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Chapter 68 : Development of Surveillance of Infections in Poland by Serological Investigations

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Development of Surveillance of Infections in Poland by Serological Investigations, Page 1 of 2

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Abstract:

Legionellosis is a new infectious disease emerging in Poland although not yet registered. A Polish working group aimed at selecting laboratory methods for investigating human infections and detecting bacterium in the environment. The specimens from patients were examined for antigen in urine and for the level of antibodies to serogroup 1 in patient sera. The standard commercial BIOTEST was used for the determination of antigen in urine. The procedure was evaluated according to the European program of the European Working Group for Infections for quality of testing of antigen determination in urine. Human serum samples of 180 patients with pneumonia and other pulmonary infectious diseases were collected and examined by microagglutination test. The antibodies to serogroup 1 titer as high as 2,048 were found in only 2 of 69 sera from patients with atypical pneumonia: in one convalescent patient's serum and in serum of one nosocomial case with symptoms of pneumonia. The urine antigen of tests determined by the enzyme immunoassay method was also positive in both cases. The risk of infection still seems to be low for the general population in Poland. It might be higher for some groups, including patients in rehabilitation and transplant units, and for staff in certain institutions such as hospitals.

Citation: Stypulkowska-Misiurewicz H, Pancer K, Krogulska B, Matuszewska R. 2002. Development of Surveillance of Infections in Poland by Serological Investigations, p 338-341. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch68

Key Concept Ranking

Legionella pneumophila
0.77791506
Infectious Diseases
0.64549077
0.77791506
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References

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1. Castellani Pastoris, M.,, and P. Benedetti. 1993. Legionella e Legionellosi. Instituto Superiore di Sanita e dell'Assessorato alia Sanita Regione Campania, Rome, Italy.
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Tables

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TABLE 1

The antibody level to serogroup 1 in serum samples collected from 180 patients and 523 healthy staff of hospital and spa water treatment unit

Citation: Stypulkowska-Misiurewicz H, Pancer K, Krogulska B, Matuszewska R. 2002. Development of Surveillance of Infections in Poland by Serological Investigations, p 338-341. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch68
Generic image for table
TABLE 2

The comparison of antibody level to serogroup 1 in sera collected from 503 healthy staff members of different hospitals determined by microagglutination test

Citation: Stypulkowska-Misiurewicz H, Pancer K, Krogulska B, Matuszewska R. 2002. Development of Surveillance of Infections in Poland by Serological Investigations, p 338-341. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch68
Generic image for table
TABLE 3

The antibody level to serogroup 1 ATCC 33152 and to serogroup 2 to 14 strains isolated from spa water system in serum samples of 20 healthy spa water staff members

Citation: Stypulkowska-Misiurewicz H, Pancer K, Krogulska B, Matuszewska R. 2002. Development of Surveillance of Infections in Poland by Serological Investigations, p 338-341. In Marre R, Abu Kwaik Y, Bartlett C, Cianciotto N, Fields B, Frosch M, Hacker J, Lück P (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555817985.ch68

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