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Volume 8, Number 3—March 2002

Research

Listeria monocytogenes Infection in Israel and Review of Cases Worldwide

Yardena Siegman-Igra*Comments to Author , Rotem Levin*, Miriam Weinberger†, Yoav Golan*, David Schwartz*, Zmira Samra†, Hana Konigsberger†, Amos Yinnon‡, Galia Rahav§, Nathan Keller¶, Nail Bisharat#, Jehuda Karpuch**, Renato Finkelstein††, Michael Alkan‡‡, Zvi Landau§§, Julia Novikov¶¶, David Hassin##, Carlos Rudnicki†, Ruth Kitzes***, Shmouel Ovadia†††, Zvi Shimoni‡‡‡1, Ruth Lang§§§, and Tamar Shohat¶¶¶
Author affiliations: *Sourasky, Tel-Aviv, Israel; †Rabin, Petach Tikva, Israel; ‡Shaare-Zedek, Jerusalem, Israel; §Hadassah, Jerusalem, Israel; ¶Sheba, Tel-Hashomer, Israel; #Ha’Emek, Afula, Israel; **Assaf-Harofeh, Zriffin, Israel; ††Rambam, Haifa, Israel; ‡‡Soroka, Beer-Sheva, Israel; §§Kaplan, Rechovot, Israel; ¶¶Bnei-Zion, Haifa, Israel; ##Hillel-Yaffe, Hadera, Israel; ***Carmel, Haifa, Israel; †††Wolfson, Holon, Israel; ‡‡‡Laniado, Netanya, Israel; §§§Sapir, Kfar-Saba, Israel; ¶¶¶District Health Office, Ministry of Health, Tel-Aviv, Israel

Main Article

Table 4

Characteristics of nonperinatal listeriosis from 10 recently reported series

First author, year (ref)
Characteristic McLauchlin, 1990 (8) Gellin, 1991 (6) Cherubin, 1991 (14) Skogberg, 1992 (15) Nolla-Salas, 1993 (16) Jones, 1994 (17) Paul, 1994 (18) Bula, 1995 (10) Goulet, 1996 (9) Siegman-Igra, 2001 (present study) Total or
average
Country and scope England, national USA, six areas USA, four centers Finland, Helsinki Spain, Barcelona England, Bristol Australia, Sydney Switz-erland, western part France, national Israel, national Worldwide
Study period 1967-1985 1986 1982-1999 1971-1989 1990 1983-1992 1983-1992 1983-1997 1992 1995-1999 1967-1999
Total no. of cases 722 246 119 74 31 29 84 122 225a 156 1,808
Nonperinatal cases
(% of total) 474 (66%) 179 (73%) 54 (45%) 58 (78%) 29 (94%) 16 (55%) 71 (85%) 57 (47%) 225 (NA) 87 (56%) 1,025/1583 (65%)
1,025+225=1,250
Mean age (range) (years) 59 (1-97) NA (<1-95) NA 50 (29-66) 58 (17-89) 60 (1-95) 39% (>60) 66 (31-96) 65 (1-101) 67 (4-91) 50-67
Male gender 265 (58%) 101 (56%) NA NA 24 (77%) 9 (56%) NA 33 (58%) 135 (62%) 56 (64%) 623 (60%)
Peak season Autumn and spring Late spring to fall May-Aug NA 39% in July-Sept 76% in July-Dec NA NA NA 70% in
May-Oct Summer
and fall
Annual incidenceb NA 0.7 NA 0.09 - 0.65 1.1 0.35 0.3 NA NA 0.6 0.1-1.1
Immunocompromised 261/337 (77%) NA 53/54(98%) 47/58(81%) 24/29 (83%) 13/16 (81%) 59/71 (83%) 25/57 (42%) 159/225(71%) 64/87 (74%) 705/934 (74%)
CNS infection 268/474 (57%) 55/179 (31%) 19/54 (35%) 29/58 (50%) 9/31 (29%) 6/16 (37%) 29/71 (41%) 45/57 (79%) 110/224(49%) 24/87 (28%) 594/1,251 (47%)
Bacteremia + focusc 183/474 (39%) 119/179 (66%) 35/54 (65%) 24/58 (41%) 20/31 (65%) 10/16 (73%) 40/71 (56%) 12/57 (21%) 97/224 (43%) 59/87 (68%) 599/1,251 (48%)
Focal disease onlyd 9/474 (5%) 5/179 (3%) - 5/58 (8%) 2/31 (6%) - 2/71 (3%) - 17/224 (8%) 4/87 (5%) 44/1,124 (4%)
Mortality 164/371 (44%) 63/179(35%) 17/54(31%) 15/58(26%) 16/31 (52%) 6/16 (37%) 27/71 (38%) 18/57 (32%) 54/225 (24%) 33/87 (38%) 413/1,149 (36%)

aIncludes nonperinatal cases only.
bEstimated annual incidence per 105 population.
cBacteremia with or without a non-CNS focus of infection (e.g., pneumonia, endocarditis, urinary tract infection, prostatitis, peritonitis, gastroenteritis, rectal abscess, osteomyelitis, and cellulitis).
dFor example, peritonitis, pleuritis, arthritis, pericarditis, cholecystitis, appendicitis, and cellulitis.
NA= not available; CNS= central nervous system.

Main Article

1Dr. Lang died November 18, 2001.

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