Evidence map›Paper›PMID 27442238›Full record

ArticlePloS one2016

First Case of Legionnaire's Disease Caused by Legionella anisa in Spain and the Limitations on the Diagnosis of Legionella non-pneumophila Infections.

Lucianna Vaccaro, Fernando Izquierdo, Angela Magnet, Carolina Hurtado, Mireya B Salinas, Thiago Santos Gomes, Santiago Angulo, Santiago Salso, Jesús Pelaez, Maria Isabel Tejeda and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Occurrence of UnculturedPathogens (Basel, Switzerland) · 2024
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  3. The Contribution ofInternational journal of environmental research and public health · 2024
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  4. Review
  5. Occurrence and prevalence of Legionella species in dental chair units in Germany with a focus on risk factors.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  6. Review
  7. Legionnaires' Disease: Update on Diagnosis and Treatment.Infectious diseases and therapy · 2022
    Review
  8. Article
  9. Article
  10. New Insight regardingMicrobiology spectrum · 2021
    Article
  11. Article
  12. Intracellular Behaviour ofPathogens (Basel, Switzerland) · 2021
    Article
  13. Frontiers in microbiology · 2021
    Article
  14. How Molecular Typing Can SupportInternational journal of environmental research and public health · 2020
    Article
  15. Chlorine Disinfection ofMicroorganisms · 2020
    Article
  16. Article
  17. Improvement of Legionnaires' disease diagnosis using real-time PCR assay: a retrospective analysis, Italy, 2010 to 2015.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2018
    Article
  18. Detection ofMicroorganisms · 2018
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Lucianna VaccaroDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Fernando IzquierdoDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Angela MagnetDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Carolina HurtadoDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Mireya B SalinasDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Thiago Santos GomesDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Santiago AnguloDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Santiago SalsoHospital Universitario HM Monteprincipe, Boadilla del Monte, Madrid, Spain.
Jesús PelaezHospital Universitario HM Monteprincipe, Boadilla del Monte, Madrid, Spain.
Maria Isabel TejedaHospital Universitario HM Monteprincipe, Boadilla del Monte, Madrid, Spain.
Almudena AlhambraHospital Universitario HM Sanchinarro, Madrid, Madrid, Spain.
Carmen GómezHospital Universitario HM Sanchinarro, Madrid, Madrid, Spain.
Ana EnríquezHospital Universitario Carlos III, Madrid, Madrid, Spain.
Eva EstiradoHospital Universitario Carlos III, Madrid, Madrid, Spain.
Soledad FenoyDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Carmen Del AguilaDepartamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo CEU, Alcorcón, Madrid, Spain.
Universidad San Pablo CEU · ESHospital Universitario HM Madrid · ESHospital Universitario HM Sanchinarro · ESUniversidad Carlos III de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Legionnaires' disease is a severe form of pneumonia, with worldwide relevance, caused by Legionella spp. Approximately 90% of all cases of legionellosis are caused by Legionella pneumophila, but other species can also be responsible for this infection. These bacteria are transmitted by inhalation of aerosols or aspiration of contaminated water. In Spain, environmental studies have demonstrated the presence of Legionella non-pneumophila species in drinking water treatment plants and water distribution networks. Aware that this evidence indicates a risk factor and the lack of routine assays designed to detect simultaneously diverse Legionella species, we analyzed 210 urine samples from patients presenting clinical manifestations of pneumonia using a semi-nested PCR for partial amplification of the 16S rDNA gene of Legionella and a diagnostic method used in hospitals for Legionella antigen detection. In this study, we detected a total of 15 cases of legionellosis (7.1%) and the first case of Legionnaires' disease caused by L. anisa in Spain. While the conventional method used in hospitals could only detect four cases (1.9%) produced by L. pneumophila serogroup 1, using PCR, the following species were identified: Legionella spp. (10/15), L. pneumophila (4/15) and L. anisa (1/15). These results suggest the need to change hospital diagnostic strategies regarding the identification of Legionella species associated with this disease. Therefore, the detection of Legionella DNA by PCR in urine samples seems to be a suitable alternative method for a sensitive, accurate and rapid diagnosis of Legionella pneumonia, caused by L. pneumophila and also for L. non-pneumophila species.

Identifiers

PMID27442238
PMCPMC4956277
OpenAlexW2496568986

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.