Rapid genotyping of Legionella pneumophila serogroup 1 strains by a novel DNA microarray-based assay during the outbreak investigation in Warstein, Germany 2013

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Markus Petzold - , Institut für Medizinische Mikrobiologie und Virologie, German Reference Laboratory for Legionella (Autor:in)
  • Ralf Ehricht - , Alere Technologies GmbH (Autor:in)
  • Peter Slickers - , Alere Technologies GmbH (Autor:in)
  • Stefan Pleischl - , Universitätsklinikum Bonn (Autor:in)
  • Ansgar Brockmann - , Gesundheitsamt Lippstadt des Kreises Soest (Autor:in)
  • Martin Exner - , Universitätsklinikum Bonn (Autor:in)
  • Stefan Monecke - , Technische Universität Dresden, Alere Technologies GmbH (Autor:in)
  • Christian Lück - , Institut für Medizinische Mikrobiologie und Virologie, German Reference Laboratory for Legionella (Autor:in)

Abstract

Between 1 August and 6 September 2013, an outbreak of Legionnaires' disease (LD) with 78 cases confirmed by positive urinary antigen tests occurred in Warstein, North Rhine-Westphalia, Germany. Legionella (L.) pneumophila, serogroup (Sg) 1, monoclonal antibody (mAb) subgroup Knoxville, sequence type (ST) 345, was identified as the epidemic strain. This strain was isolated from seven patients. To detect the source of the infection, epidemiological typing of clinical and environmental strains was performed in two consecutive steps. First, strains were typed by monoclonal antibodies. Indistinguishable strains were further subtyped by sequence-based typing (SBT) which is the internationally recognized standard method for epidemiological genotyping of L. pneumophila. In an early stage of the outbreak investigation, many environmental isolates were found to belong to the mAb subgroup Knoxville, but to two different STs, namely to ST 345, the epidemic strain, and to ST 600. A majority of environmental isolates belonged to ST 600 whereas the epidemic ST 345 strain was less common in environmental samples. To rapidly distinguish both Knoxville strains, we applied a novel typing method based on DNA-hybridization on glass chips. The new assay can easily and rapidly discriminate L. pneumophila Sg 1 strains. Thus, we were able to quickly identify the sources harboring the epidemic strain, i.e., two cooling towers of different companies, the waste water treatment plants (WWTP) of the city and one company as well as water samples of the river Wester and its branches.

Details

OriginalspracheEnglisch
Seiten (von - bis)673-678
Seitenumfang6
FachzeitschriftInternational Journal of Hygiene and Environmental Health
Jahrgang220
Ausgabenummer4
PublikationsstatusVeröffentlicht - Juni 2017
Peer-Review-StatusJa

Externe IDs

Scopus 85019083098
PubMed 28501485

Schlagworte

Schlagwörter

  • Disease Outbreaks, Genotype, Germany/epidemiology, Humans, Legionella pneumophila/genetics, Legionnaires' Disease/epidemiology, Oligonucleotide Array Sequence Analysis, Serogroup