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A Nosocomial Outbreak of Legionella pneumophila Caused by Contaminated Transesophageal Echocardiography Probes

Published online by Cambridge University Press:  02 January 2015

Pierre-Yves Levy ,
Nadine Teysseire ,
Jérôme Etienne  and
Didier Raoult
Pierre-Yves Levy
Affiliation:
Unité Des Rickettsies, Faculté de Médecine, Université de la Méditerranée, Marseille, France Clinique la Casamance, Aubagne, France
Nadine Teysseire
Affiliation:
Clinique la Casamance, Aubagne, France
Jérôme Etienne
Affiliation:
Centre National de Référence des Legionella Hôpital Edouard Herriot, Lyon, France
Didier Raoult*
Affiliation:
Unité Des Rickettsies, Faculté de Médecine, Université de la Méditerranée, Marseille, France
*
Unité des Rickettsies, CNRS UMR 6020, IFR 48 Faculté de Médecine, Université de la Méditerranée, 27 Boulevard Jean Moulin 13385, Marseille Cedex 05, France
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Abstract

A case-control study of three cases of Legionella pneumophila pneumonia identified transesophageal echocardiography (TEE) as a risk factor. Patient isolates and environmental strains from water used for rinsing TEE probes were identical by pulsed-fleld gel electrophoresis. This is the first report of endoscopy as a potential source of legionellosis.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 24 , Issue 8 , August 2003 , pp. 619 - 622
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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References

1.Marston, BJ, Lipman, HB, Breiman, RF. Surveillance for legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994;154:2417–2422.Google Scholar
2.Yu, VL. Legionella pneumophila (Legionnaires' disease). In: Mandeli, , Douglas, , Bennett, , eds. Principles and Practice of Infectious Diseases. Philadelphia: Churchill Livingstone; 2000:2424–2435.Google Scholar
3.NFT 90-431: Recherche et Dénombrement des Legionella et Legionella pneumophila. Paris: Agence Française de Normalisation; 1993:808–822.Google Scholar
4.Jaulhac, N, Nowicki, M, Bornstein, N, et al.Detection of Legionella spp. in bronchoalveolar lavage fluids by DNA amplification. J Clin Microbiol 1992;30:920–924.Google Scholar
5.Dominguez, JA, Manterola, JM, Blavia, R, et al.Detection of Legionella pneumophila serogroup 1 antigen in non concentrated urine and concentrated urine by selective ultrafiltration. J Clin Microbiol 1996;34:2234–2236.Google Scholar
6.McDade, JE, Shepard, CC, Frase, DW, Tsai, TR, Redus, MA, Dowdle, WR. Legionnaires' disease: isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med 1977;297:1197–1203.Google Scholar
7.Lawrence, C, Ronco, E, Dubrou, S, Leclercq, R, Nauciel, C, Matsiota-Bernard, P. Molecular typing of Legionella pneumophila serogroup 1 isolates from patients and the nosocomial environment by arbitrarily primed PCR and pulsed-field gel electrophoresis. J Med Microbiol 1999;48:327–333.Google Scholar
8.Tenover, FC, Arbeit, RD, Goering, RV, et al.Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233–2239.Google Scholar
9.Green, M, Wald, ER, Dashefsky, B, Barbadora, K, Wadowsky, RM. Field inversion gel electrophoresis analysis of Legionella pneumophila strains associated with nosocomial legionellosis in children. J Clin Microbiol 1996;34:175–176.Google Scholar
10.Mitchell, DH, Hicks, LJ, Chiew, R, Montanaro, JC, Chen, SC. Pseudoepidemic of Legionella pneumophila serogroup 6 associated with contaminated bronchoscopes. J Hosp Infect 1997;37:19–23.Google Scholar