AJIC: American Journal of Infection Control
Volume 38, Issue 1 , Pages 50-55 , February 2010

Legionella species colonization in cooling towers: Risk factors and assessment of control measures

  • Varvara A. Mouchtouri, BSc, PhD

      Affiliations

    • Department of Hygiene and Epidemiology, Medical School, University of Thessaly, Larissa, Greece
    • Department of Public and Administrative Health, National School of Public Health, Athens, Greece
    • ,
  • Georgia Goutziana, MD

      Affiliations

    • Department of Hygiene and Epidemiology, Medical School, University of Thessaly, Larissa, Greece
    • ,
  • Jenny Kremastinou, MD, PhD

      Affiliations

    • Department of Public and Administrative Health, National School of Public Health, Athens, Greece
    • ,
  • Christos Hadjichristodoulou, MD, PhD

      Affiliations

    • Department of Hygiene and Epidemiology, Medical School, University of Thessaly, Larissa, Greece
    • Corresponding Author InformationAddress correspondence to Christos Hadjichristodoulou, MD, PhD, Department of Hygiene and Epidemiology, Medical School, University of Thessaly, Papakiriazi Str, 22, 41222, Larissa, Greece.

References 

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  7. 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;56:336–341
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  10. Greig JE, Carnie JA, Tallis GF, Ryan NJ, Tan AG, Gordon IR, et al. An outbreak of Legionnaires' disease at the Melbourne Aquarium, April 2000: investigation and case-control studies. Med J Aust. 2004;180:566–572
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  16. Yu VL. Cooling towers and legionellosis: a conundrum with proposed solutions. Int J Hyg Environ Health. 2008;211:229–234
  17. Hadjichristodoulou C, Goutziana G, Mouchtouri V, Kapoula C, Konstantinidis A, Velonakis E, et al. Evaluation of standardized scored inspections for Legionnaires' disease prevention, during the Athens 2004 Olympics. Epidemiol Infect. 2006;134:1074–1081
  18. Yamamoto H, Sugiura M, Kusunoki S, Ezaki T, Ikedo M, Yabuuchi E. Factors stimulating propagation of legionellae in cooling tower water. Appl Environ Microbiol. 1992;58:1394–1397
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  22. Wery N, Bru-Adan V, Minervini C, Delgenes JP, Garrelly L, Godon JJ. Dynamics of Legionella spp and bacterial populations during the proliferation of L pneumophila in a cooling tower facility. Appl Environ Microbiol. 2008;74:3030–3037
  23. Turetgen I, Sungur EI, Cotuk A. Enumeration of Legionella pneumophila in cooling tower water systems. Environ Monit Assess. 2005;100:53–58
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 Conflicts of interest: none to report.

PII: S0196-6553(09)00628-2

doi: 10.1016/j.ajic.2009.04.285

AJIC: American Journal of Infection Control
Volume 38, Issue 1 , Pages 50-55 , February 2010

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