{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:59:56Z","timestamp":1792403996120,"version":"4.4.0"},"reference-count":33,"publisher":"Centers for Disease Control and Prevention (CDC)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg. Infect. Dis."],"DOI":"10.3201\/eid0908.030337","type":"journal-article","created":{"date-parts":[[2012,6,5]],"date-time":"2012-06-05T17:47:01Z","timestamp":1338918421000},"page":"915-921","source":"Crossref","is-referenced-by-count":162,"title":["Legionnaires\u2019 Disease Outbreak in Murcia, Spain"],"prefix":"10.3201","volume":"9","author":[{"given":"Ana","family":"Garc\u00eda-Fulgueiras","sequence":"first","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Navarro","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Fenoll","sequence":"additional","affiliation":[{"name":"Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulino","family":"Gonz\u00e1lez-Diego","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Jim\u00e9nez-Bu\u00f1uales","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Lopez","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Regional Health Council of Murcia, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaqu\u00edn","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Virgen de la Arrixaca Hospital, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Segovia","sequence":"additional","affiliation":[{"name":"Morales Meseguer Hospital, Murcia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Baladr\u00f3n","sequence":"additional","affiliation":[{"name":"Health Institute of Carlos III, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Pelaz","sequence":"additional","affiliation":[{"name":"Health Institute of Carlos III, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1822","published-online":{"date-parts":[[2003,8]]},"reference":[{"key":"key-10.3201\/eid0908.030337-201206050400-R1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1093\/oxfordjournals.epirev.a017915","article-title":"Impact of technology on the emergence of infectious diseases.","volume":"18","author":"Breiman","year":"1996","journal-title":"Epidemiol Rev"},{"key":"key-10.3201\/eid0908.030337-201206050400-R2","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1128\/CMR.15.3.506-526.2002","article-title":"Legionella and legionnaires\u2019 disease: 25 years of investigation.","volume":"15","author":"Fields","year":"2002","journal-title":"Clin Microbiol Rev"},{"key":"key-10.3201\/eid0908.030337-201206050400-R3","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1202\/0002-8894(2000)061<0738:ROLD>2.0.CO;2","article-title":"Review of legionnaires\u2019 disease.","volume":"61","author":"Shelton","year":"2000","journal-title":"Am Ind Hyg Assoc J"},{"key":"key-10.3201\/eid0908.030337-201206050400-R4","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1056\/NEJM199709043371006","article-title":"Legionellosis.","volume":"337","author":"Stout","year":"1997","journal-title":"N Engl J Med"},{"key":"key-10.3201\/eid0908.030337-201206050400-R5","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1093\/annhyg\/45.6.421","article-title":"Sampling and detection of Legionella pneumophila aerosols generated from an industrial cooling tower.","volume":"45","author":"Ishimatsu","year":"2001","journal-title":"Ann Occup Hyg"},{"key":"key-10.3201\/eid0908.030337-201206050400-R6","unstructured":"Yu VL.Legionella pneumophila(Legionnaires\u2019 disease). In: Mandell GL, Benett JE, Dolin R, editors. Mandell, Douglas and Bennet\u2019s principles and practice of infectious diseases. Fifth ed. Philadelphia: Churchill Livingstone; 2000. p. 2424\u201335."},{"key":"key-10.3201\/eid0908.030337-201206050400-R7","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1093\/ije\/28.2.353","article-title":"A community outbreak of Legionnaires\u2019 disease linked to hospital cooling towers: an epidemiological method to calculate dose of exposure.","volume":"28","author":"Brown","year":"1999","journal-title":"Int J Epidemiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R8","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1017\/S0950268800056995","article-title":"A model for autumn outbreaks of Legionnaires\u2019 disease associated with cooling towers, linked to system operation and size.","volume":"111","author":"Bentham","year":"1993","journal-title":"Epidemiol Infect"},{"key":"key-10.3201\/eid0908.030337-201206050400-R9","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1093\/oxfordjournals.aje.a115370","article-title":"Community-acquired Legionnaires\u2019 disease associated with a cooling tower: evidence for longer distance transport of Legionella pneumophila.","volume":"130","author":"Addiss","year":"1989","journal-title":"Am J Epidemiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R10","first-page":"380","article-title":"Report of an ad-hoc committee. Outbreak of legionellosis in a community.","volume":"2","year":"1986","journal-title":"Lancet"},{"key":"key-10.3201\/eid0908.030337-201206050400-R11","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1001\/jama.1985.03360040075028","article-title":"Nosocomial legionnaires\u2019 disease. Epidemiological demonstration of cooling tower as a source.","volume":"254","author":"Garbe","year":"1985","journal-title":"JAMA"},{"key":"key-10.3201\/eid0908.030337-201206050400-R12","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1056\/NEJM198002143020703","article-title":"An outbreak of Legionnaires\u2019 disease associated with a contaminated air-conditioning cooling tower.","volume":"302","author":"Dondero","year":"1980","journal-title":"N Engl J Med"},{"key":"key-10.3201\/eid0908.030337-201206050400-R13","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1093\/clinids\/22.2.257","article-title":"Community outbreak of Legionnaires\u2019 disease: an investigation confirming the potential for cooling towers to transmit Legionella species.","volume":"22","author":"Keller","year":"1996","journal-title":"Clin Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R14","unstructured":"Intergraph Corporation. Geomedia professional. Release 3.0. Huntsville (AL): Intergraph Corporation; 1999."},{"key":"key-10.3201\/eid0908.030337-201206050400-R15","unstructured":"Stata Corporation. Stata statistical software: Release 7.0. College Station (TX): The Corporation; 2001."},{"key":"key-10.3201\/eid0908.030337-201206050400-R16","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1128\/JCM.23.4.768-771.1986","article-title":"Development of a standardized subgrouping scheme for Legionella pneumophila serogroup 1 using monoclonal antibodies.","volume":"23","author":"Joly","year":"1986","journal-title":"J Clin Microbiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R17","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1007\/s10096-002-0820-3","article-title":"Pan-European study on culture-proven Legionnaires\u2019 disease: distribution of Legionella pneumophila serogroups and monoclonal subgroups.","volume":"21","author":"Helbig","year":"2002","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R18","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1007\/s100960000359","article-title":"Assessment of intercentre reproducibility and epidemiological concordance of Legionella pneumophila serogroup 1 genotyping by amplified fragment length polymorphism analysis.","volume":"19","author":"Fry","year":"2000","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R19","doi-asserted-by":"crossref","first-page":"2692","DOI":"10.1128\/JCM.32.11.2692-2697.1994","article-title":"Epidemiologic investigation by macrorestriction analysis and by using monoclonal antibodies of nosocomial pneumonia caused by Legionella pneumophila serogroup 10.","volume":"32","author":"L\u00fcck","year":"1994","journal-title":"J Clin Microbiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R20","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1128\/JCM.31.7.1940-1942.1993","article-title":"Comparison of arbitrarily primed polymerase chain reaction, ribotyping, and monoclonal antibody analysis for subtyping Legionella pneumophila serogroup 1.","volume":"31","author":"Gomez Lus","year":"1993","journal-title":"J Clin Microbiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R21","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1097\/00001648-200203000-00004","article-title":"Reporting participation in case-control studies.","volume":"13","author":"Olson","year":"2002","journal-title":"Epidemiology"},{"key":"key-10.3201\/eid0908.030337-201206050400-R22","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3201\/eid0801.010176","article-title":"A large outbreak of Legionnaires\u2019 disease at a flower show, the Netherlands, 1999.","volume":"8","author":"Den Boer","year":"2002","journal-title":"Emerg Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R23","doi-asserted-by":"crossref","first-page":"115","DOI":"10.2807\/esm.05.11.00007-en","article-title":"An outbreak of Legionnaire\u2019s disease among visitors to a fair in Belgium, 1999.","volume":"5","author":"De Schrijver","year":"2000","journal-title":"Eurosurveillance Monthly"},{"key":"key-10.3201\/eid0908.030337-201206050400-R24","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1007\/BF01695659","article-title":"Delay in appropriate therapy of Legionella pneumonia associated with increased mortality.","volume":"15","author":"Heath","year":"1996","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R25","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1086\/342903","article-title":"Trends in Legionnaires disease, 1980\u20131998: declining mortality and new patterns of diagnosis.","volume":"35","author":"Bening","year":"2002","journal-title":"Clin Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R26","unstructured":"Chin J, ed. Control of communicable diseases. An official report of the American Public Health Association. 17th edition. Washington: American Public Health Association; 2000."},{"key":"key-10.3201\/eid0908.030337-201206050400-R27","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/S0140-6736(95)90338-0","article-title":"Public health impact of Rwandan refugee crisis: what happened in Goma, Zaire, in July, 1994?","volume":"345","author":"Goma Epidemiology Group","year":"1995","journal-title":"Lancet"},{"key":"key-10.3201\/eid0908.030337-201206050400-R28","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1086\/501843","article-title":"Presence and chromosomal subtyping of Legionella species in potable water systems in 20 hospitals of Catalonia, Spain.","volume":"22","author":"Sabri\u00e0","year":"2001","journal-title":"Infect Control Hosp Epidemiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R29","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1086\/501586","article-title":"Persistence of Legionella pneumophila in a hospital\u2019s water system: a 13-year survey.","volume":"20","author":"Rangel-Frausto","year":"1999","journal-title":"Infect Control Hosp Epidemiol"},{"key":"key-10.3201\/eid0908.030337-201206050400-R30","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1080\/00365540151060824","article-title":"Community spread of Legionella pneumophila serogroup 1 in temporal relation to a nosocomial outbreak.","volume":"33","author":"Darelid","year":"2001","journal-title":"Scand J Infect Dis"},{"key":"key-10.3201\/eid0908.030337-201206050400-R31","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0213-9111(02)71639-7","article-title":"La nueva normativa estatal frente a la legionelosis: entre la ambici\u00f3n y la realidad.","volume":"16","author":"Ordo\u00f1ez","year":"2002","journal-title":"Gac Sanit"},{"key":"key-10.3201\/eid0908.030337-201206050400-R32","unstructured":"Real Decreto del Ministerio de Sanidad y Consumo, por el que se establecen los criterios higi\u00e9nico-sanitarios para la prevenci\u00f3n y control de la legionelosis. Real Decreto 909\/2001. Bolet\u00edn Oficial del Estado. July 28, 2001."},{"key":"key-10.3201\/eid0908.030337-201206050400-R33","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/S0163-4453(95)92665-8","article-title":"Source of infection for sporadic Legionnaires\u2019 disease: a review.","volume":"30","author":"Bhopal","year":"1995","journal-title":"J Infect"}],"container-title":["Emerging Infectious Diseases"],"original-title":[],"link":[{"URL":"https:\/\/wwwnc.cdc.gov\/eid\/article\/9\/8\/03-0337_article","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T02:44:53Z","timestamp":1732589093000},"score":1,"resource":{"primary":{"URL":"http:\/\/wwwnc.cdc.gov\/eid\/article\/9\/8\/03-0337_article.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,8]]},"references-count":33,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2003,8]]}},"URL":"https:\/\/doi.org\/10.3201\/eid0908.030337","relation":{},"ISSN":["1080-6040","1080-6059"],"issn-type":[{"value":"1080-6040","type":"print"},{"value":"1080-6059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,8]]}}}