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Volume 27, Number 9—September 2021
Dispatch

Ongoing High Incidence and Case-Fatality Rates for Invasive Listeriosis, Germany, 2010–2019

Hendrik WilkingComments to Author , Raskit Lachmann, Alexandra Holzer, Sven Halbedel, Antje Flieger, and Klaus Stark
Author affiliations: Department for Infectious Disease Epidemiology of the Robert Koch Institute, Berlin, Germany (H. Wilking, R. Lachmann, A. Holzer, K. Stark); Department for Infectious Diseases of the Robert Koch Institute, Wernigerode, Germany (S. Halbedel, A. Flieger)

Main Article

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.

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Page created: June 22, 2021
Page updated: August 18, 2021
Page reviewed: August 18, 2021
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