van Stuijvenberg M, Spanjaard L, Bergman K A
Universitair Medisch Centrum Groningen, locatie Beatrix Kinderkliniek, afd. Neonatologie, Postbus 30.000, 9700 RB Groningen.
Ned Tijdschr Geneeskd. 2006 Jan 14;150(2):105-7.
Between 1993 and 2003, three infants, two girls and a boy, were found to have an invasive infection with Listeria monocytogenes. They received intensive care including respiratory and circulatory support, antibiotics, and treatment of the neurological complications when possible. One of the girls survived without sequelae but the other two infants died in the neonatal period. In one of these two cases there was a clear clue to the source of the infection in the dietary history of the mother: she had consumed unpasteurised cow's milk. The mothers ofthe infants that died had developed fever shortly before parturition. In The Netherlands, the incidence of neonatal invasive infection with Listeria is estimated at 1.3 per 100,000 live-born children per year. This figure seems not to have changed in the last 20 years. Because of the risk of this rare but serious infection, dietary advice to pregnant women to avoid possibly contaminated food is still relevant.
1993年至2003年间,发现三名婴儿(两名女孩和一名男孩)感染了侵袭性单核细胞增生李斯特菌。他们接受了重症监护,包括呼吸和循环支持、抗生素治疗,并尽可能治疗神经并发症。其中一名女孩存活且无后遗症,但另外两名婴儿在新生儿期死亡。在这两例病例中,有一例在母亲的饮食史中明确找到了感染源线索:她曾饮用未经巴氏消毒的牛奶。死亡婴儿的母亲在分娩前不久出现了发热症状。在荷兰,新生儿侵袭性李斯特菌感染的发病率估计为每年每10万名活产儿中有1.3例。在过去20年中,这一数字似乎没有变化。由于这种罕见但严重感染的风险,向孕妇提供避免食用可能受污染食物的饮食建议仍然很有必要。