Epidemiology of Legionnaires’ Disease, Hong Kong, China, 2005−2015
| Autor: | Yung-Yan Cheung, Chi-Wai Chan, Yiu-Hong Leung, Shuk-Kwan Chuang, Chau-kuen Lam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
China medicine.medical_specialty Legionella Legionella species 030231 tropical medicine lcsh:Medicine Disease Malignancy Lower risk Legionella pneumophila lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Internal medicine Epidemiology environmental samples medicine Humans lcsh:RC109-216 Epidemiology of Legionnaires’ Disease Hong Kong China 2005−2015 030212 general & internal medicine bacteria biology legionellosis business.industry lcsh:R Odds ratio medicine.disease biology.organism_classification chronic medical conditions Infectious Diseases Synopsis surveillance Hong Kong Legionnaires' disease epidemiology Legionnaires' Disease Water Microbiology business Legionnaires’ disease |
| Zdroj: | Emerging Infectious Diseases, Vol 26, Iss 8, Pp 1695-1702 (2020) Emerging Infectious Diseases |
| ISSN: | 1080-6059 1080-6040 |
| Popis: | We reviewed findings of clinical, epidemiologic, and environmental investigations for 288 confirmed case-patients with Legionnaires’ disease reported in Hong Kong, China, during January 2005−December 2015. We found that chronic renal failure/impairment (adjusted odds ratio [aOR] 4.09), chronic pulmonary diseases (aOR 3.22), malignancy (aOR 3.04), and heart diseases (aOR 2.15) were independently associated with a higher risk for severe Legionnaires’ disease. However, patients with hyperlipidemia had a lower risk for severe outcome (aOR 0.17). Legionella positivity rate was 22% for 1,904 water samples collected. We found a higher positivity rate in summer months (28%−30%), which corroborated with months of highest rainfalls. Our novel finding that Legionnaires’ disease patients with hyperlipidemia had a lower risk for severe outcome deserves further study to confirm the observation and ascertain the underlying reason. |
| Databáze: | OpenAIRE |
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