{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T01:57:04Z","timestamp":1777341424808,"version":"3.51.4"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>OBJECTIVE<\/strong>. The aim of this study is to assess the epidemiological situation of legionellosis in Poland in 2017\u00a0in comparison with previous years.<br \/><strong>MATERIAL AND METHODS<\/strong>. The analysis is based on national surveillance data published in the annual\u00a0bulletin: \u201cInfectious diseases and poisonings in Poland in 2017\u201d and bulletins from previous years along with\u00a0data from legionellosis case reports collected and sent to the Department of Epidemiology of Infectious Diseases\u00a0and Surveillance NIPH \u2013 NIH by Sanitary and Epidemiological Stations.<br \/><strong>RESULTS<\/strong>. In Poland, both cases of Legionnaires\u2019 disease (an acute form of infection with pneumonia) and\u00a0Pontiac fever (a mild, influenza-like form of infection) are routinely reported to the surveillance system. In\u00a02017, a total of 39 cases of legionellosis were registered, including 38 cases of Legionnaires\u2019 disease and 1 case\u00a0of Pontiac fever; the annual incidence rate 0.102 (per 100,000 population) has increased by almost 50 percent\u00a0since previous year (0.070) and is almost three times higher than the median incidence (0.036) for 2011-2015.<br \/>The infections were reported in fourteen voivodeships; only one voivodeship (\u015awi\u0119tokrzyskie) did not register\u00a0any case in last years. The incidence in men (0.129 per 100,000) was higher compared to women (0.076); the\u00a0highest incidence (0.323) was noted in men aged 50-59. All reported cases were sporadic and were hospitalised.\u00a0The Sanitary Inspection reported nine fatal cases \u2013 6 women and 3 men. Thirty three cases were autochthonous\u00a0including four cases linked with contaminated water systems in health-care settings. Six cases were associated\u00a0with travels abroad (to Egypt, Albania, Italy and Crete).<br \/><strong>SUMMARY AND CONCLUSIONS<\/strong>. Although in recent years number of reported cases continues to rise, the\u00a0incidence of legionellosis in Poland remains one of the lowest in the entire EU. Also draws attention variation of\u00a0incidence between provinces and a high mortality among reported cases. Our data suggest significant under-diagnosis\u00a0of legionellosis. A priority remains to improve early diagnosis of Legionnaires\u2019 disease in health care settings.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>CEL PRACY<\/strong>. Celem niniejszej pracy jest ocena sytuacji epidemiologicznej legionelozy w Polsce w 2017 roku\u00a0w por\u00f3wnaniu z poprzednimi latami.<br \/><strong>MATERIA\u0141 I METODY<\/strong>. Ocen\u0119 przeprowadzono w oparciu o analiz\u0119 danych z krajowego nadzoru epidemiologicznego\u00a0opublikowanych w biuletynach rocznych: \u201eChoroby zaka\u017ane i zatrucia w Polsce w 2017 r.\u201d i w biuletynach\u00a0z lat wcze\u015bniejszych, oraz danych niepublikowanych pochodz\u0105cych z wywiad\u00f3w epidemiologicznych\u00a0w kierunku legionelozy, zebranych i przes\u0142anych do Zak\u0142adu Epidemiologii Chor\u00f3b Zaka\u017anych i Nadzoru NIZPPZH\u00a0przez Stacje Sanitarno-Epidemiologiczne.<br \/><strong>WYNIKI<\/strong>. W Polsce rejestrowane s\u0105 zar\u00f3wno przypadki choroby legionist\u00f3w (ostra posta\u0107 zaka\u017cenia przebiegaj\u0105ca\u00a0z zapaleniem p\u0142uc), jak i gor\u0105czki Pontiac (\u0142agodna, grypopodobna posta\u0107 zaka\u017cenia). W 2017 roku zarejestrowano\u00a0og\u00f3\u0142em 39 przypadk\u00f3w legionelozy, w tym 38 zachorowa\u0144 na chorob\u0119 legionist\u00f3w i 1 przypadek gor\u0105czki\u00a0Pontiac; Zapadalno\u015b\u0107 w skali ca\u0142ego kraju wynios\u0142a 0,102 na 100 000 ludno\u015bci i by\u0142a blisko o po\u0142ow\u0119 wy\u017csza\u00a0od zapadalno\u015bci w roku poprzednim (0,070) i prawie trzykrotnie wy\u017csza od mediany z lat 2011-2015 (0,036).<br \/>Zachorowania zg\u0142oszono z czternastu wojew\u00f3dztw; w skali ca\u0142ego kraju jedno wojew\u00f3dztwo (\u015awi\u0119tokrzyskie) nie\u00a0dokona\u0142o zg\u0142osze\u0144 w okresie ostatnich lat. Zapadalno\u015b\u0107 m\u0119\u017cczyzn (0,129 na 100 000) by\u0142a wy\u017csza od zapadalno\u015bci\u00a0kobiet (0,076), przy czym najwy\u017csz\u0105 zapadalno\u015b\u0107 (0,327) zanotowano u m\u0119\u017cczyzn w grupie wieku 50-59 lat.\u00a0<br \/>Wszystkie zachorowania mia\u0142y charakter sporadyczny; wszyscy chorzy byli hospitalizowani.\u00a0Wed\u0142ug danych Inspekcji Sanitarnej zanotowano 9 zgon\u00f3w \u2013 6 kobiet i 3 m\u0119\u017cczyzn. Trzydziestu trzech chorych\u00a0zaka\u017cenie naby\u0142o w kraju, w tym cztery przypadki wi\u0105zano ze ska\u017ceniem sieci wodnej w o\u015brodkach opieki zdrowotnej.\u00a0Sze\u015b\u0107 zachorowa\u0144 \u0142\u0105czono z podr\u00f3\u017cami za granic\u0119 (do Egiptu, Albanii, W\u0142och i na Kret\u0119).<br \/><strong>PODSUMOWANIE I WNIOSKI<\/strong>. Chocia\u017c w ostatnich latach liczba zg\u0142aszanych przypadk\u00f3w nadal ro\u015bnie,\u00a0zapadalno\u015b\u0107 na legioneloz\u0119 w Polsce pozostaje jedn\u0105 z najni\u017cszych w ca\u0142ej UE. Zwraca r\u00f3wnie\u017c uwag\u0119 r\u00f3\u017cnica\u00a0zapadalno\u015bci w skali wojew\u00f3dztw i wysoka \u015bmiertelno\u015b\u0107 w\u015br\u00f3d zarejestrowanych zachorowa\u0144. Wskazuje to na\u00a0znacz\u0105ce niedorejestrowanie liczby przypadk\u00f3w w Polsce. Priorytetem pozostaje poprawa wczesnej diagnostyki\u00a0choroby legionist\u00f3w w plac\u00f3wkach opieki zdrowotnej.<\/p><\/jats:p>","DOI":"10.32394\/pe.73.26","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T14:25:14Z","timestamp":1564755914000},"page":"151-155","source":"Crossref","is-referenced-by-count":2,"title":["Legionellosis in Poland in 2017"],"prefix":"10.32394","volume":"73","author":[{"given":"H","family":"Stypu\u0142kowska-Misiurewicz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Czerwi\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2019,7,25]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Legioneloza w Polsce w 2017 roku"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180872-101429","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180872-101429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:46:32Z","timestamp":1709887592000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Legionellosis-in-Poland-in-2017,180872,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,25]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"alternative-id":["180872"],"URL":"https:\/\/doi.org\/10.32394\/pe.73.26","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,25]]}}}