Predicting Legionella contamination in cooling towers and evaporative condensers from microbiological and physicochemical parameters. 2023

María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
BIOST(3). GRBIO. Department of Genetics, Microbiology and Statistics (Section of Statistics), Faculty of Biology, University of Barcelona, Diagonal 645, 08028, Barcelona, Spain. Electronic address: mariecotero@gmail.com.

Inhalation of Legionella-containing aerosols generated by cooling towers (CT) and evaporative condensers (EC) where water risk management is not performed correctly has been linked to a high percentage of community outbreaks of Legionnaires' disease (LD). Likewise, microbiological and physicochemical characteristics of the water in these facilities have been associated with this bacterium. The main aim of this study was to assess the risk of Legionella colonization in CT and EC based on the data for microbiological and physicochemical water quality provided by the Environmental Health Department and Laboratory of the City Council of L'Hospitalet de Llobregat (Barcelona, Spain). Legionella was analysed in 789 samples collected from 127 CT and EC in 46 companies in Catalonia from 2002 to 2019. A two-step logistic regression analysis was carried out to assess the risk of colonization by Legionella in the studied facilities according to the microbiological (aerobic heterotrophic bacteria) and physicochemical (pH, alkalinity, hardness, turbidity, conductivity, total iron and Langelier Index) water parameters. The optimal cut-off points for the water parameters predictive of Legionella contamination were defined as the values on the receiver operating characteristic (ROC) curve where sensitivity and specificity were jointly maximized. Legionella was isolated in 8.49% of the 789 analysed samples, 22.39% of which were heavily contaminated (with counts higher than 1.0 × 104 CFU/l). L. pneumophila was isolated in 82.09% of the samples, with 41.82% belonging to serogroup 1. Logistic regression analysis revealed that aerobic heterotrophic bacteria concentrations ≥6.90 × 102 CFU/ml [Odds ratios (OR) (95% CI) = 3.56 (1.39-9.43), p = 0.01], a pH ≥ 8.70 [OR (95% CI) = 3.60 (1.34-10.09), p = 0.01], and water hardness ≥5.72 × 102 mg/l [OR (95% CI) = 6.30 (2.34-18.56), p < 0.001] were each independently associated with a higher risk of CT and EC colonization by Legionella. The present study shows the importance of risk assessment for improving the control measures aimed at preventing or reducing Legionella populations in CT and EC, thus minimizing potential dangers for public health.

UI MeSH Term Description Entries
D007875 Legionella Gram-negative aerobic rods, isolated from surface water or thermally polluted lakes or streams. Member are pathogenic for man. Legionella pneumophila is the causative agent for LEGIONNAIRES' DISEASE.
D007877 Legionnaires' Disease An acute, sometimes fatal, pneumonia-like bacterial infection characterized by high fever, malaise, muscle aches, respiratory disorders and headache. It is named for an outbreak at the 1976 Philadelphia convention of the American Legion. Legionella pneumophila Infections,Infections, Legionella pneumophila,Legionnaire Disease,Pontiac Fever,Disease, Legionnaire,Disease, Legionnaires',Fever, Pontiac,Infection, Legionella pneumophila,Legionella pneumophila Infection,Legionnaire's Disease,Legionnaires Disease
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000088343 Respiratory Aerosols and Droplets Physiological aerosols and droplets expelled during coughing, sneezing, speaking and exhalation. Depending on the size, aerodynamic distribution or concentration they may play a role in transmission of infectious respiratory diseases. Exhaled Bio-Aerosols,Exhaled Biological Aerosols,Expiratory Droplet Nuclei,Infectious Aerosols,Respiratory Aerosol,Respiratory Aerosols,Respiratory Droplet,Respiratory Droplets,Respiratory Droplets and Aerosols,Aerosol, Exhaled Biological,Aerosol, Infectious,Aerosol, Respiratory,Bio-Aerosol, Exhaled,Biological Aerosol, Exhaled,Droplet Nuclei, Expiratory,Droplet Nucleus, Expiratory,Droplet, Respiratory,Exhaled Bio Aerosols,Exhaled Bio-Aerosol,Exhaled Biological Aerosol,Expiratory Droplet Nucleus,Infectious Aerosol,Nucleus, Expiratory Droplet
D014871 Water Microbiology The presence of bacteria, viruses, and fungi in water. This term is not restricted to pathogenic organisms. Microbiology, Water
D016952 Legionella pneumophila A species of gram-negative, aerobic bacteria that is the causative agent of LEGIONNAIRES' DISEASE. It has been isolated from numerous environmental sites as well as from human lung tissue, respiratory secretions, and blood.

Related Publications

María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
April 1979, Annals of internal medicine,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
September 2003, Health estate,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
January 1986, Journal of environmental health,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
November 1988, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
January 1986, Annals of the Academy of Medicine, Singapore,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
March 1992, The Medical journal of Malaysia,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
October 1988, Applied and environmental microbiology,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
December 2021, Microorganisms,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
January 2010, Letters in applied microbiology,
María Campaña, and Rafael Del Hoyo, and Antonio Monleón-Getino, and Javier Checa
August 2004, The Medical journal of Malaysia,
Copied contents to your clipboard!