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3. Come controllare la contaminazione da Legionella in una struttura ospedaliera

Author

Ribera d’Alcalà G., Montegrosso S., PENNINO, FRANCESCA, Iervolino C., Albanese Z., Russo I., Galdieri A., TORRE, IDA, TRIASSI, MARIA, Ribera d’Alcalà, G., Montegrosso, S., Pennino, Francesca, Iervolino, C., Albanese, Z., Russo, I., Galdieri, A., Torre, Ida, and Triassi, Maria

Published
2007

4. Studio multicentrico italiano sulla legionellosi Contaminazione ambientale da Legionella spp in strutture pubbliche e private

Author

Borella P., Montagna M.T., Romano Spica V., Stancanelli G., Triassi M., Marchesi I., Bargellini A., Cauteruccio L., Tatò D., Napoli C., Scaltriti S., Montegrosso S., Pennino F., Molinari A., Boccia S., LEONI, ERICA, SACCHETTI, ROSSELLA, ZANETTI, FRANCA, Borella P., Leoni E., Montagna MT., Romano Spica V., Stancanelli G., Triassi M., Marchesi I., Bargellini A., Cauteruccio L., Sacchetti R., Zanetti F., Tatò D., Napoli C., Scaltriti S., Montegrosso S., Pennino F., Molinari A., and Boccia S.

Published
2006

7. A multicentric study comparing different commercial tests for detection of Legionella urinary antigen

Author

Montagna M.T., Tatò D., Spilotros G., Barbuti G., Borella P., Stancanelli G., Triassi M., Zotti C.M., Casolari C., Bargellini A., Scaltriti S., Montegrosso S., Ditommaso S., STAMPI, SERENA, LEONI, ERICA, EWGLI, Montagna MT., Tatò D., Spilotros G., Barbuti G., Borella P., Stampi S., Stancanelli G., Triassi M., Zotti CM., Casolari C., Bargellini A., Leoni E., Scaltriti S., Montegrosso S., and Ditommaso S.

Subjects
LEGIONELLA, DIAGNOSI LEGIONELLOSI
Published
2005

9. Confronto tra diverse metodiche utilizzate per l'identificazione dell'antigene urinario di Legionella

Author

Montagna M.T., Tatò D., Spilotros G., Borella P., Stancanelli G., Triassi M., Zotti C.M., Marchesi I., Bargellini A., Scaltriti S., Ieri R., Ribera D'Alcalà G., Montegrosso S., Ditommaso S., Gentile M., LEONI, ERICA, LAZZARI, CLAUDIO, APORTI, MANUELA, Montagna MT., Tatò D., Spilotros G., Borella P., Leoni E., Stancanelli G., Triassi M., Zotti CM., Marchesi I., Bargellini A., Lazzari C., Aporti M., Scaltriti S., Ieri R., Ribera D'Alcalà G., Montegrosso S., Ditommaso S., and Gentile M.

Subjects
LEGIONELLA, ANTIGENE URINARIO
Published
2004

10. The Italian Multicentric study on legionnaires' disease: active surveillance to detect cases and investigation on risk factors

Author

Borella, Paola, Montagna, M. T., Romano Spica, V., Stancanelli, G., Triassi, M., Sacchetti, R., Neglia, Rachele Giovanna, Napoli, C., Scaltriti, Stefania, De Luca, G., Boccia, S., Montegrosso, S., Marchesi, Isabella, Borella P., Montagna MT, Romano-Spica V., Stancanelli G., Triassi M., Sacchetti R., Neglia R., Napoli C., Scaltriti S., De Luca G., Boccia S., Montegrosso S., and Marchesi I.

Subjects
patients with pneumonia, active surveillance, Legionnaires’ disease, Legionella pneumophila, risk factors
Published
2004

11. Genetic polymorphisms as susceptibility factors to Legionella pneumonia

Author

Romano Spica, V., Montagna, M. T., Stancanelli, G., Triassi, M., Montegrosso, S., Stampi, S., Legnani, P. P., Lazzarin, A., Tatò, D., Giacobazzi, Pierluigi, Boccia, S., Arzani, D., Gianfranceschi, G., Ricciardi, G., Borella, Paola, Romano-Spica V, Montagna MT, Stancanelli G, Triassi M, Montegrosso S, Stampi S, Legnani PP, Lazzarin A, Tatò D, Giacobazzi P, Boccia S, Arzani D, Gianfranceschi G, Ricciardi G, and Borella P.

Subjects
Legionnaires' disease, case-control study, polymorphisms, CCR, chemokine receptors alleles
Published
2004

12. Diffusione ambientale di Legionella spp e frequenza di Legionellosi in pazienti affetti da polmonite: primi risultati di uno studio multicentrico italiano

Author

Borella, Paola, Montagna, M. T., ROMANO SPICA, V., Stampi, S., Stancanelli, G., TRIASSI M, M., Bargellini, Annalisa, Giacobazzi, Pierluigi, Vercilli, Francesco, Scaltriti, Stefania, Marchesi, Isabella, Napoli, C., Tato', D., Spilotros, G., Paglionico, N., Quaranta, G., Branca, M., Tumbarello, M., Laurenti, P., Moscato, U., Capoluongo, E., DE LUCA, G., Legnani, P. P., Leoni, E., Sacchetti, R., Zanetti, F., Moro, M., Ossi, C., Lopalco, L., Santarpia, R., Conturso, V., RIBERA D'ALCALA', G., Montegrosso, S., Borella, P, Montagna, Mt, Romanospica, V, Stampi, S, Stancanelli, G, Triassi, Maria, Bargellinin, A, Giacobazzi, P, Vercilli, F, Scaltriti, S, Marchesi, I, Napoli, C, Tat, D, Spilotros, G, Paglionico, N, Quaranta, G, Branca, M, Tumbarello, M, Laurenti, P, Moscato, Capoluongo, E, DE LUCA, G, Legnani, Pp, Leoni, E, Sacchetti, R, Zanetti, F, Moro, M, Ossi, C, Lopalco, L, Santarpia, R, Conturso, V, RIBERA DACAL, G, and Montegrosso, S.

Subjects
INFEZIONE ACQUISITA DALL'ACQUA, ALBERGHI, CASE, LEGIONELLOSI, LEGIONELLA SPP
Published
2003

16. Studio multicentrico italiano sulla Legionellosi. Contaminazione ambientale da Legionella spp in strutture pubbliche e private

Author

Borella, Paola, Leoni, E., Montagna, M. T., Romano Spica, V., Stancanelli, G., Triassi, M., Marchesi, Isabella, Bargellini, Annalisa, Cauteruccio, Laura, Sacchetti, R., Zanetti, F., Tatò, D., Napoli, C., Scaltriti, Stefania, Montegrosso, S., Pennino, F., and Boccia, S.

Subjects
Legionella, legionellosi, case, contaminazione ambientale, alberghi
Published
2006

17. Work-related injuries in young workers: an Italian multicentric epidemiological survey

Author

Agazzotti, A, Righi, E, Patorno, E, Fantuzzi, G, Giuliani, Anna Rita, Aggazzotti, G, Fabiani, Leila, Grappasonni, I, Petrelli, F, Ricciardi, W, LA TORRE, G, Sciacca, S, Angelillo, I, Bianco, A, Nobile, C, Gregorio, P, Lupi, S, Perlangeli, V, Bonazzi, C, Laviola, F, Triassi, M, Iorfida, E, Montegrosso, S, Rivosecchi, P, Serra, Mc, Adorisio, E, Gramiccia, A, Mura, I, Castiglia, P, Romano, G, Poli, A, and Tardivo, S.

Published
2006

20. [Environmental diffusion of Legionella spp and legionellosis frequency among patients with pneumonia: preliminary results of a multicentric Italian survey]

Author

Borella, P, Montagna, M. T, Romano Spica, V, Stampi, S, Stancanelli, G, Triassi, M, Bargellini, A, Giacobazzi, P, Vercilli, F, Scaltriti, S, Marchesi, I, Napoli, Christian, Tatò, D, Spilotros, G, Paglionico, N, Quaranta, G, Branca, M, Tumbarello, M, Laurenti, P, Moscato, U, Capoluongo, E, De Luca, G, Legnani, P. P, Leoni, E, Sacchetti, R, Zanetti, F, Moro, M, Ossi, C, Lopalco, L, Santarpia, R, Conturso, V, Ribera d'Alcalà, G, and Montegrosso, S.

Subjects
Legionellosis, Italy, Humans, Legionella, Pneumonia, Bacterial, Water Microbiology, Bacterial, Pneumonia
Abstract

A multicentric Italian investigation on legionnaires' disease is in course to clarify host factors as well as pathogen associated characteristics involved in the infection/disease. The main goal of the research plan is to account for some critical aspects concerning identification and prevention of legionellosis. To improve knowledge on factors associated with Legionella spp colonisation in hot waters, to detect cases and to characterize risk factors in subjects which develop pneumonia are specific objectives of the research programme. Preliminary results show that hot waters of houses and hotels are frequently contaminated (22.6% and 54.6%, respectively), mainly by L. pneumophila. Microbial concentrations were low in domestic waters (1.000 ufc/l), but higher in samples from the hotels (geom. mean 1.85 x 10(3) ufc/l). Warming system, age of the plant, type of building were risk factors significantly associated with Legionella spp positivity. The active surveillance on patients affected by pneumonia with search for Legionella urinary antigen allowed the identification of 34 cases, 3 of which of nosocomial origin, corresponding to 4.2% of the screened pneumonia. After informed consent, 26 subjects were recruited for a case-control-study to clarify risk factors for the disease.

Published
2004

22. Indagine multicentrica sui fattori di rischio correlati alla presenza di Legionella spp nell’acqua di strutture pubbliche e private

Author

Borella, Paola, Montagna, M. T., Stampi, S., Stancanelli, G., Romano Spica, V., Triassi, M., Bargellini, Annalisa, Marchesi, Isabella, Tatò, D., Spilotros, G., De Luca, G., Sacchetti, R., Ossi, C., Nizzero, P., Laurenti, P., Moscato, U., Ribera D'alcalà, G., and Montegrosso, S.

Subjects
ospedali, Legionella spp, diffusione ambientale, case, alberghi, fattori di rischio
Published
2004

24. Work-related injuries in young workers: An Italian multicentric epidemiological survey

Author

Aggazzotti, G, Righi, E, Patorno, E, Fantuzzi, G, Fabiani, L, Giuliani, A, Grappasonni, I, Petrelli, F, Ricciardi, W, La Torre, G, Sciacca, S, Angelillo, I, Bianco, A, Nobile, C, Gregorio, P, Lupi, S, Perlangeli, V, Bonazzi, M, Laviola, F, Triassi, M, Iorfida, E, Montegrosso, S, Rivosecchi, P, Serra, M, Adorisio, E, Gramiccia, A, Mura, I, Castiglia, P, Romano, G, Poli, A, Tardivo, S, Giuliani, AR, Serra, MC, Tardivo, S., BONAZZI, MARIA CHIARA, Aggazzotti, G, Righi, E, Patorno, E, Fantuzzi, G, Fabiani, L, Giuliani, A, Grappasonni, I, Petrelli, F, Ricciardi, W, La Torre, G, Sciacca, S, Angelillo, I, Bianco, A, Nobile, C, Gregorio, P, Lupi, S, Perlangeli, V, Bonazzi, M, Laviola, F, Triassi, M, Iorfida, E, Montegrosso, S, Rivosecchi, P, Serra, M, Adorisio, E, Gramiccia, A, Mura, I, Castiglia, P, Romano, G, Poli, A, Tardivo, S, Giuliani, AR, Serra, MC, Tardivo, S., and BONAZZI, MARIA CHIARA

Abstract

Emergency departments records from 33 hospitals were reviewed to disclose work-related injuries occurred in teen-subjects living in 14 Italian cities. During January-June 2000, 317 work-related injuries were reported. Male subjects, 17 year old, working in the industrial field, resulted the most affected, probably due to the fact that among young workers this sex and age class is the most represented one. Cluster analysis identified two groups of work-related injuries: one includes mainly transportation injuries causing lower extremities or multiple body sites traumas. The other is more strictly related to specific working tasks and includes mostly traumas and cut wounds in hand/wrist and head, together with eye lesions. A more intensive supervision on the use of protective equipment, a more appropriate training in hazard recognition and safe work practices, including operation of vehicles in the work site, must be implemented to reduce work-related injuries.

Published
2006

25. Prevalence of anti-legionella antibodies among Italian hospital workers

Author

Borella, P., primary, Bargellini, A., additional, Marchesi, I., additional, Rovesti, S., additional, Stancanelli, G., additional, Scaltriti, S., additional, Moro, M., additional, Montagna, M.T., additional, Tatò, D., additional, Napoli, C., additional, Triassi, M., additional, Montegrosso, S., additional, Pennino, F., additional, Zotti, C.M., additional, Ditommaso, S., additional, and Giacomuzzi, M., additional

Published
2008
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28. Environmental diffusion of Legionella spp and legionellosis frequency among patients with pneumonia: preliminary results of a multicentric Italian survey | Diffusione ambientale di Legionella spp e frequenza di legionellosi in pazienti affetti da polmonite: primi risultatidi uno studio multicentrico italiano

Author

Borella, P., Montagna, M. T., Romano-Spica, V., Stampi, S., Stancanelli, G., Triassi, M., Bargellini, A., Giacobazzi, P., Vercilli, F., Scaltriti, S., Marchesi, I., Napoli, C., Tatò, D., Spilotros, G., Paglionico, N., Quaranta, G., Branca, M., Tumbarello, M., Patrizia Laurenti, Moscato, U., Capoluongo, E., Luca, G., Legnani, P. P., Leoni, E., Sacchetti, R., Zanetti, F., Moro, M., Ossi, C., Lopalco, L., Santarpia, R., Conturso, V., Ribera D Alcalà, G., and Montegrosso, S.

29. Prevalence of anti-legionella antibodies amongItalian hospital workers

Author

Savina Ditommaso, Isabella Marchesi, D. Tatò, Francesca Pennino, Maria Triassi, S. Montegrosso, Annalisa Bargellini, Monica Giacomuzzi, Stefania Scaltriti, G. Stancanelli, M. Moro, Carla Maria Zotti, Sergio Rovesti, Christian Napoli, Maria Teresa Montagna, Paola Borella, Borella, P, Bargellini, A, Marchesi, I, Rovesti, S, Stancanelli, G, Scaltriti, S, Moro, M, Montagna, Mt, Tatò, D, Napoli, C, Triassi, Maria, Montegrosso, S, Pennino, Francesca, Zotti, Cm, Ditommaso, S, and Giacomuzzi, M.

Subjects
Male, Pediatrics, Seroprevalence, Anti-Legionella antibodies, Serology, Epidemiology, Prevalence, Medicine, risk factors, biology, seroprevalence, Geography, Bacterial, General Medicine, Middle Aged, Occupational exposure, Antibodies, Bacterial, Hospitals, Infectious Diseases, Italy, Legionella, Occupational exposure, Hospital staff, Anti-Legionella antibodies, Risk factors, Seroprevalence, Legionella, Hospital staff, Risk factors, Female, Antibody, Microbiology (medical), anti-legionella antibodies, Adult, medicine.medical_specialty, Health Personnel, Antibodies, Occupational medicine, hospital staff, legionella, occupational exposure, Internal medicine, Humans, Risk factor, Legionellosis, business.industry, medicine.disease, biology.organism_classification, Pneumonia, Occupational Exposure, biology.protein, business
Abstract

This study evaluated the prevalence of anti-legionella antibodies in workers at hospitals with a long-term history of legionella contamination. The hospitals are located in Milan and Turin, northern Italy, and in Naples and Bari, southern Italy. Antibody prevalence and titres of healthcare workers, medical and dental students and blood donors were assessed. In total 28.5% of subjects were antibody positive, most frequently to L. pneumophila serogroups 7-14. Major differences were observed in seroprevalence and type of legionella antibody in persons from different geographic areas. Healthcare workers had a significantly higher frequency of antibodies compared with blood donors in Milan (35.4 vs 15.9%, P

Published
2008

30. Clinical and environmental distribution of Legionella pneumophila in a university hospital in Italy: efficacy of ultraviolet disinfection

Author

M. Crispino, S. Montegrosso, Susanna Cuccurullo, Raffaele Zarrilli, Paola Borella, A. Di Popolo, G. Ribera D’Alcalà, Z. Albanese, Maria Triassi, Triassi, M, Di Popolo, A, Ribera D'Alcalà, G, Albanese, Z, Cuccurullo, S, Montegrosso, S, Crispino, M, Borella, P, and Zarrilli, R.

Subjects
Microbiology (medical), Serotype, Neonatal intensive care unit, Legionella, Ultraviolet Rays, urinary antigen detection, Legionella pneumophila, serotyping, PFGE typing, UV disinfection, Microbiology, Hospitals, University, Water Supply, Pulsed-field gel electrophoresis, Medicine, Infection control, Humans, Serotyping, Cross Infection, Infection Control, Molecular Epidemiology, biology, Molecular epidemiology, business.industry, General Medicine, bacterial infections and mycoses, biology.organism_classification, medicine.disease, respiratory tract diseases, Electrophoresis, Gel, Pulsed-Field, Intensive Care Units, Infectious Diseases, Italy, bacteria, Legionnaires' disease, Legionnaires' Disease, business, Urinary antigen detection
Abstract

The molecular epidemiology of Legionella pneumophila in the 'V. Monaldi' University Hospital was studied. Seven cases of nosocomial Legionnaires' disease were diagnosed between 1999 and 2003. Two clinical legionella strains obtained from two patients in the adult cardiac surgery unit (CSU) and 30 environmental legionella strains from the paediatric and adult CSUs, neonatal intensive care unit (NICU) and the cardiorespiratory intensive care unit (CR-ICU) were serotyped and genotyped. L. pneumophila serogroup 1/Philadelphia with an identical pulsed-field gel electrophoresis (PFGE) profile A was isolated from two patients in the adult CSU, and from three and one water samples taken in the adult CSU and the paediatric CSU, respectively, from 2001 to 2002. Furthermore, L. pneumophila serogroup 3 with an identical PFGE profile B was identified in 20 environmental strains from all wards, L. pneumophila serogroup 3 with PFGE profile C was identified in a single environmental strain from the CR-ICU, and non-pneumophila Legionella with identical PFGE profile D was identified in five environmental strains from the adult CSU, paediatric CSU and NICU. Ultraviolet irradiation was effective in disinfection of the hospital water supplies in the adult and paediatric CSUs contaminated by L. pneumophila clone associated with nosocomial Legionnaires' disease. In conclusion, these data demonstrate that two cases of nosocomial legionellosis were caused by the persistence of a single clone of L. pneumophila serogroup 1/Philadelphia in the hospital environment, and that disinfection by ultraviolet irradiation may represent an effective measure to prevent nosocomial Legionnaires' disease. © 2005 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

Published
2005

31. [The discharge form: advantages and limits legionellosis cases individuation]

Author

P, Trerotoli, M T, Montagna, P, Borella, V, Romano Spica, G, Stancanelli, M, Triassi, G, Serio, C, Napoli, S, Soldano, D, Tatò, F, Vercilli, C, Gentile, G, Quaranta, M, Volpe, A, Ambrosio, R, Santarpia, S, Montegrosso, Trerotoli, P, Montagna, Mt, Borella, P, Romano Spica, V, Stancanelli, G, Triassi, Maria, Serio, G, Napoli, C, Soldano, S, Tatò, D, Vercilli, F, Gentile, C, Quaranta, G, Volpe, M, Ambrosio, A, Santarpia, R, and Montegrosso, S.

Subjects
Aged, 80 and over, Adult, Legionellosis, Adolescent, Discharge form, Despite legionellosis surveillance, Records, Middle Aged, Patient Discharge, 80 and over, Records as Topic, Humans, Aged, Child
Abstract

Despite legionellosis surveillance is active in Italy since many years, the disease notification appears still undervalued. A multicentric survey was carried out among 5 big Italian hospitals. It examined 11,435 discharge forms (1999-2001), reporting pneumonia diagnosis. Legionellosis (II class of notify system for infectious disease) was studied among pneumonia diagnosis by discharge forms. According to the ICD9-CM, there's no specific code for legionellosis (this disease is included among "others gram-negative pneumonia"). So the presumed pneumonia imputable to Legionella spp were the 2.7% of the whole number of analyzed discharge forms. Besides, the data regarding the other pneumonia showed that the etiological agent was specified only in the 11.2% of the case. This situation could be rectified both introducing adequate discharge forms codes and promoting the etiological diagnosis during the hospital stay.

Published
2003

32. Work-related injuries in young workers: an Italian multicentric epidemiological survey

Author

Aggazzotti, Gabriella, Elena Righi, Patorno, Elisabetta, Fantuzzi, Guglielmina, Fabiani, Leila, Giuliani, Anna Rita, Grappasonni, Iolanda, Petrelli, Fabio, Ricciardi, Walter, La Torre, Giuseppe, Sciacca, Salvatore, Angelillo, Italo, Bianco, Aida, Nobile, Carmelo, Gregorio, Pasquale, Lupi, Silvia, Perlangeli, Vincenza, Bonazzi, Chiara, Laviola, Francesco, Triassi, Maria, Iorfida, Evelina, Montegrosso, Sara, Rivosecchi, Paola, Serra, Maria Cristina, Adorisio, Eugenio, Gramiccia, Alessandra, Mura, Ida, Castiglia, Paolo, Romano, Gabriele, Poli, Albino, Tardivo, Stefano, Aggazzotti, G, Righi, E, Patorno, E, Fantuzzi, G, Fabiani, L, Giuliani, A, Grappasonni, I, Petrelli, F, Ricciardi, W, La Torre, G, Sciacca, S, Angelillo, I, Bianco, A, Nobile, C, Gregorio, P, Lupi, S, Perlangeli, V, Bonazzi, M, Laviola, F, Triassi, M, Iorfida, E, Montegrosso, S, Rivosecchi, P, Serra, M, Adorisio, E, Gramiccia, A, Mura, I, Castiglia, P, Romano, G, Poli, A, Tardivo, S, Giuliani, Ar, LA TORRE, G, Bonazzi, C, Serra, Mc, and Triassi, Maria

Subjects
Male, Adolescent, Databases, Factual, MED/42 - IGIENE GENERALE E APPLICATA, Sex Factor, Databases, Sex Factors, Accidents, Occupational, Humans, work-related injuries, Age Factor, young workers, Factual, epidemiology, prevention, Wounds and Injurie, Age Factors, Female, Italy, Wounds and Injuries, multicentric survey, Occupational, work-related injuries, young workers, epidemiology, prevention, Accidents, work related injuries
Abstract

Emergency departments records from 33 hospitals were reviewed to disclose work-related injuries occurred in teen-subjects living in 14 Italian cities. During January-June 2000, 317 work-related injuries were reported. Male subjects, 17 year old, working in the industrial field, resulted the most affected, probably due to the fact that among young workers this sex and age class is the most represented one. Cluster analysis identified two groups of work-related injuries: one includes mainly transportation injuries causing lower extremities or multiple body sites traumas. The other is more strictly related to specific working tasks and includes mostly traumas and cut wounds in hand/wrist and head, together with eye lesions. A more intensive supervision on the use of protective equipment, a more appropriate training in hazard recognition and safe work practices, including operation of vehicles in the work site, must be implemented to reduce work-related injuries.

33. Work-related injuries in young workers: an Italian multicentric epidemiological survey.

Author

Aggazzotti G, Righi E, Patorno E, Fantuzzi G, Fabiani L, Giuliani AR, Grappasonni I, Petrelli F, Ricciardi W, La Torre G, Sciacca S, Angelillo I, Bianco A, Nobile C, Gregorio P, Lupi S, Perlangeli V, Bonazzi C, Laviola F, Triassi M, Iorfida E, Montegrosso S, Rivosecchi P, Serra MC, Adorisio E, Gramiccia A, Mura I, Castiglia P, Romano G, Poli A, and Tardivo S

Subjects
Adolescent, Age Factors, Databases, Factual, Female, Humans, Italy epidemiology, Male, Sex Factors, Wounds and Injuries classification, Accidents, Occupational statistics & numerical data, Wounds and Injuries epidemiology
Abstract

Emergency departments records from 33 hospitals were reviewed to disclose work-related injuries occurred in teen-subjects living in 14 Italian cities. During January-June 2000, 317 work-related injuries were reported. Male subjects, 17 year old, working in the industrial field, resulted the most affected, probably due to the fact that among young workers this sex and age class is the most represented one. Cluster analysis identified two groups of work-related injuries: one includes mainly transportation injuries causing lower extremities or multiple body sites traumas. The other is more strictly related to specific working tasks and includes mostly traumas and cut wounds in hand/wrist and head, together with eye lesions. A more intensive supervision on the use of protective equipment, a more appropriate training in hazard recognition and safe work practices, including operation of vehicles in the work site, must be implemented to reduce work-related injuries.

Published
2006

34. [The discharge form: advantages and limits legionellosis cases individuation].

Author

Trerotoli P, Montagna MT, Borella P, Romano Spica V, Stancanelli G, Triassi M, Serio G, Napoli C, Soldano S, Tatò D, Vercilli F, Gentile C, Quaranta G, Volpe M, Ambrosio A, Santarpia R, and Montegrosso S

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Child, Humans, Middle Aged, Legionellosis, Patient Discharge, Records
Abstract

Despite legionellosis surveillance is active in Italy since many years, the disease notification appears still undervalued. A multicentric survey was carried out among 5 big Italian hospitals. It examined 11,435 discharge forms (1999-2001), reporting pneumonia diagnosis. Legionellosis (II class of notify system for infectious disease) was studied among pneumonia diagnosis by discharge forms. According to the ICD9-CM, there's no specific code for legionellosis (this disease is included among "others gram-negative pneumonia"). So the presumed pneumonia imputable to Legionella spp were the 2.7% of the whole number of analyzed discharge forms. Besides, the data regarding the other pneumonia showed that the etiological agent was specified only in the 11.2% of the case. This situation could be rectified both introducing adequate discharge forms codes and promoting the etiological diagnosis during the hospital stay.

Published
2003

35. [Environmental diffusion of Legionella spp and legionellosis frequency among patients with pneumonia: preliminary results of a multicentric Italian survey].

Author

Borella P, Montagna MT, Romano-Spica V, Stampi S, Stancanelli G, Triassi M, Bargellini A, Giacobazzi P, Vercilli F, Scaltriti S, Marchesi I, Napoli C, Tatò D, Spilotros G, Paglionico N, Quaranta G, Branca M, Tumbarello M, Laurenti P, Moscato U, Capoluongo E, De Luca G, Legnani PP, Leoni E, Sacchetti R, Zanetti F, Moro M, Ossi C, Lopalco L, Santarpia R, Conturso V, Ribera d'Alcalà G, and Montegrosso S

Subjects
Humans, Italy epidemiology, Pneumonia, Bacterial microbiology, Legionella isolation & purification, Legionellosis epidemiology, Pneumonia, Bacterial epidemiology, Water Microbiology
Abstract

A multicentric Italian investigation on legionnaires' disease is in course to clarify host factors as well as pathogen associated characteristics involved in the infection/disease. The main goal of the research plan is to account for some critical aspects concerning identification and prevention of legionellosis. To improve knowledge on factors associated with Legionella spp colonisation in hot waters, to detect cases and to characterize risk factors in subjects which develop pneumonia are specific objectives of the research programme. Preliminary results show that hot waters of houses and hotels are frequently contaminated (22.6% and 54.6%, respectively), mainly by L. pneumophila. Microbial concentrations were low in domestic waters (<1.000 ufc/l), but higher in samples from the hotels (geom. mean 1.85 x 10(3) ufc/l). Warming system, age of the plant, type of building were risk factors significantly associated with Legionella spp positivity. The active surveillance on patients affected by pneumonia with search for Legionella urinary antigen allowed the identification of 34 cases, 3 of which of nosocomial origin, corresponding to 4.2% of the screened pneumonia. After informed consent, 26 subjects were recruited for a case-control-study to clarify risk factors for the disease.

Published
2003

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