From: Perinatal listeriosis patients treated at a maternity hospital in Beijing, China, from 2013–2018
No. | Birth weight (g) | Presentation | Culture sites | Initial antibiotic | Switched antibiotic | Intubation | Complications | Outcomes | ||
---|---|---|---|---|---|---|---|---|---|---|
Feto-neonatal blood | CSF | Laryngeal swab | ||||||||
1 | 1610 | fetal distress; Apgar 6; SpO2 92% on ambient air; rash | (−) | / | (+) | NA | NA | Yes | preterm birth; neonatal asphyxia; pneumonia; hypoglycemia, DIC; septic shock; renal failure; hyperlactacidemia; metabolic acidosis | deceased day 2; infant listeriosis |
2.1 & 2.2 | 740/560 | fetal distress; decreased fetal movement | / | / | / | / | / | / | stillbirth; induced labor | death |
3 | 440 | fetal distress; decreased fetal movement | / | / | (+) | / | / | / | inevitable miscarriage; induced labor | infant listeriosis |
4 | 2275 | fetal distress; Apgar 9; SOB; SpO2 80% on ambient air; rash | (+) | (+) | (+) | NA | NA | Yes | septicemia; preterm birth; CNS infection; meningitis; intrauterine infection; low birth weight; hypoglycemia; DIC; sepsis; thrombocytopenia; myoardial infarction | survived; infant listeriosis |
5 | 1000 | fetal distress | / | / | / | / | / | / | stillbirth | death |
6 | 2565 | fetal distress; Apgar 10; SpO2 95% on ambient air | (+) | / | (+) | cefotoxime + PNG 5d | meropenem + PNG 9d | No | septicemia; preterm birth; intrauterine infection | survived; infant listeriosis |
7 | 3565 | fetal distress; Apgar 8; SpO2 88% on ambient air; meconium aspiration | (+) | / | (+) | piperacillin 3d | ceftazidime + vancomycin 12d | Yes | septicemia; intrauterine infection; pneumonia; hyperlactacidemia; neonatal encephalopathy; anemia; myoardial infarction; thrombocytopenia | survived; infant listeriosis |
8 | 380 | intrauterine fetal death | / | / | / | / | / | / | inevitable miscarriage | induced labor |
9.1 | 2730 | fetal distress; Apgar 8; SOB; SpO2 92% on ambient air | (−) | (−) | (−) | cefepime + PNG 10d | No | No | preterm birth; pneumonia; patent foramen ovale | survived |
9.2 | 2285 | fetal distress; Apgar 7; SOB; SpO2 90% on ambient air | (+) | (+) | (+) | meropenem + PNG 19d | No | No | preterm birth; septicemia; low birth weight; CNS infection; meningitis; liver function lesion, pneumonia; metabolic acidosis; hypoglycemia; anemia, neutropenia; patent foramen ovale; patent ductus arteriosus | survived; infant listeriosis |
10 | 620 | fetal distress | / | / | / | / | / | / | stillbirth | death |
11 | 2810 | fetal distress; Apgar 10; SpO2 96% on ambient air; cyanosis | (−) | / | (−) | PNG + latamoxef 7d | cefepime 7d | No | preterm birth; pneumonia; neonatal infection; hypocalcemia; neonatal jaundice; patent foramen ovale; hydronephrosis | survived |
12 | 820 | fetal distress; Apgar 8; SpO2 94% on ambient air | / | / | (−) | / | / | Yes | extremely low birth weight; preterm birth; hyperlactacidemia; NRDS | deceased day 1 |