Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form

Clinical Presentation of Community-Acquired Legionella Pneumonia Identified by Universal Testing in an Endemic Area

Puri, Shruti and Boudreaux-Kelly, Monique and Walker, Jon D. and Clancy, Cornelius J. and Decker, Brooke K. (2020) Clinical Presentation of Community-Acquired Legionella Pneumonia Identified by Universal Testing in an Endemic Area. International Journal of Environmental Research and Public Health, 17 (2). p. 533. ISSN 1660-4601

Published Version

Download (277kB) | Preview


The rapid identification of Legionella pneumonia is essential to optimize patient treatment and outcomes, and to identify potential public health risks. Previous studies have identified clinical factors which are more common in Legionella than non-Legionella pneumonia, and scores have been developed to assist in diagnosing cases. Since a Legionella pneumonia outbreak at VA Pittsburgh in 2012, nearly all patients with pneumonia have been tested for Legionella. The purpose of this study was to evaluate distinguishing characteristics between Legionella and non-Legionella pneumonia with the application of universal testing for Legionella in all cases of community-acquired pneumonia. We performed a retrospective case-control study matching Legionella and non-Legionella pneumonia cases occurring in the same month. Between January 2013 and February 2016, 17 Legionella and 54 non-Legionella cases were identified and reviewed. No tested characteristics were significantly associated with Legionella cases after Bonferroni correction. Outcomes of Legionella and non-Legionella pneumonia were comparable. Therefore, in veterans who underwent routine Legionella testing in an endemic area, factors typically associated with Legionella pneumonia were non-discriminatory.


Social Networking:
Share |


Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Puri, Shruti
Boudreaux-Kelly, Monique
Walker, Jon D.
Clancy, Cornelius J.cjc76@pitt.educjc76
Decker, Brooke K.brooke.decker@va.gov0000-0002-3404-9115
Date: 15 January 2020
Date Type: Publication
Journal or Publication Title: International Journal of Environmental Research and Public Health
Volume: 17
Number: 2
Publisher: MDPI AG
Page Range: p. 533
DOI or Unique Handle: 10.3390/ijerph17020533
Schools and Programs: School of Medicine > Medicine
Refereed: Yes
Uncontrolled Keywords: legionella, legionnaires’ disease, legionella pneumonia
ISSN: 1660-4601
Official URL:
Article Type: Research Article
Date Deposited: 06 Jun 2022 15:35
Last Modified: 06 Jun 2022 15:35


Monthly Views for the past 3 years

Plum Analytics

Actions (login required)

View Item View Item