Hammes Frederik, Gabrielli Marco, Cavallaro Alessio, Eichelberg Antonia, Barigelli Sofia, Bigler Melina, Faucher Sebastien P, Füchslin Hans P, Gaia Valeria, Gomez-Valero Laura, Grimard-Conea Marianne, Haas Charles N, Hamilton Kerry A, Healy Hannah G, Héchard Yann, Julian Tim, Kieper Laurine, Lauper Ursula, Lefebvre Xavier, Mäusezahl Daniel, Ortiz Catalina, Pereira Ana, Prevost Michele, Quon Hunter, Roy Siddhartha, Silva Ana R, Sylvestre Émile, Tang Lizhan, Reyes Elliston Vallarino, van der Wielen Paul W J J, Waak Michael
Eawag, Swiss Federal Institute of Aquatic Science and Technology, 8600 Dübendorf, Switzerland.
Laboratory of Environmental and Applied Microbiology, Department of Chemistry, Biology and Biotechnology, University of Perugia, 06123 Perugia, Italy.
FEMS Microbiol Rev. 2025 Jan 14;49. doi: 10.1093/femsre/fuaf022.
The disease burden from Legionella spp. infections has been increasing in many industrialized countries and, despite decades of scientific advances, ranks amongst the highest for waterborne diseases. We review here several key research areas from a multidisciplinary perspective and list critical research needs to address some of the challenges of Legionella spp. management in engineered environments. These include: (i) a consideration of Legionella species diversity and cooccurrence, beyond Legionella pneumophila only; (ii) an assessment of their environmental prevalence and clinical relevance, and how that may affect legislation, management, and intervention prioritization; (iii) a consideration of Legionella spp. sources, their definition and prioritization; (iv) the factors affecting Legionnaires' disease seasonality, how they link to sources, Legionella spp. proliferation and ecology, and how these may be affected by climate change; (v) the challenge of saving energy in buildings while controlling Legionella spp. with high water temperatures and chemical disinfection; and (vi) the ecological interactions of Legionella spp. with other microbes, and their potential as a biological control strategy. Ultimately, we call for increased interdisciplinary collaboration between multiple research domains, as well as transdisciplinary engagement and collaboration across government, industry, and science as the way toward controlling and reducing Legionella-derived infections.
在许多工业化国家,嗜肺军团菌感染所带来的疾病负担一直在增加,尽管历经数十年的科学进步,但其在水源性疾病中仍位居前列。我们在此从多学科角度审视几个关键研究领域,并列出关键研究需求,以应对工程环境中嗜肺军团菌管理的一些挑战。这些包括:(i)考虑嗜肺军团菌属的物种多样性和共生情况,而不仅仅局限于嗜肺军团菌;(ii)评估它们在环境中的流行程度和临床相关性,以及这可能如何影响立法、管理和干预优先级;(iii)考虑嗜肺军团菌属的来源、定义和优先级;(iv)影响军团病季节性的因素,它们如何与来源、嗜肺军团菌属的增殖和生态学相联系,以及这些因素可能如何受到气候变化的影响;(v)在通过高温水和化学消毒控制嗜肺军团菌属的同时,建筑物节能方面的挑战;以及(vi)嗜肺军团菌属与其他微生物的生态相互作用,及其作为生物控制策略的潜力。最终,我们呼吁多个研究领域之间加强跨学科合作,以及政府、行业和科学界之间的跨学科参与和合作,以此作为控制和减少嗜肺军团菌感染的途径。