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The authors identified and reviewed 13 reference documents on Legionella and Legionnaires’ disease prevention that can be characterized as either guidelines, recommendations, standards, or position papers. These documents were produced by professional associations and government agencies at the federal, state, and local levels. This paper does not include reference documents produced by individual companies because of the number of these documents and the potential for bias, nor does this paper review international guidelines on Legionnaires’ disease. Rather, we compared US prevention guidelines on Legionella and Legionnaires’ disease to characterize the application of these documents. This review should help industry professionals navigate a diverse and potentially confusing collection of recommendations.

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