Predictive risk factors for Listeria monocytogenes meningitis compared to pneumococcal meningitis: a multicenter case–control study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-08-19

AUTHORS

Seungjin Lim, Doo Ryeon Chung, Yeon-Sook Kim, Kyung Mok Sohn, Seung-Ji Kang, Sook-In Jung, Shin-Woo Kim, Hyun Ha Chang, Seung Soon Lee, In-Gyu Bae, Chisook Moon, Ji-Young Rhee, Jin Seo Lee, Hyun Kyun Ki, Hyun Ah Kim, Seong Yeol Ryu, Joon-Sup Yeom, Jun Seong Son, Soo-youn Moon, Ki Tae Kwon, Hyuck Lee, Sang Taek Heo, Cheol-In Kang, Kyong Ran Peck, Jae-Hoon Song

ABSTRACT

PurposeVarious immunocompromised conditions increase the risk of meningitis caused by Listeria monocytogenes. However, the relative importance of these risk factors has not been well established. We determined the risk factors that predict meningitis due to L. monocytogenes compared to that caused by Streptococcus pneumoniae.MethodsA nationwide multicenter case–control study was conducted in Korea. Cases of meningitis caused by L. monocytogenes between 1998 and 2013 were included. Patients with pneumococcal meningitis were included as controls. Multivariate logistic regression analysis was used to predict the risk factors of Listeria meningitis.ResultsA total of 36 cases and 113 controls were enrolled. The most significant predictive risk factor of Listeria meningitis was a prior history of receiving immunosuppressive therapy (odds ratio 8.12, 95 % CI 2.47–26.69). Chronic liver disease was the second most important predictive risk factor (OR 5.03, 95 % CI 1.56–16.22). Delaying appropriate antibiotic therapy by more than 6 h (hazard ratio 2.78) and fatal underlying disease (hazard ratio 2.88) were associated with increased mortality.ConclusionsPatients with a prior history of receiving immunosuppressive therapy within 1 month and chronic liver disease have 8.1-fold and 5-fold increased risk of meningitis by L. monocytogenes compared to S. pneumoniae, respectively. More... »

PAGES

67-74

References to SciGraph publications

  • 2015-02-20. The clinical features, diagnosis, treatment, and prognosis of neuroinvasive listeriosis: a multinational study in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • 2010-05-01. Changing etiology of community-acquired bacterial meningitis in adults: a nationwide multicenter study in Korea in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • Journal

    TITLE

    Infection

    ISSUE

    1

    VOLUME

    45

    Author Affiliations

  • Department of Internal Medicine, Dongnam Institution of Radiological and Medical Sciences, Busan, Korea
  • Division of Infectious Diseases, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 06351, Seoul, Korea
  • Division of Infectious Diseases, Chungnam National University School of Medicine, Daejeon, Korea
  • Division of Infectious Diseases, Chonnam National University Hospital, Gwangju, Korea
  • Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
  • Division of Infectious Diseases, Hallym University Sacred Heart Hospital, Anyang, Korea
  • Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea
  • Division of Infectious Diseases, Inje University Busan Paik Hospital, Busan, Korea
  • Division of Infectious Diseases, Dankook University Hospital, Cheonan, Korea
  • Division of Infectious Diseases, Kangdong Sacred Heart Hospital, Seoul, Korea
  • Division of Infectious Diseases, Konkuk University Hospital, Seoul, Korea
  • Division of Infectious Diseases, Keimyung University Dongsan Medical Center, Daegu, Korea
  • Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
  • Division of Infectious Diseases, Kyung Hee University Hospital at Gangdong, Seoul, Korea
  • Division of Infectious Diseases, Daegu Fatima Hospital, Daegu, Korea
  • Division of Infectious Diseases, Dong-A University Hospital, Busan, Korea
  • Division of Infectious Diseases, Jeju National University School of Medicine, Jeju, Korea
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s15010-016-0939-2

    DOI

    http://dx.doi.org/10.1007/s15010-016-0939-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1004869741

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27541039


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