There has been a resent increase in cases of Legionnaires Disease in the North West. So remember to request Urine Legionella Antigen test, if you have suspicions.

• Spread: water droplets (hot-tubs, air-con, showers etc.)
• Incubation: 2-10 days typically
• Signs/Symptoms:
  • Fever, chills
  • Cough: dry or productive (1/3 have haemoptysis)
  • Gastrointestinal symptoms  – approx 1/2
  • Neurological  (inc confusion) – approx 1/2
  • Relative Bradycardia
• Investigations: 
  • Urine Legionella antigen test
  • U+E’s – low sodium is more common
  • Sepsis bloods and CXR – as required
• Treatment:
  • As Sepsis – if any Red-Flags
  • Antibiotics:
    • Quinolones: levofloxacin
    • Macrolides: azithromycin clarythromycin
    • Trust guide HERE