Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023241 (Legionella)
 6,990 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Legionnaires' disease was diagnosed in two patients in a transplant unit, both patients having occupied the same postoperative cubicle shortly before onset of their illnesses. Legionella pneumophila was found in water taken from the cubicle shower bath and from other showers in the unit. To eradicate the legionellae, the water supply was treated with chlorine, but this had only a temporary effect.
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PMID:Legionnaires' disease in a transplant unit: isolation of the causative agent from shower baths. 610 94

Five cases of nosocomial Legionnaires' disease which occurred over a five-month period were retrospectively investigated. Chart review showed that during the two- to 10-day incubation period before the onset of illness, all of the patients inhaled aerosolized tap water from jet nebulizers (four patients) or from a portable room humidifier (one patient), and all received high dosages of corticosteroids or adrenocorticotropic hormone. Exposure to both factors was highly significant (P less than 0.000001) when compared with the rate of exposure in 69 control patients. Environmental cultures yielded Legionella pneumophila from tap water and from reservoirs of tap water-filled respiratory devices. The yield was highest from hot tap water, in which the free chlorine level was less than 0.05 parts per million. Thus, Legionnaires' disease may be caused by contaminated aerosols from respiratory devices, and the use of contaminated tap water in such devices represents a previously unrecognized hazard to which corticosteroid-treated patients should not be exposed.
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PMID:Nosocomial Legionnaires' disease caused by aerosolized tap water from respiratory devices. 628 5

A study was conducted to compare the susceptibility of legionellae and coliforms to disinfection by chlorine. The chlorine residuals used were similar to concentrations that might be found in the distribution systems of large public potable water supplies. The effects of various chlorine concentrations, temperatures, and pH levels were considered. A number of different Legionella strains, both environmental and clinical, were tested. The results indicate that legionellae are much more resistant to chlorine than are coliform bacteria. At 21 degrees C, pH 7.6, and 0.1 mg of free chlorine residual per liter, a 99% kill of L. pneumophila was achieved within 40 min, compared with less than 1 min for Escherichia coli. The observed resistance is enhanced as conditions for disinfection become less optimal. The required contact time for the removal of L. pneumophilia was twice as long at 4 degrees C than it was at 21 degrees C. These data suggest that legionellae can survive low levels of chlorine for relatively long periods of time.
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PMID:Susceptibility of Legionella pneumophila to chlorine in tap water. 636 45

Three different species of Legionella were recovered from samples of water taken from chlorinated public water supplies where no coliform bacteria were simultaneously detected. Five of 856 samples yielded Legionella isolates. Three isolates were identified as Legionella pneumophila serogroup 1, the fourth was identified as Legionella dumoffii, and the fifth was identified as Legionella jordanis. Studies to determine the survival of L. pneumophila Flint 1 serogroup 1 in tap water at various temperatures and in tap water with added sodium hypochlorite were done. These organisms were found to survive for 299 days in tap water at 24 and 5 degrees C but not at 35 degrees C. A concentration of at least 0.2 mg of residual chlorine per ml was required to eliminate at least 90% of L. pneumophila and Escherichia coli inocula in 2 h.
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PMID:Isolation of Legionella species from drinking water. 650 92

Fourteen recirculating cooling water systems were surveyed during the summer, 1981, to see what factors might influence the prevalence of Legionella pneumophila. The effect on the organism of three anti-microbials was studied, each in two systems, by intermittent treatment at two week intervals. L. pneumophila was isolated from six of the 14 cooling systems at the beginning of the trial but by the end was present in ten. An association was found between the presence of the organism and the concentration of dissolved solids, and chlorides and the pH. There also appeared to be associations with exclusion of light and higher water temperatures. Repeated tests on eight untreated systems showed that two were consistently infected, three became and remained infected, one was infected on a single occasion and two were never infected with L. pneumophila. Treatment of a contaminated system, either with a 10 p.p.m mixture of a quaternary ammonium compound and tributyltinoxide or slow release chlorine briquettes (maximum recorded free chlorine level 1.2 p.p.m.), did not eliminated legionellae. Treatment of two infected towers with a chlorinated phenol (100 p.p.m.) eliminated legionellae for at least three days, but after 14 days the organism was again found.
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PMID:Legionella pneumophila in cooling water systems. Report of a survey of cooling towers in London and a pilot trial of selected biocides. 708 12

The effect of ozonation of supply water for one wing of an unoccupied hospital building which had positive cultures for Legionella pneumophila from multiple potable water fixtures was studied in a prospective, controlled fashion. Mean ozone residual concentrations of 0.79 mg/liter eradicated L. pneumophila from the fixtures, but so did nonozonated water in the control wing fixtures. The efficacy of the nonozonated water was most probably due to a mechanical flushing effect and to an unexpected rise in the chlorine content of the supply water. Determination of the in vitro activity of ozone against L. pneumophila did not predict the efficacy of its eradication from water fixtures treated with ozone.
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PMID:Efficacy of ozone in eradication of Legionella pneumophila from hospital plumbing fixtures. 715 81

Reclaimed water is an important resource for areas with inadequate water supplies. However, there have been few studies on the variety of microorganisms found in this type of water, since typically reclaimed water is examined only for the presence of coliform bacteria. Many microorganisms, including the legionellae, are known to be more resistant to chlorine than are coliform bacteria. Previously, we detected > 10(3) Legionella cells per ml in primary and secondary sewage effluents and observed no significant reduction in population numbers throughout the treatment process. In this study, we detected Legionella spp. in chlorinated effluent by using an EnviroAmp Legionella PCR kit and direct fluorescent antibody (DFA) staining. However, we were not able to isolate Legionella spp. from either natural or seeded reclaimed water samples. This suggests that the Legionella spp. detected by the PCR and DFA methods may be injured or viable but nonculturable after exposure to the high residual chlorine levels typically found in this type of water source. The numbers of coliform bacteria were low (< 2 cells per 100 ml) in most reclaimed water samples and were not correlated with the presence or absence of Legionella spp. We also collected air samples from above a secondary aeration basin and analyzed them by using the PCR, DFA, and plate culture methods. Legionella spp. were detected in the air obtained from above the secondary basin with all three methods. We concluded that the PCR was superior to the culture and DFA methods for detecting Legionella spp. in environmental water samples.
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PMID:Detection of Legionella species in reclaimed water and air with the EnviroAmp Legionella PCR kit and direct fluorescent antibody staining. 757 78

We have previously reported that the hot water of 17 (42.5%) out of 40 thermal baths were contaminated with legionellae. Our recent investigation revealed that legionellae inhabited 39 (66.1%) of the 59 thermal bath water, and their viable counts were at the level of 10(4) CFU/100 ml in 5 baths and 10(5) CFU/100 ml in another 5. Accordingly, the bactericidal effects of free chlorine on 102 strains of 22 Legionella species were tested, in order to find a method of controlling legionellae in thermal bath water. The test strains were the type strains of 22 species, 35 strains of 4 species from patients with Legionella pneumonia in Japan, and 45 strains of 4 species from thermal bath water. Viable cells of all 102 strains suspended at the concentration of 10(5) CFU/100 ml in sodium hypochloride solution with 0.4 mg/l free chlorine became undetectable within 15 min.
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PMID:[Bactericidal effect of chlorine on strains of Legionella species]. 774 89

Results of biocide efficacy testing on laboratory-generated microbial biofilms containing Legionella bozemanii is presented. These show that chlorine is effective at recommended concentrations in cooling towers; at least 48 h contact between free chlorine and the biofilm is necessary. Of five commercial biocides tested, those containing isothiazolinones and dibromonitrilo-proprionamide were most effective against sessile L. bozemanii.
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PMID:Efficacy of biocides on laboratory-generated Legionella biofilms. 776 90

The effect of amplicon size on the PCR detection of Legionella pneumophila after chlorine inactivation was investigated. Two amplicons specific to the L. pneumophila mip gene were used for the PCR analyses: a 650-bp amplicon and smaller 168-bp amplicon within the 650-bp amplicon; a 108-bp amplicon specific to species rRNA coding sequence also was used. After exposure to chlorine, viable agar grown cells were not detected by plate counts or direct counts with p-iodonitrotetrazolium (INT) after 1 min for treatment at 10 mg/l, after 2 min for treatment at 5 mg/l, and after 4 min for treatment at 2.5 mg/l; viable water grown cells were present at least 4 min after biocide addition even with a chlorine dose of 5 mg/l. At the 10-mg/l dosage, PCR products from the 168-bp amplicon were detected on agarose gels up to 16 min after chlorination; even after 24 hr of PCR the 168-bp products were detectable using a capture probe hybridization assay. However, the 650-bp target was not detected after 4 min chlorine contact time at the same biocide dosage using agarose gels, and PCR products could not be detected by hybridization after 32 min. At lower chlorine concentrations, a similar pattern was seen with the 168-bp amplicon detectable longer after biocide addition than the 650-bp mip amplification target. On the basis of these data, larger amplicons appear to correlate better with viability of L. pneumophila in water samples.
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PMID:Effect of amplicon size on PCR detection of bacteria exposed to chlorine. 811


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