Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-30T21:32:35.701Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  02 January 2015

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

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
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Marston, BJ, Lipman, HB, Breiman, RF. Surveillance for legionnaires' disease: risk factors for morbidity and mortality. Arch Intern Med 1994;154:24172422.Google Scholar
2.Yu, VL. Legionella pneumophila (Legionnaires' disease). In: Mandeli, , Douglas, , Bennett, , eds. Principles and Practice of Infectious Diseases. Philadelphia: Churchill Livingstone; 2000:24242435.Google Scholar
3.NFT 90-431: Recherche et Dénombrement des Legionella et Legionella pneumophila. Paris: Agence Française de Normalisation; 1993:808822.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;30:920924.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;34:22342236.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;297:11971203.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;48:327333.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;33:22332239.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;34:175176.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;37:1923.Google Scholar