Legionella: understanding the bacteria behind Legionnaires’ disease

Picture of Athina Chatzopoulou

Athina Chatzopoulou

Veterinarian of Aristotle University of Thessaloniki - Kings College London, MSc in Food Technology and PhD in Microbiology

Legionella is a type of bacteria that can cause Legionnaires’ disease, a serious and potentially life-threatening form of pneumonia. The bacteria are found in natural and man-made water systems, including hot tubs, cooling towers, hot water tanks and plumbing systems. In this article, we will discuss the characteristics of Legionella, the symptoms and diagnosis of Legionnaires’ disease, and measures that can be taken to prevent infection.

Characteristics of Legionella

Legionella is a gram-negative bacterium that is aerobic, meaning it needs oxygen to survive. It is a common inhabitant of natural and man-made water systems and can grow and multiply at temperatures between 20-50°C. The bacteria are resistant to many disinfectants, including chlorine, making them difficult to control in water systems.

Symptoms of Legionnaires’ disease

Legionnaires’ disease is a severe form of pneumonia that can cause fever, cough, shortness of breath, muscle aches, headaches and fatigue. Symptoms usually appear 2-10 days after exposure to the bacteria and the severity of the disease can range from mild to severe. In severe cases, the disease can cause acute respiratory failure, septic shock and multiple organ failure, which can be fatal.

Diagnosis of Legionnaires’ disease

The diagnosis of Legionnaires’ disease is based on clinical symptoms, chest X-ray findings and laboratory tests. Blood tests can detect the presence of Legionella antibodies, while urine tests can detect a specific antigen produced by the bacteria. Culture tests can also be done, but they take several days to produce results.

Prevention of Legionella infection

Prevention of Legionella infection requires a combination of strategies that target the source of the bacteria and the people who may be exposed to it. Here are some preventive measures that can be taken:

  1. Maintaining water systems: Regularly clean and disinfect water systems, including hot tubs, cooling towers and plumbing systems.
  2. Water temperature control: Maintain water temperatures above 60°C in hot water tanks and below 20°C in cold water storage tanks
  3. Avoid stagnant water: Ensure that water supply systems are designed to avoid stagnation and promote water flow.
  4. Prevent water from flowing and promote water supply: Educate the public about the dangers of Legionella and the importance of proper water system maintenance.
  5. Test water systems: Test water systems regularly for the presence of Legionella bacteria and take corrective action if necessary.

Conclusion

Legionella is a common bacterium that can cause Legionnaires’ disease, a serious form of pneumonia. The bacteria are found in natural and man-made water systems and are resistant to many disinfectants. Preventing Legionella infection requires a combination of strategies that target the source of the bacteria and the people who may be exposed to it. By maintaining water systems, controlling water temperature, avoiding standing water, educating the public, and regularly testing water systems, we can reduce the risk of Legionnaires’ disease and protect public health.

Share it:

Stay informed

See more