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Preface | xv | |
1. | Legionnaires' Disease 25 Years Later: Lessons Learned | 1 |
I. | I. Pathogenesis | 11 |
2. | Role of the Type II Protein Secretion Pathway in Pathogenesis of Legionella pneumophila | 13 |
3. | Analysis of Acid Phosphatase and Esterase/Lipase Mutants of Legionella pneumophila | 18 |
4. | Legionella pneumophila Secretes Different Phospholipases A | 22 |
5. | In Vitro Secretion Kinetics of Legionella pneumophila Compared with Those of Non- L. pneumophila Species | 27 |
6. | Iron Requirements of and Acquisition of Iron by Legionella pneumophila | 31 |
7. | Resistance of Legionella pneumophila to Cationic Antimicrobial Peptides | 38 |
8. | Function and Expression of Legionella pneumophila Surface Factors | 43 |
9. | Localization of Legionella pneumophila Mip Protein Inside Phagosomes of Acanthamoeba castellanii | 49 |
10. | Changes in the lag-1 Locus of Legionella pneumophila Serogroup 1 Strains Result in Different Lipopolysaccharides Recognized by Monoclonal Antibodies but Do Not Influence Virulence | 52 |
11. | Phase Variation of Lipopolysaccharide and Other Virulence Determinants in Legionella pneumophila | 56 |
12. | Mechanism of Serum Resistance in Legionella pneumophila: Comparison of Wild-Type and Mutant Strains after Phase Variation of Bacterial Surface Structures | 60 |
13. | Characterization of the Legionella pneumophila DnaJ-Like Protein DjlA: Virulence Attenuation of djlA Mutants | 64 |
14. | Phase Variation in Legionella pneumophila Serogroup 1, Subgroup OLDA, Strain RC1 Influences Lipid A Structure | 68 |
15. | The Legionella pneumophila Life Cycle: Connections between Growth Phase, Virulence Expression, and Replication Vacuole Biogenesis | 74 |
16. | Morphological and Physiological Evidence for a Developmental Cycle in Legionella pneumophila | 82 |
17. | Legionella pneumophila Proliferation Is Not Dependent on Intracellular Replication | 86 |
18. | Genetic Analysis of Legionella pneumophila Intracellular Multiplication in Human and Protozoan Hosts | 90 |
19. | The Legionella pneumophila Sequencing Project | |
20. | Conjugal Transfer of Chromosomal DNA in Legionella pneumophila | 105 |
21. | Innate and Adaptive Immunity to Legionella pneumophila | 109 |
22. | Legionella pneumophila and Interleukin-12 Production: In Vitro Infection Model | 120 |
23. | Differential Cytokine Response Following Challenge of A/J Mice with Virulent and Avirulent Legionella pneumophila | 124 |
24. | Protection against Lethal Challenge by Legionella pneumophila in A/J Mice Following Immunization with Flagella | 129 |
II. | Legionella and Protozoa | 133 |
25. | The Social Life of Legionellae | 135 |
26. | Pore Formation-Mediated Egress from Mammalian and Protozoan Cells by Legionella pneumophila | 143 |
27. | Selection of Signature-Tagged Legionella pneumophila Mutants in Acanthamoeba castellanii | 152 |
28. | Interaction of Legionella pneumophila with Dictyostelium discoideum | 161 |
29. | Characterization of a 16-Kilodalton Species-Specific Protein of Legionella pneumophila Promoting Uptake in Amoebae | 165 |
30. | Impact of Amoebae, Bacteria, and Tetrahymena on Legionella pneumophila Multiplication and Distribution in an Aquatic Environment | 170 |
31. | Biofilm Formation and Multiplication of Legionella on Synthetic Pipe Materials in Contact with Treated Water under Static and Dynamic Conditions | 176 |
III. | Clinical Presentation, Laboratory Diagnosis, and Therapy | 181 |
32. | Chemotherapy of Legionnaires' Disease with Macrolide or Quinolone Antimicrobial Agents | 183 |
33. | Clinical Validation of Diagnosis of Legionella Infections | 189 |
34. | Legionella Pneumonia: Three Cases in an Oncological Hospital | 193 |
35. | Human Leukocyte Antigen Typing in Legionella-Positive Transplant Patients | 196 |
36. | Legionella Serogroup and Subgroup Distribution among Patients with Legionnaires' Disease in Denmark | 200 |
37. | Detection of Legionella pneumophila Antigen in Urine Samples: Recognition of Serogroups and Monoclonal Subgroups | 204 |
38. | Comparison of Non-Serogroup 1 Detection by Biotest and Binax Legionella Urinary Antigen Enzyme Immunoassays | 207 |
39. | Evaluation of a Rapid Immunochromatographic Assay for Detection of Legionella pneumophila in Urine | 211 |
40. | PCR as a Routine Method for Diagnosis of Legionnaires' Disease | 213 |
41. | Detection of Legionella-Specific DNA in Serum | 216 |
42. | Direct Detection of Legionellae in Respiratory Tract Specimens by Using Fluorescence In Situ Hybridization | 221 |
IV. | Detection and Typing | 225 |
43. | Molecular Tools for Epidemiological Investigations into Legionella pneumophila Infections | 227 |
44. | Sequence-Based Genotyping Scheme for Legionella | 237 |
45. | Application of Amplified Fragment Length Polymorphism Analysis to Subtyping of Legionella pneumophila Serogroup 6 | 243 |
46. | Molecular Typing of Legionella Strains with Pulsed-Field Gel Electrophoresis and Random Primer-Amplified Polymorphic DNA in Nosocomial Legionnaires' Disease | 248 |
47. | Multilocus Sequence Typing for Characterization of Legionella pneumophila Serogroup 1 Isolates | 251 |
48. | Evaluation of PCR and Random Amplification of Polymorphic DNA for Detection and Typing of Legionella in Environmental Water Samples | 254 |
49. | Rapid Quantification of Legionella by PCR | 257 |
50. | Molecular Typing of Legionella pneumophila by Pulsed-Field Gel Electrophoresis and Amplified Fragment Length Polymorphism Analysis | 260 |
51. | The Fluorescent In Situ Hybridization Test in Comparison with Culture for Detection of Legionella pneumophila in Water Samples | 263 |
52. | Typing of Legionella Strains Isolated from Patients and Environmental Sources in Germany, 1999-2000 | 267 |
53. | Development of an International External Quality Assurance Scheme for Isolation of Legionella Species from Environmental Specimens | 271 |
54. | Prevalence of Legionella in Whirlpool Spas: Correlation with Total Bacterial Numbers | 275 |
55. | Proposed Method for Optimum Recovery of Legionella from Cooling Water in South Africa | 280 |
56. | Legionella Detection from South African Cooling Water Systems | 284 |
57. | Cooling Towers and Legionellosis: a Large Urban Area Experience | 291 |
58. | Occurrence of Legionella in Water from Dental Units and Estimation of Antibiotic Resistance of Isolated Strains | 295 |
59. | Occurrence of Legionella in Danish Hot Water Systems | 298 |
60. | Analysis of Legionella pneumophila Serogroup 1 Isolates in Japan by Using Pulsed-Field Gel Electrophoresis and Monoclonal Antibodies | 302 |
61. | Relationship between Colonization of Building Water Systems by Legionella pneumophila and Environmental Factors | 305 |
V. | Epidemiology | 309 |
62. | Surveillance of Legionnaires' Disease in Europe | 311 |
63. | Using Geographical Information Systems for Risk Assessment and Control of Legionnaires' Disease Associated with Cooling Towers | 318 |
64. | Routine Sampling and Temporal Variation of Legionella Concentrations in Cooling Tower Water Systems | 321 |
65. | Prevalence of Positive Antibody Titers against Legionellae in Two Residential Populations with Different Legionella Contaminations in Their Hot Water Systems | 325 |
66. | Legionellosis in Sweden | 330 |
67. | Risk of Exposure in Hospitals Colonized with Legionellae | 334 |
68. | Development of Surveillance of Legionella Infections in Poland by Serological Investigations | 338 |
69. | Legionellosis Outbreak at a Commercial Fair in Kapellen, Belgium, 1999: a Case-Control Study | 342 |
70. | Outbreak of Legionnaires' Disease Linked to a Humidifier in a Hotel in Wales, United Kingdom | 346 |
71. | Hot Water Systems with Low Concentrations of Legionellae May Be a Risk on Cruise Ships | 349 |
72. | Epidemiology of Legionella Infection in Western Australia | 353 |
73. | Isolation of Legionella longbeachae and Legionella spp. from Japanese Potting Soils | 356 |
74. | Sporadic Community-Acquired Legionnaires' Disease and Contaminated Domestic Hot Water Supplies | 360 |
75. | Epidemiological Typing of Legionella pneumophila Serogroup 5 Strains | 364 |
VI. | Prevention and Control | 369 |
76. | Australian Risk Management Approaches to Control of Legionella in Cooling Water Systems | 371 |
77. | American Society of Heating, Refrigerating and Air-Conditioning Engineers Guideline 12-2000: Minimizing the Risk of Legionellosis Associated with Building Water Systems | 376 |
78. | Strategies for Prevention and Control of Legionnaires' Disease in Germany | 385 |
79. | Legionnaires' Disease in the United States: Opportunities for Prevention | 391 |
80. | Eleven Years of Experience with Novel Strategies for Legionella Control in a Large Teaching Hospital | 398 |
81. | UV Light for Elimination of Legionellae | 402 |
82. | Monochloramine Disinfection of Biofilm-Associated Legionella pneumophila in a Potable Water Model System | 406 |
83. | Control of Legionella in Drinking Water Systems: Impact of Monochloramine | 411 |
84. | Efficacy of Copper-Silver Ionization in Controlling Legionella in a Hospital Hot Water Distribution System: a German Experience | 419 |
85. | Educational Program for Prevention of Legionellosis in the Tourism Sector | 425 |
Author Index | 429 | |
Subject Index | 433 |
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