Journal article
Botulism During Pregnancy and the Postpartum Period: A Systematic Review
Clinical infectious diseases, Vol.66(suppl_1), pp.S30-S37
12/27/2017
DOI: 10.1093/cid/cix813
PMID: 29293925
Abstract
Background. Maternal and fetal outcomes associated with botulism and botulinum antitoxin use during pregnancy and the postpartum period have not been systematically reviewed.
Methods. We searched Global Health, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Medline databases from inception to May 2015 for studies published on botulism or botulinum antitoxin use during pregnancy and the postpartum period, as well as the Centers for Disease Control and Prevention National Botulism Surveillance database. Our search identified 4517 citations.
Results. Sixteen cases of botulism during pregnancy (11 in the third trimester) and 1 case during the postpartum period were identified. Ten cases were associated with confirmed or likely foodborne exposure; 2 cases were attributed to wound contamination related to heroin use, and the source of 5 cases was unknown. Eleven women with botulism had progressive neurologic deterioration and respiratory failure, requiring intensive care unit admission. Four women had adverse outcomes, including 2 deaths and 2 women who remained in a persistent vegetative state. No neonatal losses or cases of congenital botulism were reported. Among the 12 cases that reported neonatal data, 6 neonates were born preterm. No adverse maternal or neonatal events were identified as associated with botulinum antitoxin therapy among 11 patients who received it.
Conclusions. Our review of 17 cases of botulism in pregnant/postpartum women found that more than half required ventilator support, 2 women died, and 6 infants were born prematurely. A high level of clinical suspicion is key for early diagnosis and treatment of botulism. Care of pregnant women or new mothers with botulism can include preparation for possible intubation.
Details
- Title: Subtitle
- Botulism During Pregnancy and the Postpartum Period: A Systematic Review
- Creators
- Martina L. Badell - Emory UniversityBassam H. Rimawi - Emory UniversityAgam K. Rao - National Center for Emerging and Zoonotic Infectious DiseasesDenise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionSonja Rasmussen - Center for Surveillance, Epidemiology, and Laboratory ServicesDana Meaney-Delman - Office of the Director
- Resource Type
- Journal article
- Publication Details
- Clinical infectious diseases, Vol.66(suppl_1), pp.S30-S37
- Publisher
- Oxford Univ Press
- DOI
- 10.1093/cid/cix813
- PMID
- 29293925
- ISSN
- 1058-4838
- eISSN
- 1537-6591
- Number of pages
- 8
- Grant note
- Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 12/27/2017
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446062502771
Metrics
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