Cytopathogenicity and molecular subtyping of Legionella pneumophila environmental isolates from 17 hospitals

M Garcia-Nuñez1, M L Pedro-Botet, S Ragull

  • 1Infectious Diseases Section, Fundació Institut d'Investigació Germans Trias i Pujol, Badalona, Autonomous University of Barcelona, Badalona, Barcelona, Spain. mgarcia.igtp.germanstrias@gencat.net

Insights

Legionella pneumophila isolates from hospital water systems show varying cytopathogenicity. Serogroup 1 strains were most potent, indicating a higher risk for hospital-acquired Legionnaires' disease.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Environmental Health

Background:

  • Legionella pneumophila is a bacterium found in water systems.
  • Hospital-acquired Legionnaires' disease is a serious concern.
  • Understanding bacterial virulence factors is crucial for risk assessment.

Purpose of the Study:

  • To evaluate the cytopathogenicity of Legionella pneumophila isolates from hospital environments.
  • To correlate cytopathogenicity with serogroup, genetic diversity, and disease occurrence.

Main Methods:

  • Assessed cytopathogenicity using the 50% cytopathic effect dose (CPED50) in U937 macrophages.
  • Analyzed isolates based on serogroup and pulsed-field gel electrophoresis (PFGE) patterns.
  • Correlated findings with reported hospital-acquired Legionnaires' disease cases.

Main Results:

  • All 22 L. pneumophila isolates infected and grew in macrophages.
  • L. pneumophila serogroup 1 isolates exhibited significantly higher cytopathogenicity (P=0.003).
  • A trend linked higher cytopathogenicity to multiple PFGE patterns and reported disease cases.

Conclusions:

  • Environmental L. pneumophila cytopathogenicity is a key factor in risk assessment.
  • Contaminated hospital water reservoirs pose a risk for Legionnaires' disease acquisition.
  • Serogroup and genetic diversity may predict the virulence of environmental L. pneumophila.

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