1976 Philadelphia Legionnaires' disease outbreak 1976 Philadelphia Legionnaires' disease outbreak The 1976 Legionnaires disease outbreak, occurring in the late summer in Philadelphia, Pennsylvania, was the first occasion in which a cluster of a particular type of pneumonia cases were determined to be caused by the "Legionella pneumophila" bacteria. Previous outbreaks were retroactively diagnosed as being most probably caused by Legionella bacteria. On July 21, 1976, the American Legion opened its annual three-day convention at the Bellevue-Stratford Hotel in Philadelphia, Pennsylvania. More than 2,000 Legionnaires, mostly men, attended the convention. The date and city were chosen to coincide with America’s celebration of the 200th anniversary of
Aspiration pneumonia and sputum culture. Differentiating from other types of pneumonia may be difficult. Treatment is typically with antibiotics such as clindamycin, meropenem, ampicillin/sulbactam, or moxifloxacin. For those with only chemical pneumonitis, antibiotics are not typically required. Among people hospitalized with pneumonia, about 10% are due to aspiration. It occurs more often in older people, especially those in nursing homes. Both sexes are equally affected. Aspiration pneumonia is often caused by a defective swallowing mechanism, such as a neurological disease or as the result of an injury that directly impairs swallowing or interferes with consciousness. Impaired consciousness can be intentional, such as