Maternal and obstetric outcomes of listeria pregnancy: insights from a national cohort

Craig, Amanda M.; Federspiel, Jerome J.; Wein, Lauren; Thompson, Jennifer; Dotters‐Katz, Sarah K.

doi:10.1080/14767058.2022.2083494

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…One study enrolled 134 pregnant women hospitalized for Listeria infection from 2007 to 2018 in the United States and found that the risk of severe maternal morbidity was 21.2-time higher in women with Listeria during pregnancy than in those without, specifically the risk of sepsis (28.1% vs 0.1%, P < 0.001), shock (1.4% vs 0.0%, P < 0.001) and acute respiratory distress syndrome (2.8% vs 0.1%, P < 0.001). 10 In addition, maternal infection could be transmitted vertically to the fetus, leading to fetal or neonatal infection with severe complications like fetal distress, preterm birth, miscarriage or stillbirth, neonatal sepsis, neonatal asphyxia and meningitis. 9 Therefore, it remains huge challenge for accurate diagnosis and timely treatment of Listeria monocytogenes infection.…”

Section: Introductionmentioning

confidence: 99%

Maternal Infection with Listeria monocytogenes in Twin Pregnancy

Huang¹,

Guo²,

Duan³

et al. 2023

IDR

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Listeria monocytogenes is the conditional pathogenic bacteria, and pregnant women are at higher risk of infection due to depressed immunity. Infection with Listeria monocytogenes in twin pregnancy is rare but devastating, which puts forwards a great challenge for clinical management. Here, a 24-year-old woman was diagnosed with twin pregnancy, intrauterine death of one fetus and fever at 29 +4 week of gestation. Two days later, she developed into pericardial effusion, pneumonedema and potential septic shock. The emergent cesarean delivery was performed after anti-shock treatment. One alive and another dead fetus were delivered. Then, she developed postpartum hemorrhage after the surgery. Urgent exploratory laparotomy was conducted at the sites of cesarean section and B-Lynch suture to stop bleeding. The culture of blood and maternal side of both placentas indicated Listeria monocytogenes. Following anti-infection therapy with ampicillin-sulbactam, she recovered well and discharged with negative result of blood bacterial culture and normal inflammatory indicators. The patient was hospitalized for a total of 18 days including 2 days in the intensive care unit (ICU), and the anti-infection treatment was conducted throughout the course. Symptoms of the Listeria monocytogenes infection in pregnancy are non-specific, which should be paid more attention in case of unexplained fever and fetal distress. The blood culture is effective for accurate diagnosis. Listeria monocytogenes infection is associated with poor pregnancy outcomes. Close monitoring of fetal condition, early intervention with antibiotics, timely termination of pregnancy and comprehensive management of complications are essential for better prognosis.

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Section: Introductionmentioning

confidence: 99%

Maternal Infection with Listeria monocytogenes in Twin Pregnancy

Huang¹,

Guo²,

Duan³

et al. 2023

IDR

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“…10 Severe adverse outcomes have also been observed outside outbreak settings. A retrospective US cohort 11 study of 134 pregnant women hospitalised with listeriosis during 2007-18 reported higher rates of severe maternal morbidity than in those without listeriosis (30•9% vs 1•6%, respectively; p<0•001; 21•2-fold higher adjusted risk; 95% CI 14•0-31•9) including acute respiratory distress syndrome (2•8% vs 0•1%, respectively; p<0•001), mechanical ventilation (1•4% vs 0•0%, respectively; p<0•001), sepsis (28•1% vs 0•1%, respectively; p<0•001), and shock (1•4% vs 0•0%, respectively; p<0•001). Pregnant women with listeria also had higher rates of caesarean delivery, as compared with those who did not (57•9% vs 32•9%, respectively; p<0•001), preterm birth (61•3% vs 7•7%, respectively; p<0•001), and stillbirth (13•5% vs 0•7%, respectively; p<0•001).…”

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confidence: 99%

“…Pregnant women with listeria also had higher rates of caesarean delivery, as compared with those who did not (57•9% vs 32•9%, respectively; p<0•001), preterm birth (61•3% vs 7•7%, respectively; p<0•001), and stillbirth (13•5% vs 0•7%, respectively; p<0•001). 11 The US Food and Drug Administration warns that symptoms can develop within a few hours or as late as 2-3 days after eating contaminated food, although intervals of up to 3 months have been reported. Realtime PCR from bacterial isolates should be used for rapid and accurate diagnosis.…”

mentioning

confidence: 99%