1887
Volume 2025, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

is a bacterium found in raw foods and water and causes severe infections in immunocompromised, pregnant women, and the elderly. Although the incidence of listeriosis is low, it is a life-threatening disease with a case–fatality rate of 20% to 30% and numerous complications, including central nervous system (CNS) infections and maternal-fetal transmission. The purpose of this study was to determine the epidemiology, clinical features, and outcomes of listeriosis in Qatar over 10 years.

This retrospective cohort study was conducted at Hamad Medical Corporation, the main public healthcare provider in Qatar, analyzing laboratory-confirmed . bloodstream infections from May 1, 2011, to November 26, 2021. The data were collected from the electronic medical records system and included demographic data, clinical features, microbiology, management, and outcome. The study was approved by the Institutional Review Board (MRC-01-21-1023). The inclusion criteria for the study were positive blood cultures and clinical signs of infection. Descriptive statistics and comparative analyses were used in the statistical analyses.

The study involved 35 cases with a median age of 39 years and 77.14% female. Pregnancy-associated cases were 22.86% with high fetal morbidity, including 33.33% stillbirth and 55.56% preterm delivery. Twenty percent of the patients had clinical features of meningoencephalitis. Although the source of infection could not be determined, it is known that is most commonly transmitted through contaminated food products. All the isolates were sensitive to ampicillin, co-trimoxazole, and meropenem. The 30- and 90-day mortality rates were 2.86% and 14.26%, respectively, and age (60 years and above) and meningoencephalitis were independent predictors of mortality.

This study offers significant information about listeriosis in Qatar, characterized by a higher incidence of pregnancy-associated cases and a lower incidence of CNS involvement than in other countries. These findings also show the gaps in antimicrobial resistance surveillance and the foodborne transmission in the Middle East. Even though all mothers recovered fully, the adverse fetal outcomes stress the importance of preventive measures and enhanced food safety measures. Future research should focus on molecular characterization, source attribution, and antimicrobial resistance monitoring to enhance infection control and public health interventions, ultimately mitigating the impact of listeriosis in the region.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2025.87
2025-09-18
2025-12-13

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/qmj/2025/3/qmj.2025.87.html?itemId=/content/journals/10.5339/qmj.2025.87&mimeType=html&fmt=ahah

References

  1. McMullen PD, Freitag NE. Listeria monocytogenes. In: Tang YW, Sussman M, Liu D, Poxton I, Schwartzman J (eds.), Molecular Medical Microbiology. Academic Press; 2015.p. 1345–61. https://doi.org/10.1016/B978-0-12-397169-2.00074-3
    [Google Scholar]
  2. Schlech WF. Epidemiology and clinical manifestations of Listeria monocytogenes infection. Microbiol Spectr. 2019 05 31; 7:(3):10.1128/microbiolspec.gpp3-0014-2018. https://journals.asm.org/doi/10.1128/microbiolspec.gpp3-0014-2018[Accessed 15 February 2025].
    [Google Scholar]
  3. Paduro C, Montero DA, Chamorro N, Carreño LJ, Vidal M, Vidal R. Ten years of molecular epidemiology surveillance of Listeria monocytogenes in Chile 2008-2017. Food Microbiol. 2020 02; 85:103280.https://doi.org/10.1016/j.fm.2019.103280
    [Google Scholar]
  4. Ravindhiran R, Sivarajan K, Sekar JN, Murugesan R, Dhandapani K. Listeria monocytogenes an emerging pathogen: a comprehensive overview on listeriosis, virulence determinants, detection, and anti-listerial interventions. Microb Ecol. 2023 11; 86:(4):2231–51.https://doi.org/10.1007/s00248-023-02269-9
    [Google Scholar]
  5. Choi MH, Park YJ, Kim M, Seo YH, Kim YA, Choi JY, et al.. Increasing incidence of listeriosis and infection-associated clinical outcomes. Ann Lab Med. 2018 03 28; 38:(2):102–9.https://www.annlabmed.org/journal/view.html?doi=10.3343/alm.2018.38.2.102[Accessed 15 February 2025].
    [Google Scholar]
  6. Kraus V, Cižmárová B, Birková A. Listeria in pregnancy—the forgotten culprit. Microorganisms. 2024 10 1; 12:(10):2102.https://doi.org/10.3390/microorganisms12102102
    [Google Scholar]
  7. Koopmans MM, Brouwer MC, Vázquez-Boland JA, van de Beek D. Human listeriosis. Clin Microbiol Rev. 2022 03 1; 36:(1):e0006019.https://doi.org/10.1128/cmr.00060-19
    [Google Scholar]
  8. Bashir A. Healthcare expatriate adjustment in Qatar: analyzing challenges and opportunities. Cureus. 2024 02 23; 16:(2):e54720.https://doi.org/10.7759/cureus.54720
    [Google Scholar]
  9. Quereda JJ, Morón-García A, Palacios-Gorba C, Dessaux C, García-del Portillo F, Pucciarelli MG, et al.. Pathogenicity and virulence of Listeria monocytogenes: a trip from environmental to medical microbiology. Virulence. 2021 12; 12:(1):2509–45.https://doi.org/10.1080/21505594.2021.1975526
    [Google Scholar]
  10. Bonazzi M, Lecuit M, Cossart P. Listeria monocytogenes internalin and E-cadherin: from bench to bedside. Cold Spring Harb Perspect Biol. 2009 10; 1:(4):a003087.https://doi.org/10.1101/cshperspect.a003087
    [Google Scholar]
  11. Drevets DA, Bronze MS. Listeria monocytogenes: epidemiology, human disease, and mechanisms of brain invasion. FEMS Immunol Med Microbiol. 2008 07 1; 53:(2):151–65.https://dx.doi.org/10.1111/j.1574-695X.2008.00404.x
    [Google Scholar]
  12. Lu X, Yang H, Wang Y, Xie Y. Analysis of clinical and microbiological features of Listeria monocytogenes infection. Infect Drug Resist. 2023 05; 16:2793.https://doi.org/10.2147/IDR.S408089
    [Google Scholar]
  13. Mohapatra RK, Mishra S, Tuglo LS, Sarangi AK, Kandi V, AL Ibrahim AA, et al.. Recurring food source-based Listeria outbreaks in the United States: an unsolved puzzle of concern? Health Sci Rep. 2024 02 1; 7:(2):e1863.https://doi.org/10.1002/hsr2.1863
    [Google Scholar]
  14. Bashiry M, Javanmardi F, Taslikh M, Sheidaei Z, Sadeghi E, Abedi AS, et al.. Listeria monocytogenes in dairy products of the Middle East Region: a systematic review, meta-analysis, and meta-regression study. Iran J Public Health. 2022 02; 51:(2):292–305.https://doi.org/10.18502/ijph.v51i2.8682
    [Google Scholar]
  15. Habib I, Mohamed MYI. Foodborne infections in the Middle East In: . Food Safety in the Middle East. Elsevier; 2022.p. 71–107. https://doi.org/10.1016/B978-0-12-822417-5.00005-2
    [Google Scholar]
  16. Habib I, Mohamed MYI, Khan M. Current state of Salmonella, Campylobacter and Listeria in the food chain across the Arab countries: a descriptive review. Foods. 2021 10; 10:(10):2369.https://www.mdpi.com/2304-8158/10/10/2369/htm[Accessed 15 February 2025].
    [Google Scholar]
  17. Sasi S, Abid FB, Alamin MA, Iqbal J, Al-Maslamani M. Cardiac tamponade due to influenza B infection in a young immunocompetent female: a case report and review of literature. Qatar Med J. 2025 01; 2025:(1):26.https://doi.org/10.5339/qmj.2025.26
    [Google Scholar]
  18. Rodríguez-Melcón C, Alonso-Calleja C, García-Fernández C, Carballo J, Capita R. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) for twelve antimicrobials (biocides and antibiotics) in eight strains of Listeria monocytogenes. Biology (Basel). 2021 12; 11:(1):46.https://doi.org/10.3390/biology11010046
    [Google Scholar]
  19. Wang Z, Tao X, Liu S, Zhao Y, Yang X. An update review on Listeria infection in pregnancy. Infect Drug Resist. 2021 05; 14:1967.https://doi.org/10.2147/IDR.S313675
    [Google Scholar]
  20. Craig AM, Dotters-Katz S, Kuller JA, Thompson JL. Listeriosis in pregnancy: a review. Obstet Gynecol Surv. 2019 06 1; 74:(6):362–8.https://doi.org/10.1097/OGX.0000000000000683
    [Google Scholar]
  21. Psareva EK, Egorova IY, Liskova EA, Razheva IV, Gladkova NA, Sokolova EV, et al.. Retrospective study of Listeria monocytogenes isolated in the Territory of Inner Eurasia from 1947 to 1999. Pathogens. 2019 10 11; 8:(4):184.https://doi.org/10.3390/pathogens8040184
    [Google Scholar]
  22. Swaminathan B, Gerner-Smidt P. The epidemiology of human listeriosis. Microbes Infect. 2007 08; 9:(10):1236–43.https://doi.org/10.1016/j.micinf.2007.05.011
    [Google Scholar]
  23. Farber JM, Zwietering M, Wiedmann M, Schaffner D, Hedberg CW, Harrison MA, et al.. Alternative approaches to the risk management of Listeria monocytogenes in low risk foods. Food Control. 2021 05 1; 123:107601.https://www.sciencedirect.com/science/article/pii/S095671352030517X[Accessed 5 May 2025].
    [Google Scholar]
/content/journals/10.5339/qmj.2025.87
Loading
/content/journals/10.5339/qmj.2025.87
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): antimicrobialsbacteremiaepidemiologyListeriosispregnancy and State of Qatar
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error