Case Report

Clusters of Healthcare-Associated Legionnaires’ Disease in Two Hospitals of Central Greece

Table 1

Microbiological analysis results of environmental samples for Legionella spp. detection from Hospital A.

Hospital A
Sampling dateSampling pointResult
Culture (cfu/L)SBT§

26th AprilCardiology department: shower head2 × 103Lp sg 1˚
Cardiology department: nebulizer, swabNegative
Cardiology department: drinking-water fountain100 Lp sg 1˚
200 Lp sg 2–14
Cardiology department: cardiology ICU’s water distribution systemNegative

18th MayCardiology department: storage room, bathroom3 × 103Lp sg 1˚ST-1: 1,4,3,1,1,1,1
Cardiology department: room 542, swab (patient 1)Negative
Cardiology department: room 548, nebulizer, swab (patient 2)Negative
Cardiology department: drinking-water fountain2.3 × 104Lp sg˚ 2–14˚
Internal medicine department: room 510Negative
Boiler number 6Negative
Water softener outletNegative
Cooling tower number 1Negative
Cooling tower number 3100 Legionella spp.

6th SeptemberTechnical staff offices: drinking fountain2 × 103Lp sg 2–14
800 Legionella spp.
Cooling tower 19.6 × 104Legionella spp.
Cooling tower 31.6 × 105Legionella spp.
Cooling tower 55.9 × 104Legionella spp.
Boiler number 1Negative
Boiler number 2Negative
Cardiology department: drinking-water fountain, swabNegative
Cardiology department: room 542, shower100 Legionella spp.
Internal medicine department: room 510Negative
Internal medicine department: storage room (stagnant line)7.5 × 103Lp sg 1˚
4 × 103Legionella spp.
ST-1: 1,4,3,1,1,1,1
Cardiology department: storage room (stagnant line)Negative

Colony-forming units per liter; §sequence-based typing; ˚Legionella pneumophila serogroup; intensive care unit.