Skip to main content
Log in

Exploring the Legionella pneumophila positivity rate in hotel water samples from Antalya, Turkey

  • Research Article
  • Published:
Environmental Science and Pollution Research Aims and scope Submit manuscript

Abstract

The genus Legionella is a fastidious Gram-negative bacteria widely distributed in natural waters and man made water supply systems. Legionella pneumophila is the aetiological agent of approximately 90% of reported Legionellosis cases, and serogroup 1 is the most frequent cause of infections. Legionnaires’ disease is often associated with travel and continues to be a public health concern at present. The correct water management quality practices and rapid methods for analyzing Legionella species in environmental water is a key point for the prevention of Legionnaires’ disease outbreaks. This study aimed to evaluate the positivity rates and serotyping of Legionella species from water samples in the region of Antalya, Turkey, which is an important tourism center. During January−December 2010, a total of 1403 samples of water that were collected from various hotels (n = 56) located in Antalya were investigated for Legionella pneumophila. All samples were screened for L. pneumophila by culture method according to “ISO 11731-2” criteria. The culture positive Legionella strains were serologically identified by latex agglutination test. A total of 142 Legionella pneumophila isolates were recovered from 21 (37.5%) of 56 hotels. The total frequency of L. pneumophila isolation from water samples was found as 10.1%. Serological typing of 142 Legionella isolates by latex agglutination test revealed that strains belonging to L. pneumophila serogroups 2−14 predominated in the examined samples (85%), while strains of L. pneumophila serogroup 1 were less numerous (15%). According to our knowledge, our study with the greatest number of water samples from Turkey demonstrates that L. pneumophila serogroups 2−14 is the most common isolate. Rapid isolation of L. pneumophila from environmental water samples is essential for the investigation of travel related outbreaks and the possible resources. Further studies are needed to have epidemiological data and to determine the types of L. pneumophila isolates from Turkey.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+
from $39.99 /Month
  • Starting from 10 chapters or articles per month
  • Access and download chapters and articles from more than 300k books and 2,500 journals
  • Cancel anytime
View plans

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Abu Kwaik Y, Gao LY, Stone BJ, Venkataraman C, Harb OS (1998) Invasion of protozoa by Legionella pneumophila and its role in bacterial ecology and pathogenesis. Appl Environ Microbiol 64(9):3127–3133

    CAS  Google Scholar 

  • Akbaş E, Dalkılınç İ, Gözalan A, Güvener E (1999) Otel Su Sistemlerinde Legionella spp.: Ege ve Akdeniz Bölgelerinde Bir Çalışma. Flora 4(4):258–266

    Google Scholar 

  • Akkaya Z, Özbal Y (2011) Kayseri’deki farklı binaların su depolarında Legionella araştırılması. Sağlık Bilimleri Dergisi 20(1):9–17

    Google Scholar 

  • Al-Matawah QA, Al-Zenki SF, Qasem JA, Al-Waalan TE, BenHeji AH (2012) Detection and quantification of Legionella pneumophila from water systems in Kuwait residential facilities. J Pathog 138389

  • Anonymous (2000) Outbreak of Legionnaires’disease associated with aquarium in Australia. Commun Diss Rep CDR Wkly 10:161

    Google Scholar 

  • Borella P, Montagna MT, Stampi S, Stancanelli G, Romano-Spica V, Triassi M et al (2005) Legionella contamination in hot water of Italian hotels. Appl Environ Microbiol 71(10):5805–5813

    Article  CAS  Google Scholar 

  • Den Boer JW, Yzerman EPF, Schellekens J, Lettinga KD, Boshuizen HC, Van Steenbergen JE et al (1999) A large outbreak of Legionnaires’ disease at a flower show, the Netherlands. Emerg Infect Dis 8:37–43

    Article  Google Scholar 

  • Erandaç M, Elaldı N (2001) Hastane Musluk Ve Duş Sularında Legionella Cinsi Bakterilerin Araştırılması. Cumhuriyet Üniversitesi Tıp Fak Derg 23(2):81–83

    Google Scholar 

  • Erdogan H, Arslan H (2007) Colonization of Legionella Species in hotel water systems in Turkey. Journal of Travel Medicine 14(6):369–373

    Article  Google Scholar 

  • European Centre for Disease Prevention and Control (2011) Annual epidemiological report Reporting on 2009 surveillance data and 2010 epidemic intelligence data. Stockholm. ECDC 2011

  • Fields BS, Benson RF, Besser RE (2002) Legionella and Legionnaires’ disease: 25 years of investigation. Clin Microbiol Rev 15(3):506–526

    Article  Google Scholar 

  • Goutziana G, Mouchtouri VA, Karanika M, Kavagias A, Stathakis NE, Gourgoulianis K et al (2008) Legionella species colonization of water distribution systems, pools and air conditioning systems in cruise ships and ferries. BMC Public Health 8:390

    Article  Google Scholar 

  • Hilbi H, Jarraud S, Hartland E, Buchrieser C (2010) Update on Legionnaires’ disease: pathogenesis, epidemiology, detection and control. Mol Microbiol 76(1):1–11

    Article  CAS  Google Scholar 

  • Joseph CA, Lee JV (1996) Outbreak of Legionnaires’ disease associated with the hotel Imbat, Kusadasi, Turkey (1996). Public Health Laboratory Service, London, pp 1–49

    Google Scholar 

  • Joseph C A, Ricketts KD, Yadav R, Patel S (2010) On behalf of the European Working Group for Legionella Infections. Travel-associated Legionnaires’ disease in Europe in 2009. Euro Surveill 15 (41)

  • Lück PC, Hahn F, Senger M, Boers SA, Brandsema P (2008) European Network cooperation to identify hotel as source for pneumonia caused by Legionella pneumophila serogroup 2. Euro Surveill 13(24)

  • Mouchtouri V, Velonakis E, Tsakalof A, Kapoula C, Goutziana G, Vatopoulos A et al (2007) Risk factors for contamination of hotel water distribution systems by Legionella species. Appl Environ Microbiol 73:1489–1492

    Article  CAS  Google Scholar 

  • Napoli C, Fasano F, Iatta R, Barbuti G, Cuna T, Montagna MT (2010) Legionella spp. and legionellosis in southeastern Italy: disease epidemiology and environmental surveillance in community and health care facilities. BMC Public Health 10:660

    Article  Google Scholar 

  • Ricketts KD, Joseph CA (2006) The distribution of travel-associated Legionnaires’ disease within selected European countries, and a comparison with tourist patterns. Epidemiol Infect 134:887–893

    Article  CAS  Google Scholar 

  • Ricketts K, Yadav R, Joseph C (2009) Travel associated Legionnaires’ disease in Europe: Reporting and response. Legionella October, 13–17, Paris-France

  • Sabria M, Alvarez J, Dominguez A, Pedrol A, Sauca G, Salleras L et al (2006) A community outbreak of Legionaires’ disease: evidence of a cooling tower as the source. Clin Microbiol Infect 12:642–647

    Article  CAS  Google Scholar 

  • Tello O, Pelaz C, Garcia-Fulguerias A, Joseph C, Kool J, Navarro C (2001) Update on the outbreak of Legionnaires’ disease in Murcia, Spain. Euro Surveill 5(29)

  • Vural T, Odabaş EK (2004) Lejyoner Hastalığı ve Turizm. Ankem Derg 18(3):184–187

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nevgün Sepin Özen.

Additional information

Responsible editor: Philippe Garrigues

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sepin Özen, N., Tuğlu Ataman, Ş. & Emek, M. Exploring the Legionella pneumophila positivity rate in hotel water samples from Antalya, Turkey. Environ Sci Pollut Res 24, 12238–12242 (2017). https://doi.org/10.1007/s11356-017-8864-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11356-017-8864-1

Keywords