{"id":"https://openalex.org/W4409920899","doi":"https://doi.org/10.1016/j.watres.2025.123748","title":"Reversing and controlling microbial proliferation in the water system of a high-risk hospital ward after extended closure and reconstruction","display_name":"Reversing and controlling microbial proliferation in the water system of a high-risk hospital ward after extended closure and reconstruction","publication_year":2025,"publication_date":"2025-04-29","ids":{"openalex":"https://openalex.org/W4409920899","doi":"https://doi.org/10.1016/j.watres.2025.123748","pmid":"https://pubmed.ncbi.nlm.nih.gov/40318281"},"language":"en","primary_location":{"id":"doi:10.1016/j.watres.2025.123748","doi":"https://doi.org/10.1016/j.watres.2025.123748","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.watres.2025.123748","pdf_url":null,"source":{"id":"https://openalex.org/S52566953","display_name":"Water Research","issn_l":"0043-1354","issn":["0043-1354","1879-2448"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Water Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.watres.2025.123748","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078312327","display_name":"Dominique L. Chaput","orcid":"https://orcid.org/0000-0002-9736-2619","observed_orcids":["https://orcid.org/0000-0002-9736-2619"]},"institutions":[{"id":"https://openalex.org/I2800201399","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Dominique L. Chaput","raw_affiliation_strings":["Scottish Microbiology Reference Laboratories, Glasgow, UK; Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK. Electronic address: dominique.chaput@nhs.scot"],"raw_orcid":"https://orcid.org/0000-0002-9736-2619","affiliations":[{"raw_affiliation_string":"Scottish Microbiology Reference Laboratories, Glasgow, UK; Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK. Electronic address: dominique.chaput@nhs.scot","institution_ids":["https://openalex.org/I2800201399"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kerr Clarkson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800201399","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399"]},{"id":"https://openalex.org/I4210158502","display_name":"Queen Elizabeth University Hospital","ror":"https://ror.org/04y0x0x35","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399","https://openalex.org/I4210158502"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kerr Clarkson","raw_affiliation_strings":["Department of Estates and Facilities, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Estates and Facilities, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK","institution_ids":["https://openalex.org/I2800201399","https://openalex.org/I4210158502"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115666407","display_name":"Linda Bagrade","orcid":"https://orcid.org/0009-0007-7843-0448","observed_orcids":["https://orcid.org/0009-0007-7843-0448"]},"institutions":[{"id":"https://openalex.org/I2800201399","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399"]},{"id":"https://openalex.org/I2800666604","display_name":"Glasgow Royal Infirmary","ror":"https://ror.org/00bjck208","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399","https://openalex.org/I2800666604"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Linda Bagrade","raw_affiliation_strings":["Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK; Microbiology Department, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK; Microbiology Department, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow UK","institution_ids":["https://openalex.org/I2800201399","https://openalex.org/I2800666604"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069086326","display_name":"Aleksandra Marek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800201399","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399"]},{"id":"https://openalex.org/I2800666604","display_name":"Glasgow Royal Infirmary","ror":"https://ror.org/00bjck208","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399","https://openalex.org/I2800666604"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Aleksandra Marek","raw_affiliation_strings":["Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK; Microbiology Department, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Infection Prevention and Control Team, NHS Greater Glasgow and Clyde, Glasgow, UK; Microbiology Department, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow UK","institution_ids":["https://openalex.org/I2800201399","https://openalex.org/I2800666604"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Dennis Kelly","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dennis Kelly","raw_affiliation_strings":["Pro Lp Consulting Ltd, East Kilbride, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pro Lp Consulting Ltd, East Kilbride, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"David Watson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Watson","raw_affiliation_strings":["DMA Canyon Ltd, Wishaw, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"DMA Canyon Ltd, Wishaw, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037440139","display_name":"T. Murray Steele","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I195939026","display_name":"Glasgow Caledonian University","ror":"https://ror.org/03dvm1235","country_code":"GB","type":"education","lineage":["https://openalex.org/I195939026"]},{"id":"https://openalex.org/I2800201399","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399"]},{"id":"https://openalex.org/I4210158502","display_name":"Queen Elizabeth University Hospital","ror":"https://ror.org/04y0x0x35","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201399","https://openalex.org/I4210158502"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tom Steele","raw_affiliation_strings":["Department of Estates and Facilities, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK; Built Environment Asset Management Centre, Glasgow Caledonian University, Glasgow, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Estates and Facilities, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK; Built Environment Asset Management Centre, Glasgow Caledonian University, Glasgow, UK","institution_ids":["https://openalex.org/I195939026","https://openalex.org/I2800201399","https://openalex.org/I4210158502"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020725297","display_name":"Alistair Leanord","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I7882870","display_name":"University of Glasgow","ror":"https://ror.org/00vtgdb53","country_code":"GB","type":"education","lineage":["https://openalex.org/I7882870"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Alistair Leanord","raw_affiliation_strings":["Scottish Microbiology Reference Laboratories, Glasgow, UK; School of Infection and Immunity, University of Glasgow, Glasgow, UK. Electronic address: alistair.leanord@glasgow.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Scottish Microbiology Reference Laboratories, Glasgow, UK; School of Infection and Immunity, University of Glasgow, Glasgow, UK. Electronic address: alistair.leanord@glasgow.ac.uk","institution_ids":["https://openalex.org/I7882870"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5020725297","https://openalex.org/A5078312327"],"corresponding_institution_ids":["https://openalex.org/I2800201399","https://openalex.org/I7882870"],"apc_list":{"value":4660,"currency":"USD","value_usd":4660},"apc_paid":{"value":4660,"currency":"USD","value_usd":4660},"fwci":4.2337,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.94101856,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"282","issue":null,"first_page":"123748","last_page":"123748"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9340999722480774,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11493","display_name":"Water Treatment and Disinfection","score":0.028200000524520874,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11916","display_name":"Legionella and Acanthamoeba research","score":0.01119999960064888,"subfield":{"id":"https://openalex.org/subfields/1310","display_name":"Endocrinology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-water-systems","display_name":"hospital water systems","score":0.8149999976158142},{"id":"https://openalex.org/keywords/microbial-growth","display_name":"microbial growth","score":0.8840000033378601},{"id":"https://openalex.org/keywords/gram-negative-bacteria","display_name":"Gram-negative bacteria","score":0.7689999938011169},{"id":"https://openalex.org/keywords/chlorine-disinfection","display_name":"chlorine disinfection","score":0.7670000195503235},{"id":"https://openalex.org/keywords/legionella","display_name":"Legionella","score":0.7020000219345093},{"id":"https://openalex.org/keywords/pseudomonas","display_name":"Pseudomonas","score":0.9869999885559082},{"id":"https://openalex.org/keywords/nontuberculous-mycobacteria","display_name":"nontuberculous mycobacteria","score":0.9319999814033508},{"id":"https://openalex.org/keywords/fungi","display_name":"fungi","score":0.5210000276565552},{"id":"https://openalex.org/keywords/point-of-use-filters","display_name":"point-of-use filters","score":0.753000020980835},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.7310000061988831}],"concepts":[{"id":"https://openalex.org/C2777637488","wikidata":"https://www.wikidata.org/wiki/Q31856","display_name":"Pseudomonas aeruginosa","level":3,"score":0.5172929763793945},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4684681296348572},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.4195478558540344},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.3671315610408783},{"id":"https://openalex.org/C33070731","wikidata":"https://www.wikidata.org/wiki/Q7218","display_name":"Toxicology","level":1,"score":0.3647041916847229},{"id":"https://openalex.org/C523546767","wikidata":"https://www.wikidata.org/wiki/Q10876","display_name":"Bacteria","level":2,"score":0.3294616639614105},{"id":"https://openalex.org/C42972112","wikidata":"https://www.wikidata.org/wiki/Q170201","display_name":"Veterinary medicine","level":1,"score":0.3218287229537964},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002713","descriptor_name":"Chlorine","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D002713","descriptor_name":"Chlorine","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D004202","descriptor_name":"Disinfectants","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D004202","descriptor_name":"Disinfectants","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D004203","descriptor_name":"Disinfection","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004203","descriptor_name":"Disinfection","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006861","descriptor_name":"Hydrogen Peroxide","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D006861","descriptor_name":"Hydrogen Peroxide","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D010087","descriptor_name":"Oxides","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D010087","descriptor_name":"Oxides","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D012834","descriptor_name":"Silver","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D012834","descriptor_name":"Silver","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D014871","descriptor_name":"Water Microbiology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014871","descriptor_name":"Water Microbiology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017606","descriptor_name":"Chlorine Compounds","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D017606","descriptor_name":"Chlorine Compounds","qualifier_ui":"Q000494","qualifier_name":"pharmacology","is_major_topic":false},{"descriptor_ui":"D018508","descriptor_name":"Water Purification","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D018508","descriptor_name":"Water Purification","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.watres.2025.123748","doi":"https://doi.org/10.1016/j.watres.2025.123748","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.watres.2025.123748","pdf_url":null,"source":{"id":"https://openalex.org/S52566953","display_name":"Water Research","issn_l":"0043-1354","issn":["0043-1354","1879-2448"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Water Research","raw_type":"journal-article"},{"id":"pmid:40318281","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40318281","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Water research","raw_type":"Journal Article"},{"id":"pmh:oai:eprints.gla.ac.uk:354565","doi":null,"is_oa":true,"landing_page_url":"http://eprints.gla.ac.uk/view/author/2577.html>,","pdf_url":"https://eprints.gla.ac.uk/354565/2/354565.pdf","source":{"id":"https://openalex.org/S4210235606","display_name":"ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)","issn_l":"2622-8912","issn":["2622-8912","2622-8920"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4405259220","host_organization_name":"Institut Agama Islam Negeri Langsa","host_organization_lineage":["https://openalex.org/I4405259220"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Articles"}],"best_oa_location":{"id":"doi:10.1016/j.watres.2025.123748","doi":"https://doi.org/10.1016/j.watres.2025.123748","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.watres.2025.123748","pdf_url":null,"source":{"id":"https://openalex.org/S52566953","display_name":"Water Research","issn_l":"0043-1354","issn":["0043-1354","1879-2448"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Water Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.965499997138977,"display_name":"Clean water and sanitation","id":"https://metadata.un.org/sdg/6"}],"sustainable_development_goals_aurora":[{"score":0.6499999761581421,"display_name":"Clean water and sanitation","id":"https://metadata.un.org/sdg/6"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320312123","display_name":"NHS Greater Glasgow and Clyde","ror":"https://ror.org/05kdz4d87"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W1503474530","https://openalex.org/W1810028515","https://openalex.org/W2062211895","https://openalex.org/W2151518054","https://openalex.org/W2290079092","https://openalex.org/W2310742382","https://openalex.org/W2316477219","https://openalex.org/W2321241857","https://openalex.org/W2335813264","https://openalex.org/W2340408208","https://openalex.org/W2409589466","https://openalex.org/W2414956078","https://openalex.org/W2601772804","https://openalex.org/W2762794062","https://openalex.org/W2955219216","https://openalex.org/W2990427812","https://openalex.org/W3036521204","https://openalex.org/W3075860431","https://openalex.org/W3088059693","https://openalex.org/W3112386586","https://openalex.org/W3153999239","https://openalex.org/W3159707259","https://openalex.org/W3197037125","https://openalex.org/W3203264013","https://openalex.org/W4200103083","https://openalex.org/W4200148845","https://openalex.org/W4213276549","https://openalex.org/W4381251750","https://openalex.org/W4384432093"],"related_works":["https://openalex.org/W2799529293","https://openalex.org/W406616055","https://openalex.org/W3214394573","https://openalex.org/W4400682660","https://openalex.org/W2122116421","https://openalex.org/W4401021064","https://openalex.org/W3024947463","https://openalex.org/W4407060210","https://openalex.org/W2171660964","https://openalex.org/W2764329203"],"abstract_inverted_index":{"Opportunistic":[0],"premise":[1],"plumbing":[2],"pathogens":[3],"occur":[4],"naturally":[5],"in":[6,64,80,187,245,256,284,303,344],"water":[7,35,56,129,307,345,360],"but":[8,177],"can":[9,29],"pose":[10],"a":[11,38,141,310],"health":[12],"risk":[13],"to":[14,22,31,40,95,165,254,309,329,348,361],"hospital":[15,41,306],"patients":[16,255],"who":[17],"are":[18],"more":[19],"vulnerable":[20],"due":[21],"illness":[23],"or":[24],"treatment.":[25],"Ward":[26],"closure":[27,50],"periods":[28],"lead":[30],"microbial":[32,100,161,315,342],"proliferation":[33,162,316],"within":[34,317],"systems,":[36],"posing":[37],"challenge":[39],"estates":[42],"and":[43,70,88,118,122,136,139,156,183,210,241,280,313,354],"infection":[44],"control":[45],"teams.":[46],"Following":[47,223],"the":[48,97,103,124,166,194,203,220,251,264,281,318,330,335,350],"3-year":[49],"of":[51,68,73,83,99,105,127,143,230,238,248,263,332,341,358],"our":[52,233],"paediatric":[53],"haemato-oncology":[54],"ward,":[55],"testing":[57],"showed":[58,159],"high":[59,265],"total":[60],"viable":[61],"counts":[62,72,267,343],"(TVCs)":[63],"over":[65],"20":[66],"%":[67,82,229,247],"samples":[69,231,285],"elevated":[71],"numerous":[74],"Gram":[75,151,196,272],"negative":[76,152,197,273],"bacterial":[77],"species":[78,198,294],"(GNBs)":[79],"73":[81],"samples,":[84],"despite":[85],"daily":[86],"flushing":[87],"continuous":[89],"chlorine":[90,217],"dioxide":[91],"dosing.":[92],"We":[93],"aimed":[94],"determine":[96],"extent":[98],"proliferation,":[101],"measure":[102],"impact":[104,174],"three":[106,195],"sequential":[107],"interventions":[108,353],"(system":[109],"disinfections":[110],"with":[111,113,296,334],"chlorine,":[112],"silver":[114,179],"stabilised":[115,180],"hydrogen":[116,181],"peroxide,":[117],"then":[119],"tap":[120,184],"replacement),":[121],"assess":[123],"long-term":[125],"performance":[126],"this":[128,305],"system.":[130],"By":[131],"sampling":[132],"systematically":[133],"across":[134],"spatial":[135],"temporal":[137],"scales,":[138],"using":[140],"range":[142],"microbiological":[144,266],"tests":[145],"(TVCs,":[146],"Legionella":[147],"spp.,":[148,150],"Pseudomonas":[149],"bacteria,":[153],"atypical":[154],"mycobacteria":[155],"fungi),":[157],"we":[158],"that":[160,199],"was":[163,301,321],"confined":[164],"closed":[167],"ward.":[168],"Chlorine":[169],"treatment":[170],"had":[171],"no":[172,261],"significant":[173,188],"on":[175],"TVCs,":[176],"both":[178],"peroxide":[182],"replacement":[185],"resulted":[186],"decreases":[189],"(p":[190],"<":[191],"0.01).":[192],"Similarly,":[193],"were":[200,213,243,326],"enriched":[201],"following":[202],"reconstruction":[204],"period":[205],"(Cupriavidus":[206],"pauculus,":[207],"Sphingomonas":[208],"paucimobilis,":[209],"Acidovorax":[211],"temperans)":[212],"less":[214],"impacted":[215],"by":[216,219],"than":[218,227],"other":[221],"interventions.":[222],"these":[224],"interventions,":[225],"fewer":[226],"1":[228],"exceeded":[232],"strict":[234],"local":[235],"TVC":[236],"threshold":[237],"10":[239],"CFU/ml":[240],"GNBs":[242],"detected":[244,277],"7":[246],"samples.":[249],"Since":[250],"ward":[252],"reopened":[253],"2022,":[257],"there":[258],"has":[259],"been":[260,276],"return":[262],"observed":[268],"immediately":[269],"after":[270],"reconstruction.":[271],"bacteria":[274],"have":[275],"only":[278],"sporadically,":[279],"taxa":[282],"found":[283],"collected":[286],"through":[287],"0.2":[288],"\u03bcm":[289],"point-of-use":[290],"filters":[291],"shifted":[292],"towards":[293],"associated":[295],"humans.":[297],"Our":[298],"systematic":[299],"approach":[300],"successful":[302],"returning":[304],"system":[308,319],"safe":[311,359],"state,":[312],"once":[314],"itself":[320],"rectified,":[322],"further":[323],"positive":[324],"results":[325],"likely":[327],"attributable":[328],"interactions":[331],"users":[333],"outlets.":[336],"Distinguishing":[337],"between":[338],"possible":[339],"sources":[340],"is":[346],"crucial":[347],"selecting":[349],"most":[351],"suitable":[352],"helping":[355],"ensure":[356],"provision":[357],"patients.":[362]},"counts_by_year":[{"year":2026,"cited_by_count":6}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
