Food-borne bacteria up miscarriage risk early in pregnancy

February 22, 2017

Feb 22: Listeria, a common food-borne bacterium, may pose a greater risk of miscarriage in the early stages of pregnancy than previously thought, says a study.

pregnancy“For many years, listeria has been associated with adverse outcomes in pregnancy, but particularly at the end of pregnancy,” said one of the researchers Ted Golos, Professor at University of Wisconsin-Madison in the US.

“What wasn’t known with much clarity before this study is that it appears it’s a severe risk factor in early pregnancy,” Golos said.

Pregnant women are warned to avoid many of the foods -- among them unpasteurised milk and soft cheese, raw sprouts, melon and deli meats not carefully handled -- that can harbour listeria, because the bacterium is known to cause miscarriage and still-birth, and spur premature labour.

But when it occurs, listeria infection in pregnancy may go unnoticed.

For the study, four pregnant rhesus macaques at the Wisconsin National Primate Research Centre were fed doses of the listeria comparable to what one might encounter in contaminated food.

None of the monkeys showed obvious signs of infection before their pregnancies came to abrupt ends, according to the results published in the journal mBio.

But in tissue samples taken after each monkey experienced intrauterine fetal death, the researchers found that listeria had invaded the placenta -- the connection between the mother-to-be and the foetus, which usually prevents transmission of bacteria -- as well as the endometrium, the lining of the uterus.

The researchers believe the inflammation caused by the maternal immune response to the fast-moving listeria also affects the placenta, keeping it from protecting the foetus.

The results suggest listeria (and perhaps other pathogens) may be the culprit in some miscarriages that usually go without diagnosed cause.

“There are effective antibiotics available. It is treatable,” said lead author of the study Bryce Wolfe, a graduate student at University of Wisconsin-Madison.

“The issue is that because it’s asymptomatic, the foetus may be infected by the time anyone realises the mother was infected,” Wolfe explained.

Comments

Wellspringivfs…
 - 
Thursday, 8 Feb 2018

Great post. Pregnant women are warned to avoid some foods such as unpasteurized milk, raw meat, and sprouts etc. because that may harbor listeria which may cause pregnancy complications such as miscarriage and stillbirth. http://www.wellspringivfsurrogacy.com/

Leesa
 - 
Thursday, 4 Jan 2018

Nice article. Listeria, a common food-borne bacterium increases the risk of miscarriage in early stages of pregnancy. It is important to follow the food safety measures. Listeria infection in pregnancy often goes unnoticed because of lack of awareness.  Expecting mothers should strictly avoid the food intake which contains listeria, as it may lead to miscarriage. To know more about pregnancy visit http://www.progenesisivf.com/

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Agencies
July 21,2020

New Delhi, Jul 21: The Centre has written to all states and union territories warning against the use of N-95 masks with valved respirators by people, saying these do not prevent the virus from spreading out and are "detrimental" to the measures adopted for its containment.

The Director General of Health Services (DGHS) in the Ministry of Health, in a letter to the Principal Secretaries of health and medical education of states, said it has been observed that there is "inappropriate use" of N-95 masks, particularly those with valved respirators, by the public other than designated health workers.

The DGHS referred to the advisory on the use of homemade protective cover for face and mouth available on the website of the Ministry of Health.

"It is to bring to your knowledge that the use of valved respirator N-95 masks is detrimental to the measures adopted for preventing the spread of coronavirus as it does not prevent the virus from escaping out of the mask. In view of the above, I request you to instruct all concerned to follow the use of face/mouth cover and prevent inappropriate use of N-95 masks," DGHS Rajiv Garg said in the letter.

The government had in April issued an advisory on the use of homemade protective cover for face and mouth, asking people to wear it, particularly when they step out of their residences.

The advisory stressed such face covers must be washed and cleaned each day, as instructed, and stated that any used cotton cloth can be used to make this face cover.

The colour of the fabric does not matter but one must ensure that the fabric is washed well in boiling water for five minutes and dried well before making the face cover. Adding salt to this water is recommended, it said.

It also listed the procedures of making such homemade masks, asking to ensure it fits the face well and there are no gaps on the sides.

It urges people to wash hands thoroughly before wearing the face cover, switching to another fresh one as the face cover becomes damp or humid, and never reusing it after single use without cleaning it.

"Never share the face cover with anyone. Every member in a family should have separate face cover," the advisory stated.

India's COVID-19 case tally crossed the 11-lakh mark on Monday, while the total number of recovered patients increased to over seven lakh, according to Union health ministry data.

The death toll due to the disease rose to 27,497 with 681 fatalities reported in one day.

The ministry data updated at 8 am on Monday showed that a record single-day jump of 40,425 COVID-19 cases had taken the total number of cases to 11,18,043.

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Agencies
May 26,2020

Tedros Adhanom Ghebreyesus, the World Health Organisation's (WHO) Director-General, said that a clinical trial of hydroxychloroquine (HCQ) on COVID-19 patients has come to "a temporary pause", while the safety data of the the anti-malaria drug was being reviewed.

According to the WHO chief, The Lancet medical journal on May 22 had published an observational study on HCQ and chloroquine and its effects on COVID-19 patients that have been hospitalized, reports Xinhua news agency.

The authors of the study reported that among patients receiving the drug, when used alone or with a macrolide, they estimated a higher mortality rate.

"The Executive Group of the Solidarity Trial, representing 10 of the participating countries, met on Saturday (May 23) and has agreed to review a comprehensive analysis and critical appraisal of all evidence available globally," Tedros said in a virtual press conference on Monday.

The review will consider data collected so far in the Solidarity Trial and in particular robust randomized available data, to adequately evaluate the potential benefits and harms from this drug, he said.

"The Executive Group has implemented a temporary pause of the HCQ arm within the Solidarity Trial while the safety data is reviewed by the Data Safety Monitoring Board. The other arms of the trial are continuing," Tedros added.

WHO initiated the Solidarity Trial, a plan to evaluate the safety and efficacy of four drugs and drug combinations against COVID-19 more than two months ago, which include HCQ.

According to the WHO, over 400 hospitals in 35 countries are actively recruiting patients and nearly 3,500 patients have been enrolled from 17 countries under the Solidarity Trial.

Tedros added that the safety concern over the drug related only to the use of HCQ and chloroquine in COVID-19, and "these drugs are accepted as generally safe for use in patients with autoimmune diseases or malaria".

"WHO will provide further updates as we know more," he added.

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Agencies
May 25,2020

Singapore, May 25: COVID-19 patients are no longer infectious after 11 days of getting sick even though some may still test positive, according to a new study by infectious disease experts in Singapore.

A positive test "does not equate to infectiousness or viable virus," a joint research paper by Singapore's National Centre for Infectious Diseases and the Academy of Medicine, Singapore said. The virus "could not be isolated or cultured after day 11 of illness."

The paper was based on a study of 73 patents in the city-state.

The latest findings may have implications on the country's patient discharge policy. The discharge criteria is currently based on negative test results rather than infectiousness.

Singapore's strategy on managing COVID-19 patients is guided by the latest local and international clinical scientific evidence, and the Ministry of Health will evaluate if the latest evidence can be incorporated into its patient clinical management plan, according to a report by the Straits Times.

So far, 13,882, or about 45% of the total 31,068 Covid-19 patients in Singapore have been discharged from hospitals and community facilities. Singapore reported 642 new Covid-19 cases as of noon on Saturday.

The government has been actively screening pre-school staff as it prepares to reopen pre-schools from June 2. On Friday, two pre-school employees tested positive for the novel coronavirus, bringing the total number of confirmed cases among pre-school staff to seven, according to the Ministry of Health.

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