Clinical management of women with listeriosis risk during pregnancy: a review of national guidelines

Lisa Pucci, Mario Massacesi, Giuseppina Liuzzi

Research output: Contribution to journalReview article

Abstract

Introduction: Listeriosis is an uncommon foodborne infection that may cause moderate maternal illness, but can be extremely serious for the fetus and the newborn. Several guidelines have been elaborated in order to help clinicians on the care of pregnant women with known or suspected exposure to Listeria monocytogenes. The aim of this review is to collect, assess and summarize them, in order to provide a comprehensive overlook and to highlight the grey areas in the guidance that could result in failure to detect some infected but asymptomatic women. Areas covered: A literature review was performed to provide an update on listeriosis infections, with a greater focus on diagnosis and management of pregnancy-related cases. Expert commentary: Since pregnancy-associated listeriosis causes potentially fatal consequences, it is important that healthcare providers recognize earlier symptoms, diagnosis methods and treatment of the infection. Listeriosis could be asymptomatic and/or a pregnant woman could not be aware of being exposed to Listeria, therefore a serological test is suggested to detect the presence of anti-listeriolysin O antibodies in blood. Finally, a final flowchart is proposed that could improve the early diagnosis of the infection in pregnant women.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalExpert Review of Anti-Infective Therapy
DOIs
Publication statusE-pub ahead of print - Dec 13 2017

Keywords

  • diagnosis
  • Listeria monocytogenes
  • listeriosis
  • pregnancy

ASJC Scopus subject areas

  • Microbiology
  • Microbiology (medical)
  • Infectious Diseases
  • Virology

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