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  1. Article: Legionnaires' disease in the time of COVID-19.

    Cassell, Kelsie / Davis, J Lucian / Berkelman, Ruth

    Pneumonia (Nathan Qld.)

    2021  Volume 13, Issue 1, Page(s) 2

    Abstract: ... community-acquired pneumonia cases for COVID-19 before recognizing the need to test ... for Legionnaires' disease. Legionnaires' disease is an illness characterized by pneumonia that has a summer/early fall ... of Legionnaires' disease cases occurring each year are not diagnosed, and some experts recommend that all patients ...

    Abstract Due to similarities in initial disease presentation, clinicians may be inclined to repeatedly test community-acquired pneumonia cases for COVID-19 before recognizing the need to test for Legionnaires' disease. Legionnaires' disease is an illness characterized by pneumonia that has a summer/early fall seasonality due to favorable conditions for Legionella growth and exposure. Legionella proliferate in warm water environments and stagnant sections of indoor plumbing and cooling systems. During the ongoing pandemic crisis, exposures to aerosolized water from recently reopened office or retail buildings should be considered as an epidemiologic risk factor for Legionella exposure and an indication to test. The majority of Legionnaires' disease cases occurring each year are not diagnosed, and some experts recommend that all patients hospitalized with community-acquired pneumonia without a known etiology be tested for Legionella infection. Proper diagnosis can increase the likelihood of appropriate and timely antibiotic treatment, identify potential clusters of disease, and facilitate source attribution.
    Language English
    Publishing date 2021-01-06
    Publishing country England
    Document type Letter
    ZDB-ID 2803296-2
    ISSN 2200-6133
    ISSN 2200-6133
    DOI 10.1186/s41479-020-00080-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Investigation of a cluster of Legionnaires' disease during the outbreak of coronavirus disease 2019 pandemic in northeastern Taiwan, June 2021.

    Ye, Jung-Jr / Zheng, Jun-Yuan / Chen, Ya-Hsuan / Kao, Ya-Ling / Kao, Yu-Chin / Chao, Shao-Wen

    Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi

    2022  

    Abstract: ... for Legionnaires' disease during the COVID-19 pandemic. Early recognition of Legionnaires' disease and timely treatment ... outbreak of Legionnaires' disease near our hospital. COVID-19 tests were repeated frequently before testing ... detected during the outbreak of coronavirus disease 2019 (COVID-19) pandemic.: Methods: From June 7 ...

    Abstract Purpose: To describe the investigation and intervention of a cluster of Legionnaires' disease detected during the outbreak of coronavirus disease 2019 (COVID-19) pandemic.
    Methods: From June 7 to 22, 2021, 15 cases in the neighborhood near our hospital were detected. Information about residence, workplace, hospital visit, and potential exposures was collected. Sampling and decontamination were performed for potential sources.
    Results: All 15 patients had pneumonia when visiting the emergency room with negative COVID-19 test results. Most patients were male (73.3%) with the mean age of 65.7 years. The most common comorbidities were diabetes mellitus (40.0%) and hypertension (40%). The most common symptom was fever (93.3%). Two (13.3%) patients needed mechanical ventilators. Fever subsided within 2 days of treatment for most cases (85.7%). Five cases had exposure history at our hospital, and the other 10 lived or worked in the area within 2 km of our hospital, mostly in buildings A and B. Water sampling was carried out for our hospital, buildings A and B; one water sample from a cooling tower in our hospital cultured positive for Legionella bacteria. Early testing and treatment for suspected cases were carried out for the outbreak, and all cases were discharged with pneumonia resolution.
    Conclusion: This was a community outbreak of Legionnaires' disease near our hospital. COVID-19 tests were repeated frequently before testing for Legionnaires' disease during the COVID-19 pandemic. Early recognition of Legionnaires' disease and timely treatment improved outcome.
    Language English
    Publishing date 2022-05-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1497590-7
    ISSN 1995-9133 ; 1684-1182 ; 0253-2662
    ISSN (online) 1995-9133
    ISSN 1684-1182 ; 0253-2662
    DOI 10.1016/j.jmii.2022.04.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2083: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Decreased Legionnaires’ disease incidence in the United States during the COVID-19 pandemic, 2020-2022

    Devarajulu Reddy / Diviya Alex / Christina Zonunmawii / Sabarish Prabhu / D.N. Dhiliban

    Global Biosecurity, Vol

    2023  Volume 5

    Abstract: ... of confirmed cases during the first years of the COVID-19 pandemic. Surveillance is important to understand ... a decrease in case numbers, possibly due to underreporting during the ongoing COVID-19 pandemic. Annual case ... Legionnaires’ disease was first detected in 1976 when an outbreak occurred in Philadelphia, USA ...

    Abstract Legionnaires’ disease was first detected in 1976 when an outbreak occurred in Philadelphia, USA. The number of cases reported to the Centre for Disease Control (CDC) has been on the rise since 2000, likely due to expanded diagnostic testing and public awareness of symptoms. There was a notable decline of confirmed cases during the first years of the COVID-19 pandemic. Surveillance is important to understand the transmission, pathogenesis, and complications, and to quickly identify the outbreaks, new cases and epidemiologic links between cases. The EPIWATCH system scans vast amounts of open-source data to supplement surveillance when there is a lack of available case data. EPIWATCH reported approximately 28 cases during September to December 2020, 349 cases in 2021 and 114 cases during January to October 2022, which is a decrease in case numbers, possibly due to underreporting during the ongoing COVID-19 pandemic. Annual case numbers may be 1.8 to 2.7 times higher than reported, due to potential underdiagnosis and the requirement for confirmation of infection source before a diagnosis can be made. Key words: Legionella; Legionnaires' disease; outbreak, USA
    Keywords Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Subject code 630
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher University of New South Wales
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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