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A Breakthrough in Legionella Reporting

Writer: Joshua SimpkinsJoshua Simpkins

Legionella bacteria pose a serious health risk, making proactive water management essential for facilities like hospitals, nursing homes, hotels, and commercial buildings. Regulatory bodies, including the Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA), emphasize the importance of water management plans to prevent Legionnaires’ disease outbreaks. ASHRAE Standard 188 establishes minimum requirements for risk management of building water systems to reduce Legionella growth and transmission.

However, many organizations still rely on manual data entry, creating delays, errors, and inefficiencies that can compromise water safety.



Understanding Legionella Sampling & Regulatory Requirements


A comprehensive water management plan includes routine Legionella sampling to monitor the presence of bacteria in potable and non-potable water systems. Regulatory guidelines require facilities to:


  • Identify high-risk water sources (e.g., cooling towers, hot water systems, decorative fountains).

  • Implement a sampling schedule based on risk assessment.

  • Record key data points, such as sample location, temperature, and disinfectant levels.

  • Submit samples to a certified laboratory for analysis.

  • Maintain accurate records and report findings promptly for regulatory compliance.


Sampling Guidelines


CDC and ASHRAE 188 provide specific guidelines for Legionella sampling, including:


  • Sample Types: Water and biofilm samples should be collected from high-risk areas such as cooling towers, potable water systems, and spas.

  • Temperature: Water samples should be taken at 25-45°C (77-113°F), as Legionella bacteria thrive in warm water.

  • Disinfectant Levels: Record chlorine or monochloramine levels at the time of sampling, as low disinfectant levels increase the risk of Legionella proliferation.

  • Volume & Transport: At least 250 mL of water should be collected in sterile bottles with sodium thiosulfate to neutralize disinfectants, and samples should be transported to a laboratory within 24 hours at a controlled temperature.





Recent Regulatory Changes


Recent updates to ASHRAE 188 and CDC guidance have emphasized the need for increased monitoring in healthcare and long-term care facilities. New recommendations include:


  • More frequent testing for high-risk environments.

  • Enhanced remediation plans requiring immediate corrective actions if Legionella levels exceed specified thresholds.

  • Improved documentation to ensure compliance with evolving safety regulations.


Risks of Legionella Outbreaks


Legionella exposure can lead to severe respiratory illness, including Legionnaires’ disease and Pontiac fever. Outbreaks often result in serious consequences, including:


  • Public Health Risks: Large-scale outbreaks can lead to fatalities, particularly among immunocompromised individuals.

  • Legal & Compliance Issues: Failure to comply with regulations can result in legal action, financial penalties, and reputational damage.

  • Operational Disruptions: Facilities such as hospitals or hotels may need to shut down affected water systems, leading to revenue loss and inconvenience.


The need for quick, accurate testing and reporting is paramount to prevent outbreaks and ensure safe water management.


Challenges of the Manual Process


Traditional Legionella reporting involves a cumbersome manual workflow that introduces several inefficiencies:


  1. Data Entry Errors – Field inspectors manually record sample data on paper, increasing the risk of transcription errors when transferring data into digital systems.

  2. Time-Consuming Formatting – Laboratories return results in varied formats, requiring manual reformatting before reports can be generated.

  3. Data Silos – Field data and lab results often exist in separate systems, making integration difficult and delaying final report generation.

  4. Slow Turnaround Times – Manual processes slow the time from sampling to final report submission, which can impact compliance and remediation efforts.

  5. Regulatory Compliance Risks – Inaccurate or delayed reporting can lead to compliance violations and increased liability.


The erblue eCOC+ and Field Portal: Automating Legionella Reporting


erblue’s platform streamlines Legionella sampling and reporting by integrating field data collection with automated lab result processing. Here’s how it works:


  1. Digital Chain of Custody (eCOC+) – Inspectors capture field data electronically, ensuring completeness and accuracy at the point of collection.

  2. Seamless Lab Integration – Sample information is electronically transferred to the lab, reducing manual input and minimizing errors.

  3. Automated Data Processing – Lab results are formatted and merged with field data in real time, eliminating the need for manual compilation.

  4. Automated Reporting – Fully formatted, regulatory-compliant reports are generated within seconds.

  5. Compliance-Ready Recordkeeping – All records are securely stored and easily accessible for audits and compliance reporting.


Manual Process vs. erblue eCOC+ Solution

Aspect

Manual Process

erblue eCOC+

Field Data Capture

Handwritten, prone to errors

Digital capture, error validation

Data Entry

Manual transcription required

Automatic sync with digital systems

Lab Integration

Separate submission, risk of lost data

Seamless digital integration

Data Formatting

Time-consuming manual reformatting

Auto-generated, regulatory-compliant reports

Turnaround Time

3-7 days for final report

Reporting within seconds*

Compliance Readiness

Risk of missing or incorrect data

Secure, audit-ready digital records

*After lab results are received


Conclusion: Faster, More Reliable Legionella Compliance


In a highly regulated and time-sensitive industry, speed and accuracy are paramount. erblue’s platform eliminates the inefficiencies of manual Legionella reporting, helping organizations improve compliance, reduce errors, and respond more quickly to potential Legionella risks.


Take the Next Step 


Don’t let outdated processes slow you down. Contact erblue today to learn how eCOC+ can transform your Legionella sampling and reporting workflow for improved accuracy, efficiency, and compliance.

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