Listeria faecal carriage by renal transplant recipients, haemodialysis patients and patients in general practice: its relation to season, drug therapy, foreign travel, animal exposure and diet

Abstract

SUMMARY: About 2·3% (16/700) of faecal specimens from renal transplant recipients and patients having home haemodialysis as well as patients attending their general practitioners with symptoms of gastroenteritis yieldedListeriaspecies 40% of positive faeces contained more than oneListeriaspecies or serovar. The proportion of positive specimens was similar in all three patient groups. Listeria were isolated from 5·6% (10/177) of renal transplant recipients on one or more occasions over the period of a year. The commonest species wasL. monocytogenesand type 4b the commonest serovar. Carriage was more common in July and August than other times of year, and less than 28 weeks in duration. In renal transplant recipients carriage was positively related to treatment with ranitidine, consumption of more than three types of cheese in the previous 20 months, and consumption of English cheddar cheese more than once per week.