Incidence of listeriosis in Barcelona, Spain, in 1990

  • J. Nolla-Salas
  • J. M. Antó
  • M. Almela
  • P. Coll
  • I. Gasser
  • A. Plasencia
  • the Collaborative Study Group of Listeriosis of Barcelona
Article

Abstract

A population-based register of cases of listeriosis admitted to acute-care hospitals has been established in Barcelona, Spain, in order to estimate the basal incidence of sporadic cases and to facilitate epidemiological surveillance of potential epidemics. Eleven acute-care hospitals reported all cases of listeriosis to a central unit following a standardized protocol. During 1990, 31 patients with listeriosis were identified, 18 of whom were residents of the city, resulting in an annual incidence of 10.95 cases per million inhabitants. Twelve of the 31 cases occurred in the period from July to September 1990, ten of them being community-acquired. The incidence of listeriosis was higher in elderly (≥ 65 years) and immunosuppressed persons. Forty-two percent of the cases were considered to be nosocomial infections. The overall mortality rate was 51.6 %. The incidence of listeriosis in the present study is one of the highest reported in the literature. A high sensitivity of the reporting system with good case identification techniques, or demographic and environmental characteristics related toListeria monocytogenes infection in our area, might be possible reasons for this geographic variation.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gellin BG, Broome CV: Listeriosis. Journal of the American Medical Association 1989, 261: 1313–1320.PubMedGoogle Scholar
  2. 2.
    Barza M: Listeriosis and milk. New England Journal of Medicine 1985, 312: 438–440.PubMedGoogle Scholar
  3. 3.
    Ciesielski CA, Hightower AW, Parsons SK, Croome CV: Listeriosis in the United States: 1980–1982. Archives of Internal Medicine 1988, 148: 1416–1419.PubMedGoogle Scholar
  4. 4.
    Linnan MJ, Mascola L, Dong Lou X, Goulet V, May S, Salminen C, Hird DW, Yonekura L, Hayes P, Weaver R, Audurier A, Plikaytis BD, Fannin SL, Kleks A, Broome CV: Epidemic listeriosis associated with mexican-style cheese. New England of Journal of Medicine 1988, 319: 823–828.Google Scholar
  5. 5.
    WHO Working Group: Foodborne listeriosis. Bulletin of the World Health Organization 1988, 66: 421–428.Google Scholar
  6. 6.
    Schwartz B, Hexter D, Broome CV, Hightower AW, Hirschorn RB, Porter JD, Hayes PS, Bibb WF, Lorber B, Faris DG: Investigation of an outbreak of listeriosis: new hypotheses for the etiology of epidemicListeria monocytogenes infections. Journal of Infectious Diseases 1989, 159: 680–685.PubMedGoogle Scholar
  7. 7.
    Listeriosis. Lancet 1989, i: 83–84.Google Scholar
  8. 8.
    Shelef LA: Listeriosis and its transmission by food. Progress in Food and Nutrition Science 1989, 13: 363–382.PubMedGoogle Scholar
  9. 9.
    Ho JL, Shands KN, Friedland G, Eckind P, Fraser DW: An outbreak of type 4bListeria monocytogenes infection involving patients from eight Boston hospitals. Archives of Internal Medicine 1986, 146: 520–524.PubMedGoogle Scholar
  10. 10.
    Johnson DP: Listeriosis. Connecticut Medicine 1990, 54: 349–350.PubMedGoogle Scholar
  11. 11.
    Mascola L, Sorvillo F, Neal J, Iwakoshi K, Weaver R: Surveillance of listeriosis in Los Angeles County, 1985–1986. A first year's report. Archives of Internal Medicine 1989, 149: 1569–1572.PubMedGoogle Scholar
  12. 12.
    Gellin BG, Broome CV, Bibb WF, Weaver RE, Gaventa S, Mascola L, andthe Listeriosis Study Group: The epidemiology of listeriosis in the United States — 1986. American Journal of Epidemiology 1991, 133: 392–401.PubMedGoogle Scholar
  13. 13.
    Schuchat A, Deaver KA, Wenger JD, Plikaitis BD, Mascola L, Pinner RW, Reingold AL, Broome CV, andthe Listeria Study Group: Role of foods in sporadic listeriosis. I: Case-control study of dietary risk factors. Journal of the American Medical Association 1992, 267: 2041–2045.PubMedGoogle Scholar
  14. 14.
    Schwartz B, Broome CV, Brown GR, Hightower AW, Ciesielski CA, Gaventa S, Gellin BG, Mascola L: Association of sporadic listeriosis with consumption of uncooked hot dogs and undercooked chicken. Lancet 1988, ii: 779–782.Google Scholar
  15. 15.
    Schlech WF, Lavigne PM, Bortolussi RA, Allen AC, Haldane EV, Wort AJ, Hightower AW, Johnson SE, King SH, Nicholls ES, Broome CV: Epidemic listeriosis. Evidence for transmission by food. New England Journal of Medicine 1983, 308: 203–206.PubMedGoogle Scholar
  16. 16.
    Fleming DW, Cochi SL, MacDonald KL, Brondum J, Hayes PS, Plikaytis BD, Holmes MB, Audurier A, Broome CV, Reingold AL: Pasteurized milk as a vehicle of infections in an outbreak of listeriosis. New England Journal of Medicine 1985, 312: 404–407.PubMedGoogle Scholar
  17. 17.
    Listeriosis in Switzerland. Bulletin l'Office Féderale Santé Publique 1988, 3: 28–29.Google Scholar
  18. 18.
    Gantz NM, Myerowitz RL, Medeiros AA, Carrera GF, Wilson RE, O'Brien TF: Listeriosis in immunosuppressed patients. A cluster of eight cases. American Journal of Medicine 1975, 58: 637–643.PubMedGoogle Scholar
  19. 19.
    Armitage P, Berry G: Statistical methods in medical research. Blackwell, Boston, 1987.Google Scholar
  20. 20.
    Goulet V, Leonard JL, Celers J: Epidemiological study of human listeriosis in France in 1984. Révue d'Epidémiologie et de Santé Publique 1986, 34: 191–194.Google Scholar
  21. 21.
    Pinner RW, Schuchat A, Swaminathan B, Hayes PS, Deaver KA, Weaver RE, Plikaytis BD, Reeves M, Broome CV, Wenger JD, andthe Listeria Study Group: Role of foods in sporadic listeriosis. II: Microbiologic and epidemiologic investigation. Journal of the American Medical Association 1992, 267: 2046–2050.PubMedGoogle Scholar
  22. 22.
    Blenden DC, Szatalowicz FT: Ecological aspects of listeriosis. Journal of the American Veterinary Medical Association 1967, 151: 1761–1766.Google Scholar
  23. 23.
    Seeliger HPR, Finger H: Listeriosis. In: Remington JS, Klein JO (ed): Infectious diseases of the neonate and infant. WB Saunders, Philadelphia, 1976, p. 333–365.Google Scholar
  24. 24.
    Centers for Disease Control: Listeriosis in the United States — 1971. Journal of Infectious Diseases 1973, 127: 610–611.Google Scholar
  25. 25.
    Stamm AM, Dismudes WE, Simmons BP, Cobbs CG, Elliot A, Budrich P, Harmon J: Listeriosis in renal transplant recipients: report of an outbreak and review of 102 cases. Reviews of Infectious Diseases 1982, 4: 665–682.PubMedGoogle Scholar
  26. 26.
    McLauchlin J: Human listeriosis in Britain, 1965–1985, a summary of 722 cases. 1: Listeriosis during pregnancy and in the newborn. Epidemiology and Infection 1990, 104: 181–189.PubMedGoogle Scholar
  27. 27.
    Louria DB, Hensle T, Armstrong D, Collins HS, Blevins A, Krugman D, Buse M: Listeriosis complicating malignant disease: a new association. Annals of Internal Medicine 1967, 67: 261–281.Google Scholar
  28. 28.
    Medoff G, Kunz LJ, Weinberg AN: Listeriosis in humans: an evaluation. Journal of Infectious Diseases 1971, 123: 247–250.PubMedGoogle Scholar
  29. 29.
    Khardori N, Berkey P, Hayat S, Rosenbaum B, Bodey GP: Spectrum and outcome of microbiologically documentedListeria monocytogenes infections in cancer patients. Cancer 1989, 64: 1968–1970.PubMedGoogle Scholar
  30. 30.
    Gatell JM, Rello J, Almela M, Andreu J, García San-Miguel J: Listeriosis. Lancet 1985, ii: 951.Google Scholar
  31. 31.
    Courtieu AL, Goulet V, Netter R: Epidémiologie des listérioses. Données actuelles. Presse Médicale 1989, 18: 1454–1455.Google Scholar

Copyright information

© Friedr. Vieweg & Sohn Verlagsgesellschaft mbH 1993

Authors and Affiliations

  • J. Nolla-Salas
    • 1
  • J. M. Antó
    • 2
  • M. Almela
    • 3
  • P. Coll
    • 4
  • I. Gasser
    • 5
  • A. Plasencia
    • 6
  • the Collaborative Study Group of Listeriosis of Barcelona
  1. 1.Intensive Care UnitHospital Universitari del MarBarcelonaSpain
  2. 2.Department of EpidemiologyInstitut Municipal d'Investigació MédicaBarcelonaSpain
  3. 3.Division of Microbiology and ParasitologyHospital Clinic BarcelonaSpain
  4. 4.Division of MicrobiologyHospital de la Santa Creu i Sant PauBarcelonaSpain
  5. 5.Division of MicrobiologyHospital de la Vall d'Hebró BarcelonaSpain
  6. 6.Department of EpidemiologyInstitut Municipal de la SalutBarcelonaSpain

Personalised recommendations