Travel Medicine and Infectious Disease
Volume 9, Issue 4 , Pages 176-186, July 2011

Legionella infections and travel associated legionellosis

  • Cyril Guyard

      Affiliations

    • Ontario Agency for Health Protection and Promotion (OAHPP), 81 resources Road, Toronto, Ontario, M9P 3T1, Canada
    • Department of Laboratory Medicine & Pathobiology, University of Toronto, Medical Sciences Buildings, 1 King’s College Circle, 6th Floor, Toronto, Ontario, M5S 1A8, Canada
    • Mount Sinai Hospital, Toronto, Joseph and Wolf Lebovic Health Complex, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada
    • Corresponding Author InformationCorresponding author. Ontario Agency for Health Protection and Promotion (OAHPP), 81 Resources Road, Toronto, Ontario, M9P 3T1, Canada. Tel.: +1 416 235 5920; fax: +1 416 235 6281.
  • ,
  • Donald E. Low

      Affiliations

    • Ontario Agency for Health Protection and Promotion (OAHPP), 81 resources Road, Toronto, Ontario, M9P 3T1, Canada
    • Department of Laboratory Medicine & Pathobiology, University of Toronto, Medical Sciences Buildings, 1 King’s College Circle, 6th Floor, Toronto, Ontario, M5S 1A8, Canada
    • Mount Sinai Hospital, Toronto, Joseph and Wolf Lebovic Health Complex, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada

Received 11 May 2010; accepted 17 May 2010. published online 17 June 2010.

Summary 

Travel associated Legionnaires’ disease represents a significant cause of travel associated respiratory tract infections and impacts disproportionately on otherwise healthy individuals as a consequence of their travel abroad or within their own country. Because of the propensity of these bacteria to colonize man-made water systems, legionellosis are frequently reported in travelers who stayed in accommodations sites such as hotels or cruise ships. Since the discovery of this new pathogen and the creation of surveillance networks, the number of reported travel associated legionellosis cases have increased regularly. Education of physicians about the association of Legionnaires’ disease with travel and the use of appropriate diagnostic tests and therapy can result in a reduction in morbidity and mortality due to this important cause of community-acquired pneumonia.

Keywords: Legionellosis, Travel associated illness, Risk factors, Detection and subtyping methods, Legionella pneumophila

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PII: S1477-8939(10)00071-2

doi:10.1016/j.tmaid.2010.05.006

Travel Medicine and Infectious Disease
Volume 9, Issue 4 , Pages 176-186, July 2011