistemas de plomería en edificios grandes.
San Miguel de Tucumán es la ciudad capital de la provincia agrícola de Tucumán en el noroeste de Argentina.
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