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Environmental Legionellosis and Oropharyngeal Colonization by Legionella in Immunosuppressed Patients

Published online by Cambridge University Press:  02 January 2015

Maria Luisa Pedro-Botet*
Affiliation:
Infectious Diseases Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
Miquel Sabria
Affiliation:
Infectious Diseases Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
Nieves Sopena
Affiliation:
Infectious Diseases Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
Marian García Núñez
Affiliation:
Infectious Diseases Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
Josep Morera
Affiliation:
Pneumology Department, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
Esteban Reynaga
Affiliation:
Infectious Diseases Unit, Hospital Universitari Germans Trias i Pujol, Universitat Autonoma, Badalona, Catalonia, Spain
*
Unitat de Malalties Infeccioses, Hospital Universitari Germans Trias i Pujol, Carretera del Canyet s/n, Badalona 08916, Barcelona, Spain

Abstract

Inhalation of contaminated aerosols is considered the most common route of Legionella transmission. The aim of this study was to determine whether contact with water contaminated by Legionella was related to oropharyngeal colonization in immunosuppressed patients. Eighty-five oropharyngeal swabs (April 1996 to June 1996) were seeded on selective and nonselective buffered charcoal-yeast extract media. Legionella was not isolated.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Bollin, GE, Plouffe, JF, Para, MF, et al. Aerosols containing Legionella pneumophila generated by shower heads and hot-water faucets. Appl Environ Microbiol 1985;50:11281131.Google Scholar
2.Yu, VL. Could aspiration be the major mode of transmission for Legionella? Am J Med 1993;95:1315.CrossRefGoogle ScholarPubMed
3.Yu, VL, Kroboth, FJ, Shonnard, J, et al. Legionnaires' disease: new clinical perspective from a prospective pneumonia study. Am J Med 1982;73:357361.Google Scholar
4.Marrie, TJ, Haldane, D, MacDonald, S, et al. Control of endemic nosocomial Legionnaires' disease by using sterile potable water for high risk patients. Epidemiol Infect 1991;107:591605.CrossRefGoogle ScholarPubMed
5.Sopena, N, Sabria, M, Pedro-Botet, ML, et al. Prospective study of community acquired pneumonia bacterial etiology in adults. Eur J Clin Microbiol Infect Dis 1999;18:852858.CrossRefGoogle ScholarPubMed
6.Pedro-Botet Montoya, ML, Sabria Leal, M, Espinosa, L, et al. Utilidad de los marcadores epidemiológicos moleculares en el estudio de un brote epidémico de enfermedad del legionario de origen nosocomial. Med Clin (Barc) 1992;99:761765.Google Scholar
7.Muder, RR, Yu, VL, Woo, A. Mode of transmission of L. pneumophila: a critical review. Arch Intern Med 1986;146:16071612.CrossRefGoogle Scholar
8.Woo, AH, Yu, VL, Goetz, A. Potential in-hospital modes of transmission of Legionella pneumophila: demonstration experiments for dissemination by showers, humidifiers and rinsing of ventilation bag apparatus. Am J Med 1986;80:567573.CrossRefGoogle ScholarPubMed
9.Marrie, JT, Bezanson, G, Haldane, DJM, et al. Colonization of the respiratory tract with Legionella pneumophila for 63 days before onset of pneumonia. J Infect 1992;24:8186.CrossRefGoogle ScholarPubMed
10.Yu, VL, Stout, J, Zuravleff, JJ. Aspiration of contaminated water may be a mode of transmission of Legionella pneumophila. Presented at the American Society for Microbiology 21st Interscience Conference on Antimicrobial and Chemotherapy; 1981; Chicago, IL. Abstract 297Google Scholar
11.Pedro-Botet, ML, Sabría-Leal, M, Sopena, N, et al. Role of immunosuppression in the evolution of Legionnaires' disease. Clin Infect Dis 1998; 26:1419.CrossRefGoogle ScholarPubMed
12.Plouffe, JF, Para, ME, Fuller, KAet al. Oral ingestion of Legionella pneumobhila. J Clin Lab Immunol 1986:20:113117.Google Scholar