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Published on: November 22, 2013
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
Abstract:
The cytopathogenicity of 22 Legionella pneumophila isolates from 17 hospitals was determined by assessing the dose of bacteria necessary to produce 50% cytopathic effect (CPED50) in U937 human-derived macrophages. All isolates were able to infect and grow in macrophage-like cells (range log10 CPED50: 2.67-6.73 c.f.u./ml). Five groups were established and related to the serogroup, the number of PFGE patterns coexisting in the same hospital water distribution system, and the possible reporting of hospital-acquired Legionnaires' disease cases. L. pneumophila serogroup 1 isolates had the highest cytopathogenicity (P=0.003). Moreover, a trend to more cytopathogenic groups (groups 1-3) in hospitals with more than one PFGE pattern of L. pneumophila in the water distribution system (60% vs. 17%) and in hospitals reporting cases of hospital-acquired Legionnaires' disease (36.3% vs. 16.6%) was observed. We conclude that the cytopathogenicty of environmental L. pneumophila should be taken into account in evaluating the risk of a contaminated water reservoir in a hospital and hospital acquisition of Legionnaires' disease.
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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