Skip to main content
Top
Gepubliceerd in: Bijblijven 7/2010

01-07-2010 | Artikel

Legionellose-uitbraken en -clusters: speuren naar de bron

Auteurs: drs. P. S. Brandsema, Dr. S. M. E. Euser, drs. W. L. M. Ruijs

Gepubliceerd in: Bijblijven | Uitgave 7/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Legionellapneumonie wordt veroorzaakt door het inademen van de legionellabacterie. In Nederland heeft Legionella veel aandacht gekregen na een uitbraak van legionellapneumonie bij een bloemenshow in Bovenkarspel in 1999. Naar aanleiding van deze uitbraak werd regelgeving voor legionellapreventie opgesteld. Om verdere ziektegevallen van legionellapneumonie te voorkomen, wordt bij iedere melding van legionellapneumonie actieve bronopsporing verricht en wordt er op landelijk niveau naar clusters van legionellapneumonie gezocht. Op Europees niveau worden clusters van reisgerelateerde legionellapneumonie opgespoord. Naast enkele uitbraken en de maatregelen die erop volgden, beschrijven we het ziektebeeld, epidemiologie, diagnostiek en de behandeling.
Literatuur
1.
2.
go back to reference Fraser DW, Tsai TR, Orenstein W, Parkin WE, Beecham HJ, Sharrar RG, et al. Legionnaires’ disease: description of an epidemic of pneumonia. N Engl J Med 1977;297:1189-97. Fraser DW, Tsai TR, Orenstein W, Parkin WE, Beecham HJ, Sharrar RG, et al. Legionnaires’ disease: description of an epidemic of pneumonia. N Engl J Med 1977;297:1189-97.
4.
go back to reference Lettinga KD, Verbon A, Nieuwkerk PT, Jonkers RE, Gersons BP, Prins JM, et al. Health-related quality of life and posttraumatic stress disorder among survivors of an outbreak of Legionnaires disease. Clin Infect Dis 2002;35:11-7. Lettinga KD, Verbon A, Nieuwkerk PT, Jonkers RE, Gersons BP, Prins JM, et al. Health-related quality of life and posttraumatic stress disorder among survivors of an outbreak of Legionnaires disease. Clin Infect Dis 2002;35:11-7.
6.
go back to reference Konig C, Hebestreit H, Valenza G, Abele-Horn M, Speer CP. Legionella waltersii--a novel cause of pneumonia? Acta Paediatr 2005;94:1505-7. Konig C, Hebestreit H, Valenza G, Abele-Horn M, Speer CP. Legionella waltersii--a novel cause of pneumonia? Acta Paediatr 2005;94:1505-7.
7.
go back to reference Ricketts KD, Joseph CA. Legionnaires disease in Europe: 2005-2006. Euro Surveill 2007;12:E7-8. Ricketts KD, Joseph CA. Legionnaires disease in Europe: 2005-2006. Euro Surveill 2007;12:E7-8.
8.
go back to reference Baum H von, Ewig S, Marre R, Suttorp N, Gonschior S, Welte T, et al. Community-acquired Legionella pneumonia: new insights from the German competence network for community acquired pneumonia. Clin Infect Dis 2008;46:1356-64. Baum H von, Ewig S, Marre R, Suttorp N, Gonschior S, Welte T, et al. Community-acquired Legionella pneumonia: new insights from the German competence network for community acquired pneumonia. Clin Infect Dis 2008;46:1356-64.
9.
go back to reference Plouffe JF, File TM, Jr., Breiman RF, Hackman BA, Salstrom SJ, Marston BJ, et al. Reevaluation of the definition of Legionnaires’ disease: use of the urinary antigen assay. Community Based Pneumonia Incidence Study Group. Clin Infect Dis 1995;20:1286-91. Plouffe JF, File TM, Jr., Breiman RF, Hackman BA, Salstrom SJ, Marston BJ, et al. Reevaluation of the definition of Legionnaires’ disease: use of the urinary antigen assay. Community Based Pneumonia Incidence Study Group. Clin Infect Dis 1995;20:1286-91.
10.
go back to reference Yzerman EP, Boer JW den, Lettinga KD, Schellekens J, Dankert J, Peeters M. Sensitivity of three urinary antigen tests associated with clinical severity in a large outbreak of Legionnaires’ disease in The Netherlands. J Clin Microbiol 2002;40:3232-6. Yzerman EP, Boer JW den, Lettinga KD, Schellekens J, Dankert J, Peeters M. Sensitivity of three urinary antigen tests associated with clinical severity in a large outbreak of Legionnaires’ disease in The Netherlands. J Clin Microbiol 2002;40:3232-6.
13.
go back to reference Eerden MM van der, Vlaspolder F, Graaff CS de, Groot T, Jansen HM, Boersma WG. Value of intensive diagnostic microbiological investigation in low- and high-risk patients with community-acquired pneumonia. Eur J Clin Microbiol Infect Dis 2005;24:241-9. Eerden MM van der, Vlaspolder F, Graaff CS de, Groot T, Jansen HM, Boersma WG. Value of intensive diagnostic microbiological investigation in low- and high-risk patients with community-acquired pneumonia. Eur J Clin Microbiol Infect Dis 2005;24:241-9.
14.
go back to reference Vergis EN, Akbas E, Yu VL. Legionella as a cause of severe pneumonia. Semin Respir Crit Care Med 2000;21:295-304. Vergis EN, Akbas E, Yu VL. Legionella as a cause of severe pneumonia. Semin Respir Crit Care Med 2000;21:295-304.
15.
go back to reference Boer JW den, Bruin JP, Verhoef LP, Zwaluw K van der, Jansen R, Yzerman EP. Genotypic comparison of clinical Legionella isolates and patient-related environmental isolates in The Netherlands, 2002-2006. Clin Microbiol Infect 2008;14:459-66. Boer JW den, Bruin JP, Verhoef LP, Zwaluw K van der, Jansen R, Yzerman EP. Genotypic comparison of clinical Legionella isolates and patient-related environmental isolates in The Netherlands, 2002-2006. Clin Microbiol Infect 2008;14:459-66.
16.
go back to reference Boer JW den, Yzerman EP, Jansen R, Bruin JP, Verhoef LP, Neve G, et al. Legionnaires’ disease and gardening. Clin Microbiol Infect 2007;13:88-91. Boer JW den, Yzerman EP, Jansen R, Bruin JP, Verhoef LP, Neve G, et al. Legionnaires’ disease and gardening. Clin Microbiol Infect 2007;13:88-91.
17.
go back to reference Wallensten A, Oliver I, Ricketts K, Kafatos G, Stuart JM, Joseph C. Windscreen wiper fluid without added screenwash in motor vehicles: a newly identified risk factor for Legionnaires’ disease. Eur J Epidemiol 2010 Jun 8. [Epub ahead of print] Wallensten A, Oliver I, Ricketts K, Kafatos G, Stuart JM, Joseph C. Windscreen wiper fluid without added screenwash in motor vehicles: a newly identified risk factor for Legionnaires’ disease. Eur J Epidemiol 2010 Jun 8. [Epub ahead of print]
18.
go back to reference Garcia-Fulgueiras A, Navarro C, Fenoll D, Garcia J, Gonzalez-Diego P, Jimenez-Bunuales T, et al. Legionnaires’ disease outbreak in Murcia, Spain. Emerg Infect Dis 2003;9:915-21. Garcia-Fulgueiras A, Navarro C, Fenoll D, Garcia J, Gonzalez-Diego P, Jimenez-Bunuales T, et al. Legionnaires’ disease outbreak in Murcia, Spain. Emerg Infect Dis 2003;9:915-21.
19.
go back to reference Smith AF, Wild C, Law J. The Barrow-in-Furness legionnaires’ outbreak: qualitative study of the hospital response and the role of the major incident plan. Emerg Med J 2005;22:251-5. Smith AF, Wild C, Law J. The Barrow-in-Furness legionnaires’ outbreak: qualitative study of the hospital response and the role of the major incident plan. Emerg Med J 2005;22:251-5.
20.
go back to reference Nguyen TM, Ilef D, Jarraud S, Rouil L, Campese C, Che D, et al. A community-wide outbreak of legionnaires disease linked to industrial cooling towers--how far can contaminated aerosols spread? J Infect Dis 2006;193:102-11. Nguyen TM, Ilef D, Jarraud S, Rouil L, Campese C, Che D, et al. A community-wide outbreak of legionnaires disease linked to industrial cooling towers--how far can contaminated aerosols spread? J Infect Dis 2006;193:102-11.
21.
go back to reference Nygard K, Werner-Johansen O, Ronsen S, Caugant DA, Simonsen O, Kanestrom A, et al. An outbreak of legionnaires disease caused by long-distance spread from an industrial air scrubber in Sarpsborg, Norway. Clin Infect Dis 2008;46:61-9. Nygard K, Werner-Johansen O, Ronsen S, Caugant DA, Simonsen O, Kanestrom A, et al. An outbreak of legionnaires disease caused by long-distance spread from an industrial air scrubber in Sarpsborg, Norway. Clin Infect Dis 2008;46:61-9.
22.
go back to reference Gilmour MW, Bernard K, Tracz DM, Olson AB, Corbett CR, Burdz T, et al. Molecular typing of a Legionella pneumophila outbreak in Ontario, Canada. J Med Microbiol 2007;56(Pt 3):336-41. Gilmour MW, Bernard K, Tracz DM, Olson AB, Corbett CR, Burdz T, et al. Molecular typing of a Legionella pneumophila outbreak in Ontario, Canada. J Med Microbiol 2007;56(Pt 3):336-41.
23.
go back to reference Castilla J, Barricarte A, Aldaz J, Garcia Cenoz M, Ferrer T, Pelaz C, et al. A large Legionnaires’ disease outbreak in Pamplona, Spain: early detection, rapid control and no case fatality. Epidemiol Infect 2008;136:823-32. Epub 2007 Jul 30. Castilla J, Barricarte A, Aldaz J, Garcia Cenoz M, Ferrer T, Pelaz C, et al. A large Legionnaires’ disease outbreak in Pamplona, Spain: early detection, rapid control and no case fatality. Epidemiol Infect 2008;136:823-32. Epub 2007 Jul 30.
24.
go back to reference Tartatovskiy IS, Demina Y, Voronina OL, Alyapkina YS, Karpova TI. From large community outbreak in Verhnaya Pyshma to effective prevention of legionellosis in Russia. Legionella 2009 conference, 13-17 Oct 2009, Institut Pasteur, Paris, France. Abstract book, p.58. Tartatovskiy IS, Demina Y, Voronina OL, Alyapkina YS, Karpova TI. From large community outbreak in Verhnaya Pyshma to effective prevention of legionellosis in Russia. Legionella 2009 conference, 13-17 Oct 2009, Institut Pasteur, Paris, France. Abstract book, p.58.
25.
go back to reference Unit for Surveillance and Control of Communicable Diseases. Legionnaires’ disease in a neonatal unit of a private hospital, Cyprus, December 2008: preliminary outbreak report. Euro Surveill 2009;14:pii=1909. Unit for Surveillance and Control of Communicable Diseases. Legionnaires’ disease in a neonatal unit of a private hospital, Cyprus, December 2008: preliminary outbreak report. Euro Surveill 2009;14:pii=1909.
26.
go back to reference Euser SM, Brandsema P, Ruijs WLM, Boer JW den. Legionella-bronopsporing in Nederland: resultaten van de Bronopsporings Eenheid Legionella-pneumonie (BEL) 2007-2008 Infectieziekten bulletin 2009;20:192-4. Euser SM, Brandsema P, Ruijs WLM, Boer JW den. Legionella-bronopsporing in Nederland: resultaten van de Bronopsporings Eenheid Legionella-pneumonie (BEL) 2007-2008 Infectieziekten bulletin 2009;20:192-4.
28.
go back to reference Ricketts K, Joseph CA, Yadav R. Travel-associated Legionnaires disease in Europe in 2008. Euro Surveill 2010;15:19578. Ricketts K, Joseph CA, Yadav R. Travel-associated Legionnaires disease in Europe in 2008. Euro Surveill 2010;15:19578.
30.
go back to reference Boer JW den, Yzerman EP, Schellekens J, Lettinga KD, Boshuizen HC, Steenbergen van JE, et al. A large outbreak of Legionnaires’ disease at a flower show, the Netherlands, 1999. Emerg Infect Dis 2002;8:37-43. Boer JW den, Yzerman EP, Schellekens J, Lettinga KD, Boshuizen HC, Steenbergen van JE, et al. A large outbreak of Legionnaires’ disease at a flower show, the Netherlands, 1999. Emerg Infect Dis 2002;8:37-43.
31.
go back to reference Waterleidingbesluit Hoofdstuk IIIC (legionellapreventie). Waterleidingbesluit Hoofdstuk IIIC (legionellapreventie).
32.
go back to reference Besluit Hygiëne en Veiligheid voor Zwemgelegenheden en Badinrichtingen (Bhvbz). Besluit Hygiëne en Veiligheid voor Zwemgelegenheden en Badinrichtingen (Bhvbz).
33.
go back to reference Beleidsregel Legionella 4.87 Arbeidsomstandighedenwet. Beleidsregel Legionella 4.87 Arbeidsomstandighedenwet.
34.
go back to reference Hoek JA van den, IJzerman EP, Coutinho RA. Legionella-uitbraak in Amsterdam: koeltoren als bron. Ned Tijdschr Geneeskd 2006;150:1808-11. Hoek JA van den, IJzerman EP, Coutinho RA. Legionella-uitbraak in Amsterdam: koeltoren als bron. Ned Tijdschr Geneeskd 2006;150:1808-11.
35.
go back to reference Activiteitenbesluit artikel 3.16a Wet milieubeheer. Activiteitenbesluit artikel 3.16a Wet milieubeheer.
36.
go back to reference Karagiannis I, Brandsema P, Sande M van der. Warm, wet weather associated with increased Legionnaires’ disease incidence in The Netherlands. Epidemiol Infect 2009;137:181-7. Karagiannis I, Brandsema P, Sande M van der. Warm, wet weather associated with increased Legionnaires’ disease incidence in The Netherlands. Epidemiol Infect 2009;137:181-7.
Metagegevens
Titel
Legionellose-uitbraken en -clusters: speuren naar de bron
Auteurs
drs. P. S. Brandsema
Dr. S. M. E. Euser
drs. W. L. M. Ruijs
Publicatiedatum
01-07-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Bijblijven / Uitgave 7/2010
Print ISSN: 0168-9428
Elektronisch ISSN: 1876-4916
DOI
https://doi.org/10.1007/BF03088787

Andere artikelen Uitgave 7/2010

Bijblijven 7/2010 Naar de uitgave