Isolation and identification of Legionella spp. from non-hospital facilities: a preliminary one-year surveillance study in the urban area of Pesaro-Urbino (Central Italy)

Ann Ig. 2022 Mar-Apr;34(2):177-183. doi: 10.7416/ai.2022.2477.

Abstract

Background: Legionella is considered one of the most important causes of potentially preventable morbid-ity and mortality. These microorganisms are ubiquitous, but incomplete information is available on the geographic distribution of Legionella species in our region.

Study design: For the mentioned reasons, in this work the distribution of Legionella spp. in non-hospital facilities of the urban area of Pesaro-Urbino (Central Italy), including public fountains, residential build-ings, public and private offices and retirement homes, was investigated.

Methods: A total of 298 water samples were collected from the different facilities and subjected to standard Legionella isolation and identification protocols.

Results: As reported, 17.8% of the collected water samples resulted positive for Legionella spp. (28.6% from retirement homes, 21.3% from residential buildings, 15.3% from private and public offices). The highest per-centage of positive samples (14.4%) was found in hot water from retirements homes (58.8%) and residential buildings (31.8%); the most frequent isolated serogroups were L. pneumophila 2-14 (71.7%).

Conclusions: This work is the first describing the distribution of Legionella spp. in non-hospital facilities in the province of Pesaro-Urbino, and highlights a condition of potential risk for susceptible categories. From our data, we can point that a regular and constant control to prevent microbiological risk from legionellosis, particularly in facilities housing the elderly, is recommended.

Keywords: Central Italy; Legionella spp.; isolation; survey study.

MeSH terms

  • Aged
  • Humans
  • Italy / epidemiology
  • Legionella*
  • Legionellosis*
  • Water
  • Water Microbiology
  • Water Supply

Substances

  • Water