ArticleBMC pregnancy and childbirth2025
Retrospective analysis of pregnancy-associated listeriosis in a city in southeastern China (Xiamen) from 2015 to 2023.
Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The trial behind it
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Who cites it
2 citing papers in PubMed.
- Listeriosis in Pregnant Women and Neonates in China: A Systematic Review.Journal of clinical medicine · 2026Review
- Functional cooperation between LIPI-4 and listeriolysin O governs intracellular replication and systemic virulence ofFrontiers in microbiology · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundPregnancy-associated listeriosis caused by foodborne infections poses a significant threat to maternal and neonatal health, with a high mortality rates. There is limited data on epidemiology of pregnancy-associated listeriosis in southeastern China (Xiamen), and we will report it in this study.
methodsA retrospective analysis was conducted on confirmed cases of pregnancy-associated listeriosis in Xiamen from 2015 to 2023. Patient data was extracted from the hospital’s electronic medical records. Data analysis and epidemiological investigations were performed based on demographic information, onset time, clinical and laboratory characteristics. Antibacterial susceptibility testing was conducted on isolated Listeria monocytogenes (LM) strains using the broth microdilution method.
resultsIn Xiamen, pregnancy-associated listeriosis incidence over 9 years was 7.15/100,000 (9/125,816) deliveries, with sporadic cases. Predominant symptoms among pregnant women included fever (88.9%), abdominal pain (66.7%), decreased fetal movement (66.7%), fetal tachycardia (66.7%), and flu-like symptoms (55.6%). Elevated neutrophil percentages (NE%), C-reactive protein (CRP), and procalcitonin (PCT) were observed in all pregnant women. Placental pathology consistently showed acute chorioamnionitis and micro-abscesses. Although all pregnant women recovered, out of 10 offspring, only 5 survived birth, and merely 3 were eventually cured, resulting in a feto-neonatal mortality rate of 70.0% (7/10). All LM strains showed susceptibility to ampicillin, penicillin, meropenem, erythromycin, and trimethoprim-sulfamethoxazole (SXT).
conclusionsAlthough pregnancy-associated listeriosis is rare in Xiamen, it can have catastrophic effects on fetuses. Its atypical clinical features require timely testing in cases of inflammation and infection signs, stressing the significance of prevention awareness and prompt medical intervention.
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