Legionella spp. and Legionnaires' disease

被引:304
作者
Diederen, B. M. W. [1 ]
机构
[1] Reg Publ Hlth Lab Haarlem, NL-2035 RC Haarlem, Netherlands
关键词
Legionella; Legionella pneumophila; diagnosis; review; treatment; Legionnaires' disease;
D O I
10.1016/j.jinf.2007.09.010
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Infection with Legionella spp. is an important cause of community- and hospital-acquired pneumonia, occurring both sporadically and in outbreaks. Infection with Legionella spp. ranks among the three most common causes of severe pneumonia in the community setting, and is isolated in 1-40% of cases of hospitat-acquired pneumonia. There are no clinical features unique to Legionnaires' disease. Macrolides and fluoroquinotones are the most widely used drugs in treatment. The availability of a good diagnostic repertoire, suitable for accurately diagnosing LD, constitutes the basis for the early recognition and treatment of the individual patient as well as for effective measures for prevention and control. This review summarizes the available information regarding the microbiology, clinical presentation, diagnosis and treatment of LD, with an emphasis on the laboratory diagnosis of infection with Legionella spp. (C) 2007 The British Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1 / 12
页数:12
相关论文
共 109 条
[1]   External quality assessment of a DNA sequence-based scheme for epidemiological typing of Legionella pneumophila by an international network of laboratories [J].
Afshar, Baharak ;
Fry, Norman K. ;
Bellamy, William ;
Underwood, Anthony P. ;
Harrison, Timothy G. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2007, 45 (10) :3251-3256
[2]   Trends in legionnaires disease, 1980-1998: Declining mortality and new patterns of diagnosis [J].
Benin, AL ;
Benson, RF ;
Besser, RE .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (09) :1039-1046
[3]  
Benson R F, 1998, Semin Respir Infect, V13, P90
[4]  
BERDAL BP, 1979, J CLIN MICROBIOL, V9, P575
[5]   Reference values for the SERION classic ELISA for detecting Legionella pneumophila antibodies [J].
Boshuizen, HC ;
Den Boer, JW ;
de Melker, H ;
Schellekens, JFP ;
Peeters, MF ;
van Vliet, JA ;
Conyn-van Spaendonck, MAE .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2003, 22 (11) :706-708
[6]   Subclinical Legionella infection in workers near the source of a large outbreak of legionnaires disease [J].
Boshuizen, HC ;
Neppelenbroek, SE ;
van Vliet, H ;
Schellekens, JFP ;
den Boer, JW ;
Peeters, MF ;
Conyn-van Spaendonck, MAE .
JOURNAL OF INFECTIOUS DISEASES, 2001, 184 (04) :515-518
[7]  
Broome C V, 1979, Epidemiol Rev, V1, P1
[8]   A large, travel-associated outbreak of legionellosis among hotel guests: Utility of the urine antigen assay in confirming Pontiac fever [J].
Burnsed, Laurence J. ;
Hicks, Lauri A. ;
Smithee, Laura M. K. ;
Fields, Barry S. ;
Bradley, Kristy K. ;
Pascoe, Neil ;
Richards, Shawn M. ;
Mallonee, Sue ;
Littrell, Lisa ;
Benson, Robert F. ;
Moore, Matthew R. .
CLINICAL INFECTIOUS DISEASES, 2007, 44 (02) :222-228
[9]   Detection of Legionella species in respiratory specimens using PCR with sequencing confirmation [J].
Cloud, JL ;
Carroll, KC ;
Pixton, P ;
Erali, M ;
Hillyard, DR .
JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (05) :1709-1712
[10]   Risk factors for sporadic community-acquired Legionnaires' disease. A 3-year national case-control study [J].
Den Boer, J. W. ;
Nijhof, J. ;
Friesema, I. .
PUBLIC HEALTH, 2006, 120 (06) :566-571