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Table 3 Clinical characteristics and outcomes among the 14 neonates in the 12 pregnancy-associated listeriosis cases

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

  1. Abbreviations: NA not available, C-section cesarean section, SpO2 oxygen saturation from pulse oximetry, SOB shortness of breath, DIC disseminated intravascular coagulation, NRDS neonatal respiratory distress syndrome, CSF cerebrospinal fluid, PNG penicillin