Evidence map›Paper›PMID 41156669›Full record

ArticlePathogens (Basel, Switzerland)2025

Beyond Microbiological Analysis: The Essential Role of Risk Assessment in Travel-Associated Legionnaires' Disease Outbreak Investigations.

Antonios Papadakis, Eleftherios Koufakis, Vasileios Nakoulas, Leonidas Kourentis, Theodore Manouras, Areti Kokkinomagoula, Artemis Ntoula, Maria Malliarou, Kyriazis Gerakoudis, Katerina Tsilipounidaki and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2025. 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Antonios PapadakisDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.ORCID 0000-0002-8891-2084
Eleftherios KoufakisCivil Protection of the Region of Crete, 71201 Heraklion, Greece.
Vasileios NakoulasDepartment of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, Greece.
Leonidas KourentisDepartment of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, Greece.
Theodore ManourasDepartment of Materials Science and Engineering, University of Crete, 70013 Heraklion, Greece.ORCID 0009-0003-7498-8947
Areti KokkinomagoulaDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.
Artemis NtoulaDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.
Maria MalliarouDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.
Kyriazis GerakoudisRegional Laboratory of Public Health of Crete, School of Medicine, 70013 Heraklion, Greece.
Katerina TsilipounidakiRegional Laboratory of Public Health of Crete, School of Medicine, 70013 Heraklion, Greece.ORCID 0000-0002-2819-2089
Dimosthenis ChochlakisDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.ORCID 0000-0001-7370-7830
Anna PsaroulakiDepartment of Clinical Microbiology and Microbial Pathogenesis, School of Medicine, University of Crete, 71110 Heraklion, Greece.ORCID 0000-0003-2078-9822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between April and May 2025, an outbreak of travel-associated Legionnaires' disease (TALD) occurred, involving six cases at a hotel in Crete, Greece. Including two cases reported in 2023 and two additional cases from 2016 to 2017, ten cases were associated with this accommodation site. All TALD cases were reported by the European Legionnaires' Disease Surveillance Network (ELDSNet). In compliance with the European Centre for Disease Prevention and Control (ECDC) surveillance and investigation protocols for hotels associated with the patient's stay, local public health authorities conducted on-site inspections at the hotel by collecting water samples and performing risk assessments, while simultaneously recording the required epidemiological, environmental, and physicochemical data. A total of 181 statistically analyzed water samples showed positive rates for

Indexed as

Legionella pneumophilaLegionnaires' DiseaseWater MicrobiologyAdultAgedAged, 80 and overDisease OutbreaksFemaleGreeceHumansMaleMiddle AgedRisk AssessmentTravelenvironmental surveillanceLegionnaires’ diseaseL. pneumophilaoutbreak investigationrisk assessmentWater Safety Plan (WSP)

Identifiers

PMID41156669
PMCPMC12567099

What OpenQuestion holds

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Registered trials

None linked

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.