Transmission of Neonatal Listeriosis in a Delivery Room FREE

Kenrad E. Nelson, MD; Dora Warren, RN, MS; Ana M. Tomasi, MD; Tonse N. Raju, MD; Dharmapuri Vidyasagar, MD

Reprint requests to Department of Preventive Medicine, University of Illinois, 835 S Wolcott St, Chicago, IL 60612 (Dr Nelson).

Am J Dis Child. 1985;139(9):903-905. doi:10.1001/archpedi.1985.02140110057029.

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ABSTRACT

ABSTRACT | REFERENCES

• Two cases of neonatal listeriosis occurred In a hospital within a two-week period. Both infants were infected with the same organism, Listeria monocytogenes, type 1a, bacteriophage type 6 (lysotype 1652). Both infants were born in the same delivery room, 17 hours apart. The index patient became septic shortly after birth and died after 48 hours despite antibiotic therapy. The mother of the index patient was febrile and had chorioamnionitis. The second infant became ill with meningitis at 13 days of age. Neither infants nor mothers were attended by the same medical or nursing staff nor were they in the same labor or postpartum areas or nurseries. However, both infants were resuscitated in the same delivery room after birth by means of laryngoscope, suction catheter, and emergency resuscitation (Ambu) bag. Although it was hospital policy to clean and sterilize resuscitation equipment after use, the equipment had only been wiped with alcohol between patients in this instance, since sterile replacement equipment was not available during the early-morning hours when the index birth occurred. Therefore, we believe the contaminated resuscitation equipment was the source of infection in the second infant. This episode emphasizes the importance of appropriate disinfection of respiratory resuscitation equipment to prevent nosocomial infection due to L monocytogenes, an unusual but important pathogen in neonates.

(AJDC 1985;139:903-905)

REFERENCES

ABSTRACT | REFERENCES

Seeliger HPR, Finger H: Listeriosis, in Remington JS, Klein JO (eds): Infectious Diseases of the Fetus and Newborn , ed 2. Philadelphia, WB Saunders Co, 1983;, pp 264-289.

Burn CG: Clinical and pathological features of an infection caused by a new pathogen of the genus Listerella . Am J Pathol 1936;;12:341-348.

Line FG, Cherry WB: Meningitis due to Listeria monocytogenes: Report of two cases . JAMA 1952;;148:366-369.
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Levy E, Nassau E: Experience with listeriosis in the newborn: An account of a small epidemic in a nursery ward . Ann Pediatr 1960;;194:321-330.

Florman AL, Sundararajan V: Listeriosis among nursery mates . Pediatrics 1968;;41: 784-788.

Becroft DMO, Forman K, Seldon RJ, et al: Epidemic listeriosis in the newborn . Br Med J 1971;;3:747-751.
Link to Article

Filice GA, Cantrell HF, Smith AB, et al: Listeria monocytogenes infection in neonates: Investigation of an epidemic . J Infect Dis 1978;;138:17-23.
Link to Article

Larsson S: Listeria monocytogenes causing hospital-acquired enterocolitis and meningitis in newborn infants . Br Med J 1978;;1:473.
Link to Article

Campbell AN, Sill PR, Wardle JK: Listeria meningitis acquired by cross-infection in a delivery suite . Lancet 1981;;2:752-763.
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Kachel W, Leonard HG: Babies cross-infected with Listeria monocytogenes . Lancet 1981;;2:939-940.
Link to Article

Isaacs D, Libermann MN: Babies cross-infected with Listeria monocytogenes . Lancet 1981;;2:940.

King HS, Duncan J, Tracy PM: Nosocomial transmission of listeriosis? CMA Journal 1982;; 126:1374.

Taylor AG, McLaughlin J, Green HT, et al: Hospital cross-infection with Listeria monocytogenes confirmed by phage-typing . Lancet 1981;;2:1106.
Link to Article

Schlech WF, Larigue PM, Bartolussi RA, et al: Epidemic listeriosis—evidence of transmission by food . N Engl J Med 1985;;308:203-206.
Link to Article

Fleming DW, Cochi SL, MacDonald KC, et al: Pasteurized milk as a vehicle of infection in an outbreak of listeriosis . N Engl J Med 1958;; 312:404-407.
Link to Article

Lennon D, Lewis B, Mantell C, et al: Epidemic perinatal listeriosis . Pediatr Infect Dis 1985;;3:30-34.

Audurier A, Chatelain R, Chalons F, et al: Lysotypic de 823 souches de Listeria monocytogenes isolées en France de 1958 à 1978 . Ann Microbiol 1979;;130B:179-189.

Listeriosis, Annual Summary 1970 . Atlanta, US Public Health Service, Centers for Disease Control, 1972;.

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