Hostname: page-component-7c8c6479df-8mjnm Total loading time: 0 Render date: 2024-03-29T07:53:27.979Z Has data issue: false hasContentIssue false

Listeria faecal carriage by renal transplant recipients, haemodialysis patients and patients in general practice: its relation to season, drug therapy, foreign travel, animal exposure and diet

Published online by Cambridge University Press:  15 May 2009

A. P. MacGowan
Affiliation:
Department of Medical Microbiology, Southmead Hospital, Westbury-on-Trim, Bristol BS10 5NB, UK
R. J. Marshall
Affiliation:
Department of Medical Microbiology, Southmead Hospital, Westbury-on-Trim, Bristol BS10 5NB, UK
I. M. Mackay
Affiliation:
Department of Renal Medicine, Southmead Hospital, Westbury-on-Trim, Bristol BS10 5NB, UK
D. S. Reeves
Affiliation:
Department of Medical Microbiology, Southmead Hospital, Westbury-on-Trim, Bristol BS10 5NB, UK
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

About 2·3% (16/700) of faecal specimens from renal transplant recipients and patients having home haemodialysis as well as patients attending their general practitioners with symptoms of gastroenteritis yielded Listeria species 40% of positive faeces contained more than one Listeria species or serovar. The proportion of positive specimens was similar in all three patient groups. Listeria were isolated from 5·6% (10/177) of renal transplant recipients on one or more occasions over the period of a year. The commonest species was L. monocytogenes and type 4b the commonest serovar. Carriage was more common in July and August than other times of year, and less than 28 weeks in duration. In renal transplant recipients carriage was positively related to treatment with ranitidine, consumption of more than three types of cheese in the previous 20 months, and consumption of English cheddar cheese more than once per week.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1991

References

1.Lament, RJ, Postlethwaite, R, MacGowan, AP. Listeria monocytogenes and its role in human infection. J Infect 1988; 17: 728.CrossRefGoogle Scholar
2.McLauchlin, J. Listeriosis in Britain 1967–85, a summary of 722 cases of listeriosis in non pregnant individuals, a changing pattern of infection and seasonal incidence. Epidemiol Infect 1990; 104: 191201.CrossRefGoogle ScholarPubMed
3.Linnan, MJ, Mascola, L, Dong, Lau X et al. , Epidemic listeriosis associated with Mexican-style cheese. N Eng J Med 1988; 312: 404–7.Google Scholar
4.Pini, PN, Gilbert, RJ. The occurrence in the UK of Listeria species in raw chicken and soft cheeses. Int J Food Microbiol 1988; 6: 317–26.CrossRefGoogle ScholarPubMed
5.Bannister, BA. Listeria monocytogenes meningitis associated with eating soft cheese. J Infect 1987; 15: 165–8.CrossRefGoogle ScholarPubMed
6.Borjsen-Möller, J. Human listeriosis: diagnosis epidemiology and clinical studies. Acta Pathol Microbiol Scand (Suppl) 1972; 229: 1157.Google Scholar
7.Kampelmacher, EH, Huysinga, WT, van Noorle Jansen, LM. The presence of Listeria monocytogenes in faeces of pregnant women and neonates. Zentrabl Backteriol Mikrobiol Hyg 1972; 222: 258–62.Google Scholar
8.Ralovich, B. Listeriosis research: present situation and perspective. Akademac Kiodo, Budapest, 1984.Google Scholar
9.Lamont, RJ, Postlethwaite, R. Carriage of Listeria monocytogenes and related species in pregnant and non-pregnant women in Aberdeen, Scotland. J Infect 1986; 13: 187–93.CrossRefGoogle ScholarPubMed
10.MacGowan, AP, Marshall, RJ, Reeves, DS. Evaluation of API 20 STREP system for identifying Listeria species. J Clin Path 1989; 42: 548–50.CrossRefGoogle ScholarPubMed
11.Seeliger, HPR, Jones, D. Listeria. In Bergey's manual of systematic bacteriology, Mair, NS, Sharpe, ME, Holt, JG. eds. Baltimore; Williams and Wilkins 1986; 1235–45.Google Scholar
12.Kampelmacher, EH, van Noorle Jansen, LM. Listeriosis in humans and animals in the Netherlands (1958–1877). Zentrabl Bakteriol Mikrobiol 1980; 246: 211–27.Google Scholar
13.Kampelmacher, EH, van Noorle Jansen, LM. Further studies on the isolation of Listeria monoeytogenes in clinically healthy individuals. Zentrabl Backeriol Mikrobiol Hyg 1972; 222:258–62.Google Scholar
14.Watkins, J, Sleath, K. Isolation and enumeration of Listeria monocytogenes from sewage, sewage sludge and river water. J Appl Bacteriol 1981; 50: 19.CrossRefGoogle ScholarPubMed
15.Weis, J, Seeliger, HPR. Incidence of Listeria monocytogenes in nature. Appl Microbiol 1975; 30: 2932.CrossRefGoogle ScholarPubMed
16.Rocourt, J, Seeliger, HPR. Distribution de espèces du genre Listeria. Zentrabl Backteriol Mikrobiol 1985; 259: 317–30.Google Scholar
17.Schwartz, B, Ciesielski, CA, Broome, CV et al. , Association of sporadic listeriosis with consumption of uncooked hot-dogs and undercooked chicken. Lancet 1988; ii: 779–82.CrossRefGoogle Scholar
18.Stamm, AM, Dismukes, WE, Simmon, BP, Glenn, Cobhi C, Elliott, A, Budrich, P, Marmon, J. Listeriosis in renal transplant recipients: Report of an outbreak and review of 102 cases. Rev Infect Dis 1982; 4: 665–82.CrossRefGoogle ScholarPubMed
19.Miller, JK, Hedberg, M. Effects of cortisone on susceptibility of mice to Listeria monocytogenes, Am J Clin Path 1965; 43: 248–50.CrossRefGoogle ScholarPubMed
20.Tripathy, SP, MacKaness, GB. The effect of cytotoxic agents on the primary immune response to Listeria monocytogenes. J Exp Med 1969; 130: 116.CrossRefGoogle ScholarPubMed
21.Ho, JL, Shands, KN, Friedland, G, Eckind, P, Fraser, DVV. An outbreak of type 4b Listeria monocytogenes infection involving patients from eight Boston hospitals. Arch Intern Med 1986, 146: 520–24.CrossRefGoogle ScholarPubMed
22.Gionnella, RA, Broitman, SA, Zamchesk, N. Salmonella enteritis: role of reduced gastric secretions in pathogenesis. Am J Dig Dis 1971; 16: 1009–13.Google Scholar
23.Sizmur, K, Walker, CW. Listeria and food. Lancet 1988; ii: 1167.CrossRefGoogle Scholar
24.Breer, C, Schopfer, K. Listeria and food. Lancet 1988; ii: 1022.CrossRefGoogle Scholar
25.MacDonald, IT, Carter, BP. Cell mediated immunity to intestinal infection. Infect Immun 1980; 28: 516–28.CrossRefGoogle ScholarPubMed