Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0023241 (Legionella)
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A total of 107 potable water samples were collected from various rural and urban sources located in the Lublin region (eastern Poland). 54 samples from rural sources comprised 32 samples of untreated well water and 22 samples of treated (chlorinated) tap water from rural dwellings distributed by the municipal water supply system (MWSS). 53 samples of treated water from urban sources were supplied by the city of Lublin MWSS. They comprised: 11 samples of tap water from offices and shops, 8 samples of tap water from dwellings, 19 samples from showerheads in health care units, and 15 samples from the outlets of medical appliances used for hydrotherapy in a rehabilitation centre. Water samples were examined for the presence and species composition of Legionella, Yersinia, Gram-negative bacteria belonging to family Enterobacteriaceae (GNB-E) and Gram-negative bacteria not belonging to family Enterobacteriaceae (GNB-NE), by filtering through cellulose filters and culture on respectively GVPC, CIN, EMB and tryptic soya agar media. Legionella was recovered from samples of well water, tap water from rural dwellings, tap water from urban dwellings, and water from medical appliances - with the isolation frequency of 27.8-50.0 %, and the low concentrations ranging from 0.7-13.3 x 10 (1) cfu/l. No Legionella strains were detected in tap water from offices and shops, and in water from showerheads in health care units. Strains of the Legionella pneumophila types 2-14 predominated, forming 89.9 % of total Legionella isolates, while other species of Legionella formed 10.1 %. Neither Legionella pneumophila type 1 strains nor Yersinia strains were isolated from the examined water samples. The isolation frequency and mean concentration of GNB-E in water samples from rural sources was significantly greater than in water samples from urban sources (respectively 61.1 % vs. 20.8 %, 17.1 vs. 3.4 x 10(1) cfu/l, p < 0.001). Isolation frequency of GNB-NE in water samples from rural sources was significantly greater compared to that from urban sources (77.8 % vs. 47.2 %, p < 0.01), but there was no significant difference in the concentration of GNB-NE in both sample sets. A significant correlation was found between concentrations of Legionella and GNB-NE for total MWSS water samples (p < 0.001), but not for the total well water samples. Altogether 34 GNB-E and GNB-NE species and/or genera were identified in the examined samples, out of which 21 were potentially pathogenic. Enterobacter spp., Klebsiella spp., Serratia spp., and Pantoea agglomerans were most common among GNB-E, while Acinetobacter spp. and species of Pseudomonadaceae family predominated among GNB-NE.
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PMID:Legionella and other gram-negative bacteria in potable water from various rural and urban sources. 1719 9

A total of 320 potable water samples were collected from various rural and urban sources located in the Lublin region of eastern Poland. They comprised: 55 samples of treated (chlorinated) tap water from rural dwellings distributed by the municipal water supply system (MWSS), 111 samples of treated tap water from urban dwellings distributed by the MWSS, 45 samples of untreated well water from household wells and 109 samples from private water supply systems (PWSS) distributing untreated well water. Water samples were examined for the presence and species composition of Legionella, Yersinia, Gram-negative bacteria belonging to family Enterobacteriaceae (GNB-E) and Gram-negative bacteria not belonging to the family Enterobacteriaceae (GNB-NE), by filtering through cellulose filters and culture on respectively GVPC, CIN, EMB and tryptic soya agar media. The occurrence of Legionella in the samples taken from the outlets of the urban MWSS was high (77.5%), and significantly greater compared to frequencies noted in rural MWSS (7.3%), and samples of well water from household wells (28.9%) and PWSS (13.8%) (p<0.001). Strains L. pneumophila serogroups 2-14, L. pneumophila serogroup 1 and Legionella spp. (species other than L. pneumophila) formed respectively 64.3%, 17.5%, and 18.2% of total isolates from urban MWSS, 100%, 0, and 0 of those from rural MWSS, 69.2%, 7.7%, and 23.1% of those from household wells, and 66.7%, 0, and 33.3% of those from PWSS. The concentration of Legionella strains in the positive samples from urban MWSS exceeded the threshold limit value of 100 cfu/100 ml in 86.1%, while in the other sources this value was not exceeded. No Yersinia strains were isolated from the examined water samples. Altogether 8 species or genera of Gram-negative bacteria belonging to Enterobacteriaceae family (GNB-E) and 10 species or genera of Gram-negative bacteria not belonging to the Enterobacteriaceae family (GNB-NE) were found in the examined samples. In the MWSS samples, an inverse relationship was found between Legionella and GNB-E and the numbers of Enterobacter spp. and Serratia spp. strains were significantly more common in the samples without Legionella. By contrast, in the PWSS samples, the numbers of Enterobacter spp., Klebsiella spp. and Salmonella spp. were distinctly and significantly greater (p<0.01-p<0.001) in the samples containing Legionella. Among GNB-NE, Pseudomonas aeruginosa strains occurred significantly more frequently in samples containing Legionella (for MWSS and well water separately p<0.05, for total samples p<0.001). Similarly, strains of Flavobacterium breve and Xanthomonas spp. occurred significantly more often in the samples with Legionella, while the numbers of Aeromonas spp. and Vibrio spp. strains were significantly greater in the samples not containing Legionella. In conclusion, a health risk could be associated with exposure to the water from urban MWSS because of the high prevalence and concentration of Legionella, and with exposure to well water from PWSS because of the correlation of occurrence of Legionella and potentially pathogenic Enterobacteriaceae strains, and the possibility of synergistic eff ects. The adverse eff ects could be also due to the significant correlation of Legionella and Pseudomonas aeruginosa that occured in water from various sources.
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PMID:Co-existence of Legionella and other Gram-negative bacteria in potable water from various rural and urban sources. 2221 8