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Overview of diagnostic and detection methods for legionellosis and Legionella spp.
Author(s) -
Tronel H.,
Hartemann P.
Publication year - 2009
Publication title -
letters in applied microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.698
H-Index - 110
eISSN - 1472-765X
pISSN - 0266-8254
DOI - 10.1111/j.1472-765x.2009.02570.x
Subject(s) - legionella , legionnaires' disease , serology , diagnostic test , medicine , polymerase chain reaction , antigen , microbiology and biotechnology , intensive care medicine , virology , biology , immunology , bacteria , legionella pneumophila , pediatrics , antibody , biochemistry , genetics , gene
Since 1977, the diagnostic tools for Legionnaires’ disease have been based on culture and serological investigations. Both methods require considerable time to produce results and have ‘low’ to ‘reasonable’ sensitivity. Since the introduction of urinary antigen tests in the mid 1990s, underdiagnosis has diminished and mortality has declined, thanks to early diagnosis. To obtain the most accurate diagnosis, culture, serological investigation, and urinary antigen testing should all be performed. In the last decade, advances in polymerase chain reaction technology allowed the development of assays detecting Legionella nucleic acids in clinical and environmental samples. Thus far, only widely varying results with relatively small series have been reported. Furthermore, these assays which are still labour intensive and complicated are not yet practicable for the average medical and/or environmental microbiological laboratory.