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New Guidelines on Managing Listeria Exposure in Pregnancy — Physician’s First Watch

Medical News |
August 7, 2014

New Guidelines on Managing Listeria Exposure in Pregnancy

By Kelly Young

Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, FASAM

The American College of Obstetricians and Gynecologists has issued new guidelines on managing possible listeria exposure during pregnancy:

  • If a woman suspects she has eaten a listeria-contaminated product but is asymptomatic, no testing or treatment is recommended.

  • If a woman is exposed and has flu-like symptoms but is not febrile, she should be managed expectantly. Blood cultures may be considered.

  • If an exposed woman is febrile (fever over 100.6 degrees F), she should be tested with blood cultures and simultaneously treated with intravenous ampicillin or — if allergic — trimethoprim plus sulfamethoxazole. If an infant is delivered, placental cultures should be obtained.

Reader Comments (1)

shamim ara hoque Physician, Obstetrics/Gynecology, Canada

Very effective update

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