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Applied and Environmental Microbiology, March 2007, p. 1489-1492, Vol. 73, No. 5
0099-2240/07/$08.00+0     doi:10.1128/AEM.02191-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Risk Factors for Contamination of Hotel Water Distribution Systems by Legionella Species{triangledown}

Varvara Mouchtouri,1,2 Emmanuel Velonakis,3 Andreas Tsakalof,1 Christina Kapoula,2 Georgia Goutziana,1,2 Alkiviadis Vatopoulos,3 Jenny Kremastinou,2 and Christos Hadjichristodoulou1*

Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa,1 Department of Public Health, National School of Public Health, Athens,2 Department of Microbiology, National School of Public Health, Athens, Greece3

Received 18 September 2006/ Accepted 22 December 2006

The Legionella colonization frequency at 385 Greek hotel hot and cold water distribution systems was 20.8%. Legionella contamination was associated with the presence of an oil heater (odds ratio [OR] = 2.04, 95% confidence interval [CI] = 1.12 to 3.70), with the sample temperature (OR = 0.26, 95% CI = 0.1 to 0.5), with seasonal operation (OR = 3.23, 95% CI = 1.52 to 6.87), and with the presence of an independent disinfection system (OR = 0.30, 95% CI = 0.15 to 0.62). The same water temperatures, free-chlorine levels, and pHs differently affect the survival of various Legionella spp.


* Corresponding author. Mailing address: Department of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 22 Papakiriazi Str., Larissa 41222, Greece. Phone: 30 6932264685. Fax: 30 2410565259. E-mail: xhatzi{at}med.uth.gr.

{triangledown} Published ahead of print on 19 January 2007.


Applied and Environmental Microbiology, March 2007, p. 1489-1492, Vol. 73, No. 5
0099-2240/07/$08.00+0     doi:10.1128/AEM.02191-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.




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