Frequency of Listeria monocytogenes Isolated from Diarrhea Samples of Pediatric Patients at Central Iran
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Updated: Aug 15, 2026

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Published on: May 6, 2013
Elnaz Abbasi1,2, Alireza Amouzandeh-Nobaveh1, Ehsanollah Ghaznavi-Rad1,3
1Department of Microbiology & Immunology, Faculty of Medicine, Arak University of Medical Sciences.
Background:
Listeria monocytogenes is a primarily foodborne bacterial pathogen that is one of the causative agents of gastroenteritis. However, the prevalence of L. monocytogenes infection in pediatric patients with diarrheal disease is not clearly identified in the Iranian population. This study aimed to investigate the frequency of L. monocytogenes isolates found in infectious diarrhea samples of pediatric patients in an Iranian population.
Methods:
A total of 173 infectious diarrhea samples collected from pediatric patients were used in this crosssectional study. Samples were collected from patients referred to the Children's Educational-Therapeutic Center affiliated with the Arak University of Medical Sciences in Arak, Iran from May-September 2015. To identify the presence of L. monocytogenes, the samples were directly inoculated into the Listeria Enrichment Broth Base through cold enrichment, then plated onto isolated exclusive Listeria Selective Agar Base. As an alternative method for identifying L, monocytogenes, Polymerase Chain Reaction (PCR) of the InlA gene was used.
Results:
Of the 173 infectious diarrhea samples, eight (4.6%) with L. monocytogenes were identified using exclusive culture media, while nine (5.2%) were identified using PCR. The majority of L. monocytogenes infections (seven cases (77.7%)) were observed in children under the age of five.
Conclusion:
Our results show L. monocytogenes infections to have a low prevalence for causing diarrhea in children in the central region of Iran. This should be taken into consideration by pediatricians when treating intestinal diseases.
Insights
Listeria monocytogenes infections are rare in Iranian children with diarrhea, with only 4.6-5.2% of samples testing positive. Most infections occurred in children under five, indicating a low prevalence in this age group.
Area of Science:
- Microbiology
- Infectious Diseases
- Pediatrics
Background:
- Listeria monocytogenes is a foodborne pathogen causing gastroenteritis.
- Its prevalence in pediatric diarrheal disease in Iran is not well-defined.
- This study addresses this knowledge gap in the Iranian pediatric population.
Purpose of the Study:
- To determine the frequency of Listeria monocytogenes in pediatric infectious diarrhea cases in Iran.
- To assess the role of this pathogen in childhood diarrhea in the region.
Main Methods:
- A cross-sectional study of 173 infectious diarrhea samples from pediatric patients in Arak, Iran.
- Samples were analyzed using Listeria Enrichment Broth Base and Listeria Selective Agar.
- Polymerase Chain Reaction (PCR) targeting the InlA gene was used as a confirmatory method.
Main Results:
- Listeria monocytogenes was identified in 4.6% of samples by culture and 5.2% by PCR.
- The majority of positive cases (77.7%) were in children younger than five years old.
- Overall prevalence was low in the studied pediatric population.
Conclusions:
- Listeria monocytogenes exhibits a low prevalence as a cause of diarrhea in children in central Iran.
- Findings suggest this pathogen is not a common cause of infectious diarrhea in this demographic.
- Pediatricians should consider this low prevalence when diagnosing and treating intestinal diseases in children in this region.
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