Legionellosis risk-an overview of Legionella spp. habitats in Europe

Environ Sci Pollut Res Int. 2022 Nov;29(51):76532-76542. doi: 10.1007/s11356-022-22950-9. Epub 2022 Sep 26.

Abstract

An increase in the number of reports of legionellosis in the European Union and the European Economic Area have been recorded in recent years. The increase in cases is significant: from 6947 reports in 2015 to 11,298 in 2019. This is alarming as genus Legionella, which comprises a large group of bacteria inhabiting various aquatic systems, poses a serious threat to human health and life, since more than 20 species can cause legionellosis, with L. pneumophila being responsible for the majority of cases. The ability to colonize diverse ecosystems makes the eradication of these microorganisms difficult. A detailed understanding of the Legionella habitat may be helpful in the effective control of this pathogen. This paper provides an overview of Legionella environments in Europe: natural (lakes, groundwater, rivers, compost, soil) and anthropogenic (fountains, air humidifiers, water supply systems), and the role of Legionella spp. in nosocomial infections, which are potentially fatal for children, the elderly and immunocompromised patients.

Keywords: Aquatic pathogens; Disease control; Environmental microbiology; Legionella; Legionellosis.

Publication types

  • Review

MeSH terms

  • Aged
  • Child
  • Ecosystem
  • Europe
  • Humans
  • Legionella pneumophila*
  • Legionella*
  • Legionellosis* / etiology
  • Legionellosis* / microbiology
  • Soil
  • Water Microbiology

Substances

  • Soil