Listeria monocytogenes meningitis in the Netherlands, 1985-2014: A nationwide surveillance study

Merel M Koopmans1, Merijn W Bijlsma1, Matthijs C Brouwer1

  • 1Department of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.

Abstract

Insights

Neonatal Listeria meningitis incidence has significantly decreased in the Netherlands. However, Listeria meningitis mortality remains high, with genotype CC6 now predominant.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Bacteriology

Background:

  • Listeria monocytogenes is a significant cause of sepsis and meningitis.
  • Understanding the epidemiology and genetic landscape of Listeria monocytogenes meningitis is crucial for public health interventions.

Purpose of the Study:

  • To analyze national surveillance data on Listeria monocytogenes meningitis in the Netherlands.
  • To describe changes in incidence, genetic epidemiology, and fatality rates over a 25-year period.

Main Methods:

  • Analysis of national surveillance data from the Netherlands Reference Laboratory of Bacterial Meningitis (1985-2014).
  • Serotyping and multi-locus sequence typing (MLST) were used to assess bacterial strains and population structure.

Main Results:

  • A total of 375 cases were identified, with peak incidence in neonates and older adults.
  • Neonatal listerial meningitis incidence decreased 17-fold; overall case fatality rate was 31%.
  • Clonal complex CC6 emerged as the predominant genotype, while CC1, CC2, and CC3 decreased.

Conclusions:

  • The incidence of neonatal Listeria meningitis has declined significantly.
  • Genotype CC6 is now the dominant cause of Listeria meningitis in the Netherlands.
  • Mortality associated with Listeria meningitis remains a critical public health concern.

Related Concept Videos

Investigation of Disease Outbreaks01:23

Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Bacterial Meningitis01:24

Bacterial Meningitis

Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...