A community outbreak of legionnaires' disease associated with a cooling tower in Vic and Gurb, Catalonia (Spain) in 2005

We report the investigation of a communityacquired outbreak of Legionnaires’ disease. An epidemiological, environmental, and meteorological investigation was undertaken. Fifty-five cases were reported in October and November 2005. The exposure occurred in a large area, with 12 cases (21.8%) located...

Full description

Autores:
Sala Ferré, M. R.
Arias, César
Oliva, Jesús M.
Pedrol, A.
García, María Isabel
Pellicer, Teresa
Roura, P.
Domińguez, Ángela R.
Tipo de recurso:
Article of journal
Fecha de publicación:
2009
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/5887
Acceso en línea:
http://hdl.handle.net/20.500.12495/5887
Palabra clave:
Adulto
Microbiología del aire
Brotes de Enfermedades
Electroforesis
Rights
openAccess
License
Acceso abierto
Description
Summary:We report the investigation of a communityacquired outbreak of Legionnaires’ disease. An epidemiological, environmental, and meteorological investigation was undertaken. Fifty-five cases were reported in October and November 2005. The exposure occurred in a large area, with 12 cases (21.8%) located between 1,800 and 3,400 metres from the source. Water sample cultures showed that Legionella pneumophila serogroup 1 (Lp-1) was present in five cooling towers in two industrial locations in Gurb (plants A and B). Two Lp-1 strains were recovered from plants A and B, but only Lp-1 strains from plant A showed a pulsed-field gel electrophoresis (PFGE) profile identical to those obtained from three of the cases. Inspection of the cooling towers in plant A revealed inadequate maintenance. Weather conditions in October 2005, with mostly high temperatures and high humidity, together with the flat terrain could have been favouring factors. This study showed a community outbreak from a cooling tower as a common source in a large area. Climate and terrain could explain the dissemination of contaminated aerosols.