Listeria Flashcards

1
Q

Define listeria in pregnancy.

A

Infection caused by Listeria monocytogenes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the aetiology of listeria in pregnancy?

A

Found in soil, decayed matter and animals.

Transmission by FOR in soft cheese, pate, unpasteurised cheese, unwashed salads. Vertical via transplacental or delivery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the risk factors for listeria in pregnancy?

A

Increased risk of infection in pregnancy and immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Summarise the epidemiology of listeria in pregnancy,

A

1/20k pregnancies in UK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the symptoms of listeriosis in pregnancy?

A

D&V, malaise, fever, sore throat, myalgia

May be asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What investigations would be performed for listeriosis in pregnancy?

A

Micro: blood culture, amniotic culture, placental culture (Serological test not available)

Gram+ve bacillus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the management for listeria in pregnancy?

A

IV Abx (penicillin and gentamycin (penicillin + an aminoglycoside))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the complications associated with listeriosis? What is the prognosis for listeriosis?

A

General: Septicaemia, pneumonia, meningitis

Pregnancy: Miscarriage, stillbirth, chorioaminonitis, preterm labour, death.

Good prognosis if treated, poor with septicaemia (mortality 50%). Meningitis (70%) or if neonatal infection (80%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly