scholarly journals Influence of Sampling Season and Sampling Protocol on Detection of Legionella Pneumophila Contamination in Hot Water / Paraugu Ņemšanas Sezonalitātes Un Paraugu Ņemšanas Metodes Ietekme Uz Legionella Pneumophila Kontaminācijas Noteikšanu Karstajš Ūdenī

2016 ◽  
Vol 70 (4) ◽  
pp. 227-231
Author(s):  
Daina Pūle ◽  
Olga Valciņa ◽  
Aivars Bērziņš ◽  
Ludmila Vīksna ◽  
Angelika Krūmiņa
Keyword(s):  
Water Consumption ◽  
Legionella Pneumophila ◽  
Water Systems ◽  
Hot Water ◽  
Natural Habitats ◽  
Sampling Protocol ◽  
Apartment Buildings ◽  
Low Concentrations ◽  
Sampling Season ◽  
Mild Fever

Abstract Legionella pneumophila is an environmental pathogen of engineered water systems that can cause different forms of legionellosis - from mild fever to potentially lethal pneumonia. Low concentrations of legionellae in natural habitats can increase markedly in engineered hot water systems where water temperatures are below 55 °C. In the current study, we aimed to investigate the influence of sampling season, hot water temperature and sampling protocol on occurrence of L. pneumophila. A total of 120 hot water samples from 20 apartment buildings were collected in two sampling periods - winter 2014 (n = 60) and summer 2015 (n = 60). Significantly higher occurrence of L. pneumophila was observed in summer 2015. Significant differences in temperature for negative and positive samples were not observed, which can be explained by low water temperatures at the point of water consumption. Temperature above 55 °C was observed only once, for all other sampling events it ranged from 14 °C to 53 °C.

Computational framework for evaluating risk trade-offs in costs associated with Legionnaires’ Disease risk, energy, and scalding risk for hospital hot water systems

2021 ◽  
Author(s):  
Ashley Heida ◽  
Alexis Mraz ◽  
Mark Hamilton ◽  
Mark Weir ◽  
Kerry A Hamilton
Keyword(s):  
Legionella Pneumophila ◽  
Disease Risk ◽  
Disease Outbreaks ◽  
Febrile Illness ◽  
Water Systems ◽  
Hot Water ◽  
Computational Framework ◽  
Trade Offs ◽  
Pontiac Fever ◽  
Legionnaires Disease

Legionella pneumophila are bacteria that when inhaled cause Legionnaires’ Disease (LD) and febrile illness Pontiac Fever. As of 2014, LD is the most frequent cause of waterborne disease outbreaks due...

Effect of heat flushing on the concentrations of Legionella pneumophila and other heterotrophic microbes in hot water systems of apartment buildings

1996 ◽  
Vol 42 (8) ◽  
pp. 811-818 ◽  
Author(s):  
Outi M. Zacheus ◽  
Pertti J. Martikainen
Keyword(s):  
Water Temperature ◽  
Legionella Pneumophila ◽  
Heterotrophic Bacteria ◽  
Water System ◽  
Water Systems ◽  
Hot Water ◽  
Circulating Water ◽  
Heterotrophic Microbes ◽  
Before And After ◽  
Circulating Water System

The decontamination of Legionella pneumophila and other heterotrophic microbes by heat flushing in four legionellae-positive hot water systems was studied. Before the decontamination procedure, the concentration of legionellae varied from 3.0 × 10−3 to 3.5 × 10−5 cfu/L and the hot water temperature from 43.6 to 51.5 °C. During the contamination the temperature was raised to 60–70 °C. All taps and showers were cleaned from sediments and flushed with hot water twice a day for several minutes. The decontamination lasted for 2–4 weeks. In a few weeks the heat-flushing method reduced the concentration of legionellae below the detection limit (50 cfu/L) in the hot circulating water system just before and after the heat exchanger. The high hot water temperature also decreased the viable counts of heterotrophic bacteria, fungi, and total microbial cells determined by the epifluorescent microscopy. However, the eradication of legionellae failed in a water system where the water temperature remained below 60 °C in some parts of the system. After the decontamination, the temperature of hot water was lowered to 55 °C. Thereafter, all the studied hot water systems were recolonized by legionellae within a few months, showing that the decontamination by heat flushing was temporary. Also, the contamination of other bacteria increased in a few months to the level before decontamination.Key words: legionellae, hot water system, decontamination, water temperature, heterotrophic bacteria.

scholarly journals Investigating Bacterial and Free-Living Protozoa Diversity in Biofilms of Hot Water Pipes of Apartment Buildings in the City of Riga (Latvia)

2021 ◽  
Vol 3 ◽  
Author(s):  
Baiba Vilne ◽  
Lelde Grantiņa-Ieviņa ◽  
Juris Ķibilds ◽  
Artjoms Mališevs ◽  
Genadijs Konvisers ◽  
...  
Keyword(s):  
Water Temperature ◽  
Legionella Pneumophila ◽  
Amplicon Sequencing ◽  
Hot Water ◽  
Community Diversity ◽  
Strictly Aerobic ◽  
Free Living ◽  
Water Pipes ◽  
Apartment Buildings ◽  
Wide Range

Background: Biofilms, when formed on the surfaces of water pipes, can be responsible for a wide range of water quality and operational problems. We sought to assess the bacterial and free-living protozoa (FLP) diversity, in relation to the presence of Legionnaire's disease-causing bacteria Legionella pneumophila (L. pneumophila) in 45 biofilms of hot water distribution system pipes of apartment buildings in Riga, the capital city of Latvia.Results: 16S rRNA amplicon sequencing (metataxonomics) revealed that each biofilm contained 224 rather evenly distributed bacterial genera and that most common and most abundant were two genera, completely opposites in terms of their oxygen requirements: the obligately anaerobic Thermodesulfovibrio and the strictly aerobic Phenylobacterium. Water temperature and north-south axis (i.e., different primary water sources) displayed the most significant effect on the inter-sample variations, allowing us to re-construct three sub-networks (modules) of co-occurring genera, one involving (potentially FLP-derived) Legionella spp. Pangenome-based functional profile predictions suggested that all three may be dominated by pathways related to the development and maintenance of biofilms, including quorum sensing and nutrient transport, as well as the utilization of various energy sources, such as carbon and nitrogen. In our 18S rRNA amplicon sequencing data, potential hosts of L. pneumophila were detected in 11 out of 12 biofilm samples analyzed, however, in many cases, their relative abundance was very low (<1%). By validating our findings using culture-based methods, we detected L. pneumophila (serogroups 2, 3, 6 and 9) in nine (20%) biofilms, whereas FLP (mostly Acanthamoeba, Vahlkampfidae and Vermamoeba spp.) were present in six (~13%) biofilms. In two biofilms, L. pneumophila and its potential hosts were detected simultaneously, using culture-based methods.Conclusions: Overall, our study sheds light on the community diversity of hot water biofilms and predicts how several environmental factors, such as water temperature and source might shape it.

scholarly journals Is a Proactive Approach to Controlling Legionella in the Environment Justified?

2021 ◽  
Vol 59 (3) ◽  
Author(s):  
Daniela Glažar Ivče ◽  
Dobrica Rončević ◽  
Marina Šantić ◽  
Arijana Cenov ◽  
Dijana Tomić Linšak ◽  
...  
Keyword(s):  
Drinking Water ◽  
Legionella Pneumophila ◽  
Cold Water ◽  
Aged Care ◽  
Water Systems ◽  
Hot Water ◽  
Plate Count ◽  
Surveillance Program ◽  
Adequate Treatment ◽  
Proactive Approach

Research background. Legionella are Gram-negative bacteria that are ubiquitous in the natural environment. Contaminated water in manmade water systems is a potential source of transmission of Legionnaires’ disease (LD). The aim of this study was to explore the prevalence of Legionella pneumophila (L. pneumophila) in the drinking water distribution system (DWDS) of Primorje-Gorski Kotar County (PGK County), Croatia, for the period 2013-2019, coupled with the incidence of LD. A number of L. pneumophila-positive samples (>100 CFU/L), serogroup distribution, and the degree of contamination of specific facilities (health & aged care, tourism, sports) were assessed. Based on the results obtained, the reasoning for the implementation of a mandatory Legionella environmental surveillance program was assessed. Experimental approach. Sample testing for Legionella was carried out according to ISO 1173. A Heterotrophic Plate Count (HPC) and P. aeruginosa were analysed along with the basic physico-chemical indicators of drinking water quality. The research period was divided into two parts, namely, the 2013-2018 period (before implementation of the prevention program, after the outbreak of LD), and year 2019 (proactive approach, no LD cases recorded). Results and conclusion. During the 7-year observation period in PGK County, an increase in the number of samples tested for Legionella was found. An increase in Legionella-positive samples (particularly pronounced during the warmer part of the year) was recorded, along with a growing trend in the number of reported LD cases. In addition to hot water systems, the risk of Legionella colonization also applies to cold water systems. Health & aged care facilities appear to be at highest risk. In addition to the higher proportion of positive samples and a higher degree of microbiological load at these facilities, the highest proportion of L. pneumophila SGs 2-14 was identified. Due to the diagnostic limitations of the applied tests, the number of LD cases is underdiagnosed. Novelty and scientific contribution. The introduction of a mandatory preventive approach to monitoring Legionella in DWDS water samples, along with the definition of national criteria for the interpretation of results, will create the preconditions for diagnosis and adequate treatment of larger numbers of LD cases.

Legionellosis and legionnaires’ disease

2020 ◽  
pp. 1226-1229
Author(s):  
Diego Viasus ◽  
Jordi Carratalà
Keyword(s):  
Legionella Pneumophila ◽  
Case Fatality ◽  
Water Systems ◽  
Natural Habitats ◽  
Cooling Systems ◽  
Freshwater Streams ◽  
First Choice ◽  
Legionnaires Disease ◽  
Failure Prognosis ◽  
Human Infections

Legionellaceae are Gram-negative bacilli, of which Legionella pneumophila is the principal cause of human infections. Their natural habitats are freshwater streams, lakes, thermal springs, moist soil, and mud, but the principal source for large outbreaks of legionellosis is cooling systems used for air conditioning and other cooling equipment. Legionella spp. are principally transmitted to humans through contaminated water aerosols. Middle-aged men, smokers, regular alcohol drinkers, and those with comorbidity are most at risk. Aside from supportive care, the first-choice antibiotics are macrolides (mainly azithromycin) and/or fluoroquinolones (especially levofloxacin). Case fatality is 5–15% in previously well adults, but much higher in those who are immunocompromised or develop respiratory failure. Prognosis is improved by early administration of effective anti-legionella antibiotic therapy. Prevention is by the correct design, maintenance, and monitoring of water systems.

scholarly journals Legionella Contamination in Hot Water of Italian Hotels

2005 ◽  
Vol 71 (10) ◽  
pp. 5805-5813 ◽  
Author(s):  
Paola Borella ◽  
Maria Teresa Montagna ◽  
Serena Stampi ◽  
Giovanna Stancanelli ◽  
Vincenzo Romano-Spica ◽  
...  
Keyword(s):  
Risk Factors ◽  
Legionella Pneumophila ◽  
Water Systems ◽  
Hot Water ◽  
Cross Sectional ◽  
Multicenter Survey ◽  
Multivariate Logistic Model ◽  
Legionnaires Disease ◽  
Building Characteristics

ABSTRACT A cross-sectional multicenter survey of Italian hotels was conducted to investigate Legionella spp. contamination of hot water. Chemical parameters (hardness, free chlorine concentration, and trace element concentrations), water systems, and building characteristics were evaluated to study risk factors for colonization. The hot water systems of Italian hotels were strongly colonized by Legionella; 75% of the buildings examined and 60% of the water samples were contaminated, mainly at levels of ≥103 CFU liter−1, and Legionella pneumophila was the most frequently isolated species (87%). L. pneumophila serogroup 1 was isolated from 45.8% of the contaminated sites and from 32.5% of the hotels examined. When a multivariate logistic model was used, only hotel age was associated with contamination, but the risk factors differed depending on the contaminating species and serogroup. Soft water with higher chlorine levels and higher temperatures were associated with L. pneumophila serogroup 1 colonization, whereas the opposite was observed for serogroups 2 to 14. In conclusion, Italian hotels, particularly those located in old buildings, represent a major source of risk for Legionnaires' disease due to the high frequency of Legionella contamination, high germ concentration, and major L. pneumophila serogroup 1 colonization. The possible role of chlorine in favoring the survival of Legionella species is discussed.

scholarly journals Rapid Detection and Enumeration of Legionella pneumophila in Hot Water Systems by Solid-Phase Cytometry

2004 ◽  
Vol 70 (3) ◽  
pp. 1651-1657 ◽  
Author(s):  
Helena Aurell ◽  
Philippe Catala ◽  
Pierre Farge ◽  
France Wallet ◽  
Matthieu Le Brun ◽  
...  
Keyword(s):  
Legionella Pneumophila ◽  
Natural Waters ◽  
Solid Phase ◽  
Tap Water ◽  
Culture Method ◽  
Water Systems ◽  
Cross Reactivity ◽  
Hot Water ◽  
Standard Culture ◽  
Direct Counts

ABSTRACT A new method for the rapid and sensitive detection of Legionella pneumophila in hot water systems has been developed. The method is based on an IF assay combined with detection by solid-phase cytometry. This method allowed the enumeration of L. pneumophila serogroup 1 and L. pneumophila serogroups 2 to 6, 8 to 10, and 12 to 15 in tap water samples within 3 to 4 h. The sensitivity of the method was between 10 and 100 bacteria per liter and was principally limited by the filtration capacity of membranes. The specificity of the antibody was evaluated against 15 non-Legionella strains, and no cross-reactivity was observed. When the method was applied to natural waters, direct counts of L. pneumophila were compared with the number of CFU obtained by the standard culture method. Direct counts were always higher than culturable counts, and the ratio between the two methods ranged from 1.4 to 325. Solid-phase cytometry offers a fast and sensitive alternative to the culture method for L. pneumophila screening in hot water systems.

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