Legionellosis in Spain, 2010-2015
Abstract
Introduction: Legionellosis is a bacterial respiratory disease with an environmental origin in the community or in hospitals; it is usually associated with devices, facilities, and buildings. The most common clinical form is the pneumonic, known as legionnaires’ disease.
Objective: To determine the evolution of legionellosis cases in Spain from 2010 to 2015.
Materials and methods: This was a descriptive study of time series with an analysis of the legionellosis cases notified to the Centro Nacional de Epidemiología (Government of Spain). Case distribution was determined according to sex, the autonomous community of origin, month, and age groups differentiating in the latter between men and women.
Results: Case count in men was more than double compared to that in women. The cases notified by nine of the autonomous communities showed an increase at the end of the period, especially in Castilla y León, Navarra, and the Basque Country but also notable in Castilla-La Mancha. A seasonal pattern was identified with an epidemic peak in July-September and a greater number of cases among 50-years old people from both sexes.
Conclusion: Despite its low prevalence compared to other respiratory diseases, legionellosis has a great impact on public health. Its distribution in Spain is global and heterogeneous with cases increasing in the last two years. Therefore, better disease prevention and control measures are recommended.
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References
Correia AM, Ferreira JS, Borges V, Nunes A, Gomes B, Capucho R, et al. Probable personto-person transmission of Legionnaires’ Disease. N Engl J Med. 2016;374:497-8. https://doi.org/10.1056/NEJMc1505356
Laganà P, Delia S, Avventuroso E, Casale M, Dattilo G. Risk assessment of legionellosis in cardiology units. J Prev Med Hyg. 2017;58:E173-6.
Seegobin K, Maharaj S, Baldeo C, Downes JP, Reddy P. Legionnaires’ disease complicated with rhabdomyolysis and acute kidney injury in an AIDS patient. Case Rep Infect Dis. 2017;2017:8051096. https://doi.org/10.1155/2017/8051096
Lanternier F, Ader F, Pilmis B, Catherinot E, Jarraud S, Lortholary O. Legionnaire’s disease in compromised hosts. Infect Dis Clin North Am. 2017;31:123-35. https://doi.org/10.1016/j.idc.2016.10.014
World Health Organization. Legionellosis. Fecha de consulta: 8 de enero de 2020. Disponible en: https://www.who.int/news-room/fact-sheets/detail/legionellosis
McCormick D, Thorn S, Milne D, Evans C, Stevenson J, Llano M, et al. Public health response to an outbreak of Legionnaires’ disease in Edinburgh, United Kingdom, June 2012. Euro Surveill. 2012;17:20216. https://doi.org/10.2807/ese.17.28.20216-en
Beauté J, Zucs P, de Jong B, European Legionnaires’ Disease Surveillance Network. Legionnaires’ disease in Europe, 2009-2010. Euro Surveill. 2013;18:20417. https://doi.org/10.2807/ese.18.10.20417-en
Gea-Izquierdo E. Prevención de la legionelosis en España, brotes epidemiológicos, casos registrados y mortalidad. Rev Cubana Salud Pública. 2014;40:271-5.
Ministerio de Sanidad y Consumo. Real Decreto 2210/1995, de 28 de diciembre, por el que se crea la Red Nacional de Vigilancia Epidemiológica. B.O.E. núm. 21 de 24 de enero de 1996. Fecha de consulta: 8 de enero de 2020. Disponible en: https://www.boe.es/buscar/pdf/1996/BOE-A-1996-1502-consolidado.pdf
European Centre for Disease Prevention and Control. Annual Epidemiological Report for 2016. Legionnaire’s disease. Fecha de consulta: 6 de enero de 2020. Disponible en: https://ecdc.europa.eu/sites/portal/files/documents/legionnaires-disease-annual-epidemiologicalreport.pdf
Shivaji T, Sousa Pinto C, San-Bento A, Oliveira Serra LA, Valente J, Machado J, et al. A large community outbreak of Legionnaires’ disease in Vila Franca de Xira, Portugal, October to November 2014. Euro Surveill. 2014;19:20991. https://doi.org/10.2807/1560-7917.es2014.19.50.20991
Campese C, Jarraud S, Sommen C, Maine C, Che D. Legionnaires’ disease in France: Sensitivity of the mandatory notification has improved over the last decade. Epidemiol Infect. 2013;141:2644-9. https://doi.org/10.1017/S0950268813000502
Beauté J; The European Legionnaires’ Disease Surveillance Network. Legionnaires’ disease in Europe, 2011 to 2015. Euro Surveill. 2017;6:22:30566. https://doi.org/10.2807/1560-7917.ES.2017.22.27.30566
Alfageme I, Aspa J, Bello S, Blanquer J, Blanquer R, Borderías L, et al. Guidelines for the diagnosis and management of community-acquired pneumonia. Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Arch Bronconeumol. 2005;41:272-89. https://doi.org/10.1157/13074594
Gobierno de España. Ministerio de Sanidad. Guía técnica para la prevención y control de la legionelosis en instalaciones. Fecha de consulta: 11 de julio de 2020. Disponible en: https://www.mscbs.gob.es/ciudadanos/saludAmbLaboral/agenBiologicos/guia.htm
Garrison LE, Shaw KM, McCollum JT, Dexter C, Vagnone PM, Thompson JH, et al. On-site availability of Legionella testing in acute care hospitals, United States. Infect Control Hosp Epidemiol. 2014;35:898-900. https://doi.org/10.1086/676871
Poupard M, Campese C, Bernillon P, Che D. Factors associated with mortality in Legionnaires’ disease, France, 2002-2004. Med Mal Infect. 2007;37:325-30. https://doi.org/10.1016/j.medmal.2007.03.015
Ozeki Y, Yamada F, Saito A, Kishimoto T, Tanno S, Nakamura Y. Seasonal patterns of legionellosis in Saitama, 2005-2009. Jpn J Infect Dis. 2012;65:330-3.
Sakamoto R. Legionnaire’s disease, weather and climate. Bull World Health Organ. 2015;93:435-6. https://doi.org/10.2471/BLT.14.142299
Alarcón-Falconi TM, Cruz MS, Naumova EN. The shift in seasonality of legionellosis in the USA. Epidemiol Infect. 2018;146:1824-33. https://doi.org/10.1017/S0950268818002182
Brandsema PS, Euser SM, Karagiannis I, Den Boer JW, van Der Hoek W. Summer increase of Legionnaires’ disease 2010 in The Netherlands associated with weather conditions and implications for source finding. Epidemiol Infect. 2014;142:2360-71. https://doi.org/10.1017/S0950268813003476
Campese C, Descours G, Lepoutre A, Beraud L, Maine C, Che D, et al. Legionnaire’s disease in France. Med Mal Infect. 2015;45:65-71. https://doi.org/10.1016/j.medmal.2015.01.015
European Union. The Copernicus Climate Change Service (C3S). Fecha de consulta: 8 de enero de 2020. Disponible en: https://climate.copernicus.eu/
Cunha BA, Connolly J, Abruzzo E. Increase in pre-seasonal community-acquired Legionnaire’s disease due to increased precipitation. Clin Microbiol Infect. 2015;21:45-6. https://doi.org/10.1016/j.cmi.2015.02.015
United Nations. Climate Action Summit 2019. Fecha de consulta: 6 de enero de 2020. Disponible en: https://www.un.org/en/climatechange/
European Commission. Commission Implementing Decision 2012/506/EU of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. Luxembourg: Official Journal of the European Union. Fecha de consulta: 8 de enero de 2020. Disponible en: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2012:262:0001:0057:EN:PDF
Straus WL, Plouffe JF, File TM, Lipman HB, Hackman BH, Salstrom SJ, et al. Risk factors for domestic acquisition of Legionnaires’ disease. Ohio Legionnaires’ Disease Group. Arch Intern Med. 1996;156:1685-92.
Beauté J, Sandin S, Uldum SA, Rota MC, Brandsema P, Giesecke J, et al. Short-term effects of atmospheric pressure, temperature, and rainfall on notification rate of community acquired Legionnaires’ disease in four European countries. Epidemiol Infect. 2016;144:3483-93. https://doi.org/10.1017/S0950268816001874
Farnham A, Alleyne L, Cimini D, Balter S. Legionnaires’ disease incidence and risk factors, New York, New York, USA, 2002-2011. Emerg Infect Dis. 2014;20:1795-802. https://doi.org/10.3201/eid2011.131872
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