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Colonization of Legionella species in Turkish baths in hotels in Alanya, Turkey.
Environ Monit Assess. 2015 May; 187(5):235.EM

Abstract

This study evaluated the prevalence of Legionella species in water samples collected from Turkish baths in hotels in Alanya, Turkey, from August 2003 to September 2013. Water samples were collected in 100-mL sterile containers and then concentrated by filtration. Heat treatment was used to eliminate other microorganisms from the samples, which were then spread on Legionella-selective-buffered charcoal yeast extract alpha (BCYE-α) agar and on BCYE-α agar supplemented with glycine, vancomycin, polymyxin, and cycloheximide. Cysteine-dependent colonies were identified by latex agglutination. In total, 135 samples from 52 hotels with Turkish baths were evaluated. Legionella species were identified in 11/52 (21.2%) hotels and 18/135 (13.3%) samples. The most frequently isolated species was Legionella pneumophila, with most isolates belonging to serogroups 6 (55.6%) and 1 (22.2%). The colony count was <100 colony-forming units (CFU) mL(-1) in nine samples, from 100 to 1000 CFU mL(-1) in six samples, and >1000 CFU mL(-1) in three samples. These findings suggest that the hot water systems of Turkish baths in hotels must be viewed as a possible source of travel-associated Legionnaires' disease, and preventative measures should be put in place.

Authors+Show Affiliations

Departments of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Baskent University, Ankara, Turkey, erdoganhaluk@hotmail.com.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25850992

Citation

Erdogan, Haluk, and Hande Arslan. "Colonization of Legionella Species in Turkish Baths in Hotels in Alanya, Turkey." Environmental Monitoring and Assessment, vol. 187, no. 5, 2015, p. 235.
Erdogan H, Arslan H. Colonization of Legionella species in Turkish baths in hotels in Alanya, Turkey. Environ Monit Assess. 2015;187(5):235.
Erdogan, H., & Arslan, H. (2015). Colonization of Legionella species in Turkish baths in hotels in Alanya, Turkey. Environmental Monitoring and Assessment, 187(5), 235. https://doi.org/10.1007/s10661-015-4444-3
Erdogan H, Arslan H. Colonization of Legionella Species in Turkish Baths in Hotels in Alanya, Turkey. Environ Monit Assess. 2015;187(5):235. PubMed PMID: 25850992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colonization of Legionella species in Turkish baths in hotels in Alanya, Turkey. AU - Erdogan,Haluk, AU - Arslan,Hande, Y1 - 2015/04/08/ PY - 2014/09/15/received PY - 2015/03/18/accepted PY - 2015/4/9/entrez PY - 2015/4/9/pubmed PY - 2015/10/2/medline SP - 235 EP - 235 JF - Environmental monitoring and assessment JO - Environ Monit Assess VL - 187 IS - 5 N2 - This study evaluated the prevalence of Legionella species in water samples collected from Turkish baths in hotels in Alanya, Turkey, from August 2003 to September 2013. Water samples were collected in 100-mL sterile containers and then concentrated by filtration. Heat treatment was used to eliminate other microorganisms from the samples, which were then spread on Legionella-selective-buffered charcoal yeast extract alpha (BCYE-α) agar and on BCYE-α agar supplemented with glycine, vancomycin, polymyxin, and cycloheximide. Cysteine-dependent colonies were identified by latex agglutination. In total, 135 samples from 52 hotels with Turkish baths were evaluated. Legionella species were identified in 11/52 (21.2%) hotels and 18/135 (13.3%) samples. The most frequently isolated species was Legionella pneumophila, with most isolates belonging to serogroups 6 (55.6%) and 1 (22.2%). The colony count was <100 colony-forming units (CFU) mL(-1) in nine samples, from 100 to 1000 CFU mL(-1) in six samples, and >1000 CFU mL(-1) in three samples. These findings suggest that the hot water systems of Turkish baths in hotels must be viewed as a possible source of travel-associated Legionnaires' disease, and preventative measures should be put in place. SN - 1573-2959 UR - https://www.unboundmedicine.com/medline/citation/25850992/Colonization_of_Legionella_species_in_Turkish_baths_in_hotels_in_Alanya_Turkey_ L2 - https://doi.org/10.1007/s10661-015-4444-3 DB - PRIME DP - Unbound Medicine ER -