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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Markus Petzold - , Institute of Medical Microbiology and Virology, German Reference Laboratory for Legionella (Author)
  • Ralf Ehricht - , Alere Technologies GmbH (Author)
  • Peter Slickers - , Alere Technologies GmbH (Author)
  • Stefan Pleischl - , University of Bonn Medical Center (Author)
  • Ansgar Brockmann - , Regional Public Health Department Soest (Author)
  • Martin Exner - , University of Bonn Medical Center (Author)
  • Stefan Monecke - , TUD Dresden University of Technology, Alere Technologies GmbH (Author)
  • Christian Lück - , Institute of Medical Microbiology and Virology, German Reference Laboratory for Legionella (Author)

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

Original languageEnglish
Pages (from-to)673-678
Number of pages6
JournalInternational Journal of Hygiene and Environmental Health
Volume220
Issue number4
Publication statusPublished - Jun 2017
Peer-reviewedYes

External IDs

Scopus 85019083098
PubMed 28501485

Keywords

Keywords

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