Treatment FAQ

what treatment do you use for legionnaires disease

by Ursula Abbott Published 3 years ago Updated 2 years ago
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Legionnaires' disease is treated with antibiotics. The sooner therapy is started, the less likely the chance of developing serious complications. In many cases, treatment requires hospitalization.May 24, 2021

Medication

  • Fermented food
  • N-acetyl cysteine
  • Astragalus
  • Ginseng
  • Tea tree oil
  • Magnesium & potassium supplements
  • Mucus-reducing foods
  • Topical cough suppressant
  • Natural cough drops
  • Peppermint oil

More items...

Nutrition

Legionnaires’ disease requires treatment with antibiotics and most cases of this illness can be treated successfully. Healthy people usually get better after being sick with Legionnaires’ disease, but they often need care in the hospital. Possible complications of Legionnaires’ disease include

Is there any natural treatment for Legionnaires' disease?

Keep sources of warm water clean.

  • Whirlpool spas, swimming pools and hot tubs should be chemically treated to prevent bacterial growth. ...
  • When using humidifiers for ill patients, especially those with pulmonary problems, use sterile water instead of tap water.
  • Change the water in decorative fountains at least once a week.
  • Check for obvious signs of dirt in showers. ...

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Does Legionnaires' disease have a cure?

These include:

  • Headache
  • Muscle aches
  • High fever that can reach up to 104 degrees F
  • Shortness of breath
  • Cough
  • Fatigue

How to combat Legionnaires' disease?

What is the prognosis of Legionnaires disease?

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What treatment is best for Legionnaires disease?

Legionnaires' disease requires treatment with antibiotics and most cases of this illness can be treated successfully. Healthy people usually get better after being sick with Legionnaires' disease, but they often need care in the hospital.

What antibiotics are used to treat Legionnaires disease?

Treatment options for Legionnaires' disease include macrolides, fluoroquinolones, or tetracycline; however, preferred therapies for immunocompromised patients with Legionnaires' disease include levofloxacin and azithromycin [1-3].

Can Legionnaires disease be cured?

Pontiac fever usually clears on its own, but untreated Legionnaires' disease can be fatal. Although prompt treatment with antibiotics usually cures Legionnaires' disease, some people continue to have problems after treatment.

How do you recover from Legionnaires disease?

Antibiotic treatment usually lasts 1 to 3 weeks. Most people make a full recovery, but it might take a few weeks to feel back to normal....Treatment for Legionnaires' diseaseantibiotics given directly into a vein.oxygen through a face mask or tubes in your nose.a machine to help you breathe.

Which of the following drugs is considered a drug of choice for Legionnaires disease?

Azithromycin is the drug of choice for children with suspected or confirmed Legionella disease. With rare exceptions, the initial course should be intravenously administered. After a good clinical response is observed, it can be switched to the oral route.

Does erythromycin treat Legionella?

The treatment of Legionnaires' disease to date has included erythromycin as the first-choice antimicrobial agent, followed by newer macrolides, doxycycline, or trimethoprim-sulfamethoxazole (7, 8).

Is there a vaccine for Legionnaires disease?

There is no vaccine for Legionnaires' disease, and antibiotic prophylaxis is not effective. Water management programs for building water systems and devices at risk for Legionella growth and transmission can lower the potential for illnesses and outbreaks.

How is Legionnaires diagnosed?

The most commonly used laboratory test for diagnosis of Legionnaires' disease is the urinary antigen test (UAT), which detects a molecule of the Legionella bacterium in urine. If the patient has pneumonia and the test is positive, then you should consider the patient to have Legionnaires' disease.

Does doxycycline treat Legionella?

Treatment for Legionnaires' Disease There are three major classes of antibiotics that are highly active in vitro against Legionella bacteria: fluoroquinolones (e.g., levofloxacin, moxifloxacin); macrolides (e.g., erythromycin, azithromycin); and tetracyclines (e.g., doxycycline) (TABLE 4).

Can you make a full recovery from Legionnaires disease?

Most people with Legionnaires' disease need care in a hospital, but will fully recover with treatment. However, about one in 10 who get this disease will die due to complications from their illness.

How long does it take to fully recover from Legionnaires disease?

Recovery can take as long as six months.

Does Legionnaires disease cause permanent damage?

The research also found that out of 75% who had suffered from neurological symptoms, very few had recovered within 17 months after their initial diagnosis, suggesting that these newly developed ailments were likely permanent3.

What is Legionnaires disease?

Legionnaires' disease is a severe, often lethal, form of pneumonia. It's caused by the bacterium Legionella pneumophila found in both potable and nonpotable water systems.

What antibiotics are effective against Legionella?

Many antibiotics are highly effective against Legionella bacteria. The two most potent classes of antibiotic are the macrolides (azithromycin), and the quinolones (ciprofloxacin, levofloxacin, moxifloxacin, gemifloxacin, trovofloxacin).

Can Legionnaires disease be admitted to intensive care?

It is not uncommon for patients with Legionnaires' disease to be admitted to the intensive care unit. Some will suffer long-term impaired health-related quality of life. A study of outbreak survivors showed persistence of fatigue (75%), neurologic symptoms (66%) and neuromuscular symptoms (63%) in months after an outbreak.

How to avoid getting sicker?

To avoid making your condition worse, follow these tips: Don't smoke or be around smoke. Don't drink alcohol. Stay out of work or school, and rest as much as you can. Drink plenty of fluids. If you get sicker before you see a doctor, go to an emergency room. By Mayo Clinic Staff.

Does Legionnaires disease go away on its own?

In many cases, treatment requires hospitalization. Pontiac fever goes away on its own without treatment and causes no lingering problems.

What is the most common test for Legionnaires disease?

The most commonly used laboratory test for diagnosis of Legionnaires’ disease is the urinary antigen test (UAT), which detects a molecule of the Legionella bacterium in urine. If the patient has pneumonia and the test is positive, then you should consider the patient to have Legionnaires’ disease. The test can remain positive for a few weeks after infection, even with antibiotic treatment. The UAT detects the most common cause of Legionnaires’ disease, L. pneumophila serogroup 1. However, all species and serogroups of Legionella are potentially pathogenic, so a patient with a negative urinary antigen result could have Legionnaires’ disease caused by other Legionella species or serogroups, which is why using culture and UAT in combination is recommended.

Why is it important to report Legionella?

Timely identification and reporting of legionellosis cases are also important because this allows public health officials to act quickly.

What is the best test for Legionella?

The preferred diagnostic tests for Legionnaires’ disease are culture of lower respiratory secretions (e.g., sputum, bronchoalveolar lavage) on selective media and the Legionella urinary antigen test. Serological assays can be nonspecific and are not recommended in most situations. Best practice is to obtain both sputum for culture and urine for the urinary antigen test concurrently. Sputum should ideally be obtained prior to antibiotic administration, but antibiotic treatment should not be delayed to facilitate this process. The urinary antigen test can detect Legionella infections in some cases for days to weeks after treatment.

How long do you have to stay in a hospital for Legionella?

Patients with an overnight stay in a healthcare facility within 14 days before symptom onset. Patients with an epidemiologic link to a setting with a confirmed source of Legionella or that has been associated with at least one laboratory-confirmed case of Legionnaires’ disease.

Can a culturing specimen detect Legionella?

Unlike the urinary antigen test, culturing specimens from patients can detect all species and serogroups of Legionella. Isolating Legionella from clinical specimens helps investigators identify where exposure occurred and prevent additional cases.

Where do Legionnaires disease outbreaks occur?

The majority of recognized Legionnaires’ disease outbreaks are associated with travel (hotels, resorts, cruise ships) or healthcare settings (hospitals, long-term care facilities). 2 Approximately 10–15% of all reported cases of Legionnaires’ disease occur in people who have traveled during their exposure period.

Can a negative urinary antigen cause Legionella?

However, all species and serogroups of Legionella are potentially pathogenic, so a patient with a negative urinary antigen result could have Legionnaires’ disease caused by other Legionella species or serogroups, which is why using culture and UAT in combination is recommended.

How to diagnose Legionella?

To diagnose Legionnaires’ disease among other types of pneumonia, your doctor may order urine tests and a sputum culture to determine the presence of the Legionella bacteria.

How long does it take for Legionnaires to set in?

Legionnaires’ disease usually begins with flu-like symptoms similar to other types of bacterial pneumonia. These include: Within two or three days, the illness will have fully set in and patients typically experience more severe cough and difficulty breathing.

Can Legionnaires disease be fatal?

Legionnaires’ disease can be fatal, so it is important to get prompt medical attention. Your doctor may determine that you have contracted a less severe version of the same disease, called Pontiac fever. This milder condition will clear up on its own without treatment and cause no lingering problems.

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Sensitivity and Specificity of Diagnostic Tests

Advantages and Disadvantages For Each Diagnostic Test

Treatment

Prevention

Medically reviewed by
Dr. Govind Desai
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves antibiotics.
Medication

Antibiotics: Helps to kill or inhibit the growth of bacteria. The preferred drugs are:

Levofloxacin . Azithromycin

Nutrition

Foods to eat:

There are no specific foods known to affect clinical outcomes.

  • Cooked hot foods such as soups

Foods to avoid:

  • NA

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.

Reporting

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