Document Detail

The epidemiology of listeriosis in the United States--1986. Listeriosis Study Group.
MedLine Citation:
PMID:  1899779     Owner:  NLM     Status:  MEDLINE    
To determine the morbidity and mortality due to listeriosis in the United States, the authors undertook an active surveillance project in 1986 to identify all cases in which Listeria monocytogenes was isolated from cultures of ordinarily sterile sites in a population of 34 million persons. The authors estimated that at least 1,700 cases of listeriosis and 450 deaths occurred in the United States in 1986; 27% of these cases occurred in pregnant women, with 22% of perinatal cases resulting in stillbirths or neonatal deaths. The risk of listeriosis in adults (0.5 per 100,000 population) was similar in all regions studied; the incidence of perinatal listeriosis was three times higher in Los Angeles County, California, than in the other areas (24.3/100,000 live births vs. 7.8/100,000 live births). Geographic variation may have resulted from underdiagnosis of perinatal listeriosis in five of the study areas. Multilocus electrophoretic enzyme typing was useful for elucidating the molecular epidemiology of L. monocytogenes; perinatal listeriosis was significantly associated with one group of related strains. Multilocus electrophoretic enzyme typing also identified three clusters representing possible common-source outbreaks. These findings document the substantial morbidity due to listeriosis in the United States; to the extent that sporadic listeriosis is foodborne, this morbidity could be reduced by appropriate preventive measures, particularly in persons known to be at increased risk of infection.
B G Gellin; C V Broome; W F Bibb; R E Weaver; S Gaventa; L Mascola
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of epidemiology     Volume:  133     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-15     Completed Date:  1991-03-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  392-401     Citation Subset:  IM    
Division of Bacterial Diseases, Centers for Disease Control, Atlanta, GA.
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MeSH Terms
Listeria Infections / epidemiology*,  mortality
Listeria monocytogenes / classification,  isolation & purification
Los Angeles / epidemiology
Pregnancy Complications, Infectious / epidemiology
Risk Factors
United States / epidemiology

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