Volume 27, Number 9—September 2021
Dispatch
Ongoing High Incidence and Case-Fatality Rates for Invasive Listeriosis, Germany, 2010–2019
Hendrik Wilking
, Raskit Lachmann, Alexandra Holzer, Sven Halbedel, Antje Flieger, and Klaus Stark
, Raskit Lachmann, Alexandra Holzer, Sven Halbedel, Antje Flieger, and Klaus Stark
Table 2
Clinical characteristics of notified cases of invasive listeriosis, Germany, 2010–2019*
| Characteristic | Pregnancy-associated, no. (%) cases | Non–pregnancy-associated, no. (%) cases |
|||
|---|---|---|---|---|---|
| Children/adolescents <18 y | Adults 18–64 y | Adults ≥65 y | Total | ||
| Total |
301 (100) |
37 (100) |
1,172 (100) |
3,855 (100) |
5,064 (100) |
| Sex | |||||
| F | 301 (100) | 22 (59) | 437 (37) | 1,573 (41) | 2,032 (40) |
| M |
0 |
||||
| Isolate source† | |||||
| Cerebrospinal fluid | 6 (2) | 21 (57) | 277 (24) | 359 (9) | 657 (13) |
| Blood | 152 (50) | 15 (41) | 800 (68) | 3,282 (85) | 4,097 (81) |
| Other sterile site | NA | 1 (3) | 87 (7) | 186 (5) | 274 (5) |
| Birth setting‡ |
162 (54) |
NA |
NA |
NA |
NA |
| Severity | |||||
| Hospitalization§ | 253 (84) | 36 (97) | 1,064 (95) | 3,535 (95) | 4,635 (92) |
| Death or fetal loss¶ | 58 (19) | 0# (0) | 113# (10) | 545# (14) | 658# (13) |
*NA, not applicable †When Listeria monocytogenes is isolated from multiple anatomic sites, only a single site is reported (priority order: cerebral spinal fluid, blood, other sterile site, and birth setting). ‡Either from a newborn, fetus, stillborn or from maternal tissue (placental tissue, uterus, cervix). §Hospitalizations among singleton neonates for 224 pregnancy-associated cases. ¶26 neonatal deaths, 32 fetal losses. Among all pregnancy-associated cases 161 premature births were recorded. #Information available for 4,989/5,064 (99%) of notified cases.
Page created: June 22, 2021
Page updated: August 18, 2021
Page reviewed: August 18, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.