Invasive Listeriosis in the Foodborne Diseases Active Surveillance Network (FoodNet), 2004–2009: Further Targeted Prevention Needed for Higher-Risk Groups

Silk, Benjamin J.; Date, Kashmira; Jackson, Kelly A.; Pouillot, Régis; Holt, Kristin G.; Graves, Lewis M.; Ong, Kanyin; Hurd, Sharon; Meyer, Rebecca; Marcus, Ruthanne; Shiferaw, Beletshachew; Norton, Dawn M.; Medus, Carlota; Zansky, Shelley; Cronquist, Alicia; Henao, Olga; Jones, Timothy F.; Vugia, Duc J.; Farley, Monica M.; Mahon, Barbara E.

doi:10.1093/cid/cis268

Cited by 197 publications

(136 citation statements)

References 30 publications

Supporting

Mentioning

127

Contrasting

Unclassified

Order By: Relevance

“…Most previous epidemiologic descriptions of listeriosis in infants were statistically underpowered due to the rarity of the condition. 5,8,16,17,29,30 Our results failed to show a decline in the incidence of listeriosis in infants during 1997-2012, despite a decline in overall rates of foodborne listeriosis over the past decade.…”

Section: Discussioncontrasting

confidence: 63%

See 1 more Smart Citation

Trends in US Hospital Stays for Listeriosis in Infants

Veesenmeyer

Edmonson

2016

Hospital Pediatrics

View full text Add to dashboard Cite

A B S T R A C T BACKGROUND AND OBJECTIVES: Although listeriosis is rare in infants, it is commonfor young infants with suspected serious bacterial infection to be treated empirically with agents selected, in part, for their activity against Listeria monocytogenes. Our objectives were to describe the recent epidemiology of hospital discharges for listeriosis among infants in the United States and to precisely estimate the incidence of listeriosis according to infant age and meningitis status. METHODS:We generated national estimates for listeriosis discharges in each of the 6 years for which samples were available in the Kids' Inpatient Database during the period 1997-2012. We used random-effects models to pool descriptive information and population rates across study years. RESULTS:The cumulative number of US hospital discharges for listeriosis in infants was 344 (95% confidence interval [CI]: 290-397) over the 6 study years. The pooled annual incidence rate in infants (per 100 000 births) was 1.41 (95% CI: 1.01-1.80) after accounting for marked fluctuation in annual rates (range: 0.66-1.86; I 2 5 79.3%). Discharges for listeriosis without meningitis were particularly rare after the first week of life. Our models predicted only 2.7 (95% CI: 1.1-4.2) and 1.8 (95% CI: 0.0-3.6) such discharges per year in infants admitted at ages 7 to 28 days and 29 to 364 days, respectively. CONCLUSIONS:From the perspective of providing coverage against listeriosis, the routine practice of including ampicillin in the empirical treatment of febrile infants should be reevaluated for those older than 1 week without clinical evidence of meningitis.

show abstract

Section: Discussioncontrasting

confidence: 63%

“…Multiple studies have shown a relationship between Hispanic ethnicity and listeriosis. 2,29,31,32,43 Information on race/ethnicity is frequently missing in KID data, however, and we were unable to confirm this association.…”

Section: Discussionmentioning

confidence: 78%

Trends in US Hospital Stays for Listeriosis in Infants

Veesenmeyer

Edmonson

2016

Hospital Pediatrics

View full text Add to dashboard Cite

show abstract

“…15,16,33 The classic teaching that bacteremia in febrile infants is caused by GBS, E coli, and L monocytogenes is not supported by our data nor by regional studies 1,4,12,20,33,34 Late-onset listeriosis typically presents with meningitis without bacteremia. [35][36][37] As our study assessed bacteremia, cases of L monocytogenes meningitis without concurrent bacteremia may have occurred in our study population.…”

Section: Discussionmentioning

confidence: 70%

Epidemiology of Bacteremia in Previously Healthy Febrile Infants: A Follow-up Study

Mischler

Ryan

Leyenaar

et al. 2015

Hospital Pediatrics

View full text Add to dashboard Cite

OBJECTIVE: Describe the etiology of bacteremia among a geographically diverse sample of previously well infants with fever admitted for general pediatric care and to characterize demographic and clinical characteristics of infants with bacteremia according to bacterial etiology. We hypothesized that the epidemiology of bacteremia in febrile infants from a geographically diverse cohort would show similar results to smaller or single-center cohorts previously reported. METHODS:This was a retrospective review of positive, pathogenic blood cultures in previously healthy, febrile infants ≤90 days old admitted to a general unit. In total, there were 17 participating sites from diverse geographic regions of the United States. Cultures were included if the results were positive for bacteria, obtained from an infant 90 days old or younger with a temperature ≥38.0°C, analyzed using an automated detection system, and treated as pathogenic. RESULTS:Escherichia coli was the most prevalent species, followed by group B Streptococcus, Streptococcus viridans, and Staphylococcus aureus. Among the most prevalent bacteria, there was no association between gender and species (Ps > .05). Age at presentation was associated only with Streptococcus pneumoniae. There were no cases of Listeria monocytogenes. CONCLUSIONS:Our study confi rms the data from smaller or single-center studies and suggests that the management of febrile well-appearing infants should change to refl ect the current epidemiology of bacteremia. Further research is needed into the role of lumbar puncture, as well as the role of Listeria and Enterococcus species in infantile bacteremia.

show abstract

“…This study demonstrates that Native American and Hispanics' preferred foods are different from each other and other cultural groups and that this might underlie heightened rates of FBI in each respective population. For instance the Hispanic populations' preference for soft or Mexican-style cheeses may contribute to heightened rates of Listeriosis (CDC, 2007b;Silk et al, 2012;Pouillot et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

A Mixed Methods Approach to Investigating Food Safety Behavior in a Sample of Native American and Hispanic Caregivers of Young Children

Siebert¹,

Perry²,

O'Connell³

et al. 2014

JFR

View full text Add to dashboard Cite

Foodborne illness (FBI) disproportionately affects children and minority populations in the U.S. A mixed methods convergence model design was used to explore the food safety knowledge and behavior of Native American (NA) and Hispanic (Hisp) caregivers in New Mexico who prepare food for young children in the home. Quantitative and qualitative research methods (a validated food safety knowledge survey (r=.793) and focus group interviews) were implemented in parallel within each ethnic group, the datasets were analyzed separately per group and the results were converged at the point of interpretation. Equal priority was given to each dataset type. The Health Belief Model was used as a theoretical framework to guide qualitative inquiry. An integrative summary of the quantitative and qualitative results was created and meta-inferences identified contradictory and confirmatory elements of the evidence across both groups. A purposeful sample of fifty-five participants in New Mexico (28 NA; 27 Hisp) completed the food safety knowledge survey and participated in focus groups. Quantitative composite mean scores for the Native American (NA) group (M=66%) and Hispanic (His) group (M=65%) indicated low food safety knowledge. A MANOVA conducted to compare the two groups' mean knowledge scores found no significant difference between groups on the food safety subscales [Wilks' Λ = .852, F(6,44) = 1.278, p = .287, η2 = .162].The lowest scoring subscale for both groups was 'cook', addressing proper cooking methods (NA=.61, Hisp=.55). Mixed methods analyses revealed that participants overall perceived moderate to high self-efficacy regarding safe food preparation, food purchasing, cooking food, and storing of food, however, the related food safety knowledge item scores were low. Food safety knowledge was often inconsistent with reported food safety practices. Moderate/high self-efficacy may provide a false sense of low risk for FBI.

show abstract

Invasive Listeriosis in the Foodborne Diseases Active Surveillance Network (FoodNet), 2004–2009: Further Targeted Prevention Needed for Higher-Risk Groups

Cited by 197 publications

References 30 publications

Trends in US Hospital Stays for Listeriosis in Infants

Trends in US Hospital Stays for Listeriosis in Infants

Epidemiology of Bacteremia in Previously Healthy Febrile Infants: A Follow-up Study

A Mixed Methods Approach to Investigating Food Safety Behavior in a Sample of Native American and Hispanic Caregivers of Young Children

Contact Info

Product

Resources

About