ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2019
Factors associated with Legionnaires' disease recurrence in hotel and holiday rental accommodation sites.
Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A Hybrid Occupational Risk Assessment ofMicroorganisms · 2026Article
- Genomic characterization ofPathogens and global health · 2026Article
- Focus, vigilance, resilience: towards stronger infectious disease surveillance, threat detection and response in the EU/EEA.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024Article
- Incidence of Legionnaires' Disease among Travelers Visiting Hotels in Germany, 2015-2019.Emerging infectious diseases · 2024Article
- Article
- Decreasing Pasteurization Treatment Efficiency against Amoeba-GrownInternational journal of environmental research and public health · 2022Article
- Epidemiology of Legionnaires' Disease in Italy, 2004-2019: A Summary of Available Evidence.Microorganisms · 2021Review
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Authors and funding
8 authors.
Funding
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Abstract
BackgroundThe detection of a cluster of travel-associated Legionnaires' disease (TALD) cases in any European Union/European Economic Area (EU/EEA) country prompts action at the accommodation, follow-up by health authorities and reporting of measures taken. Some accommodations incur further cases despite presumed implementation of adequate control measures.AimTo identify factors associated with the occurrence of a further TALD case after the implementation of control measures.MethodsWe conducted a retrospective cohort study of hotel and holiday rental accommodations in the EU/EEA associated with two or more TALD cases with onset dates less than 2 years apart (a 'cluster') and notification between 1 June 2011-31 December 2016. We fitted Cox regression models to estimate the association between accommodation characteristics and the occurrence of a further case, defined as any case with onset date after the report on measures taken.ResultsOf the 357 accommodations in the analysis, 90 (25%) were associated with at least one further case after the report on measures taken (12.4/100 accommodation-years). Accommodations associated with two or more cases before the cluster notification were more likely to be associated with a further case, compared with those not previously associated with any case (adjusted hazard ratio 1.85; 95% confidence interval: 1.14-3.02). Neither the detection of
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