Journal Article

Health-Related Quality of Life and Posttraumatic Stress Disorder among Survivors of an Outbreak of Legionnaires Disease

Kamilla D. Lettinga, Annelies Verbon, Pythia T. Nieuwkerk, Rene E. Jonkers, Berthold P. R. Gersons, Jan M. Prins and Peter Speelman

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 35, issue 1, pages 11-17
Published in print July 2002 | ISSN: 1058-4838
Published online July 2002 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/340738
Health-Related Quality of Life and Posttraumatic Stress Disorder among Survivors of an Outbreak of Legionnaires Disease

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A follow-up study of 122 survivors of an outbreak of legionnaires disease (LD) in The Netherlands was conducted to determine persistence of symptoms, health-related quality of life (HRQL), and presence of posttraumatic stress disorder (PTSD). Seventeen months after diagnosis of LD, survivors completed a questionnaire assessing symptoms and HRQL and a questionnaire assessing PTSD. The most prevalent new symptoms were fatigue (in 75% of patients), neurologic symptoms (in 66%), and neuromuscular symptoms (in 63%). HRQL was impaired in 7 of the 8 dimensions assessed by the HRQL questionnaire, and 15% of patients experienced PTSD. Symptoms and impaired HRQL persisted for µ1.5 years. As a result of the design of this study, it could not be inferred whether Legionella pneumophila infection, severe pneumonia in general, or the outbreak situation was responsible for impaired well-being. However, awareness of this problem by health care providers may improve the aftercare of patients.

Journal Article.  4363 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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