title: Listeriosis in pregnancy: survey of British Columbia practitioners' knowledge of risk factors, counseling practices, and learning needs.
abstract: OBJECTIVE
  To determine the knowledge, counseling practices, and learning needs of practitioners in British Columbia regarding risk factors for listeriosis in pregnancy.
  
  
  METHODS
  A 1-page, mailed, self-administered, anonymous questionnaire.
  
  
  METHODS
  British Columbia.
  
  
  METHODS
  A total of 827 practitioners (614 family physicians, 93 midwives, and 120 family practice residents) were sent the questionnaire.
  
  
  METHODS
  Awareness of listeriosis, knowledge of the risk factors for listeriosis, practices for counseling pregnant women, practitioners' learning needs, and provider and practice characteristics.
  
  
  RESULTS
  A total of 340 practitioners (41%) completed the questionnaire. While most (88%) physicians and midwives had heard of listeriosis, few (18%) were aware that infection was more common during pregnancy. One-third (33%) of practitioners counseled pregnant women about the risk factors for listeriosis. The main reasons for not providing such counseling were lack of knowledge and the perception that listeriosis was rare and not an important concern for pregnant women. Rates of counseling were highest among midwives (84%) and lowest among physicians practising outside the Lower Mainland of British Columbia (12%). Of those practitioners providing prenatal care, 47% counseled pregnant women about the risks of unpasteurized milk and 41% counseled women about the risks of consuming soft cheese; few counseled about the risks of consuming deli meat or raw hot dogs (25%), unwashed fruit and vegetables (12%), or refrigerated smoked seafood (6%).
  
  
  CONCLUSIONS
  Most prenatal care providers in British Columbia are unaware of the risk factors for listeriosis or its propensity for pregnant women and do not counsel their pregnant patients about these risks.
authors.affiliation: University of British Columbia, Department of Family Practice, 200-2475 Bayswater St, Vancouver, BC V6K 4N3. ckirkham@interchange.ubc.ca
authors.forename: Colleen
authors.initials: C
authors.lastname: Kirkham
authors.forename: Jonathan
authors.initials: J
authors.lastname: Berkowitz
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001955:British Columbia; D002983:Clinical Competence; D005194:Family Practice / Q000193:education / Q000592:standards*; D005260:Female; D005517:Foodborne Diseases / Q000382:microbiology / Q000517:prevention & control; D006801:Humans; D007396:Internship and Residency / Q000592:standards; D008088:Listeriosis / Q000209:etiology* / Q000517:prevention & control; D008880:Midwifery / Q000193:education / Q000592:standards*; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology* / Q000517:prevention & control; D012307:Risk Factors; D011795:Surveys and Questionnaires
references.citation: Aust N Z J Public Health. 2007 Oct;31(5):468-74
references.pmid: 17931296
references.citation: MMWR Morb Mortal Wkly Rep. 2001 Jul 6;50(26):560-2
references.pmid: 11456331
references.citation: JAMA. 2002 Dec 4;288(21):2675-6
references.pmid: 12460071
references.citation: Obstet Gynecol Surv. 1998 Dec;53(12):737-40
references.pmid: 9870235
references.citation: Clin Infect Dis. 2007 Feb 15;44(4):521-8
references.pmid: 17243054
references.citation: CMAJ. 2008 Oct 7;179(8):739-40, 743-4
references.pmid: 18796531
references.citation: J Am Diet Assoc. 2008 Jun;108(6):978-84
references.pmid: 18502229
references.citation: Pediatr Infect Dis J. 2003 Aug;22(8):745-6
references.pmid: 12913780
references.citation: J Food Prot. 2003 Apr;66(4):559-69
references.pmid: 12696677
references.citation: CMAJ. 2008 Oct 7;179(8):795-7
references.pmid: 18787096
references.citation: MMWR Morb Mortal Wkly Rep. 2008 Oct 10;57(40):1097-100
references.pmid: 18846031
references.citation: Medicine (Baltimore). 2002 Jul;81(4):260-9
references.pmid: 12169881
references.citation: Aust N Z J Public Health. 1999 Aug;23(4):362-7
references.pmid: 10462858
references.citation: Scand J Infect Dis. 1994;26(2):171-8
references.pmid: 8036473
references.citation: JAMA. 2001 Jan 17;285(3):285-6
references.pmid: 11236753
references.citation: J Nutr Educ Behav. 2004 May-Jun;36(3):121-7
references.pmid: 15202987
references.citation: Obstet Gynecol Surv. 1997 Dec;52(12):721-2
references.pmid: 9408926
references.citation: Lancet. 1995 Jun 17;345(8964):1581-2
references.pmid: 7791474
references.citation: N Engl J Med. 1988 Sep 29;319(13):823-8
references.pmid: 3137471
references.citation: MMWR Morb Mortal Wkly Rep. 1999 Jan 8;47(51-52):1117-8
references.pmid: 9921730
references.citation: Appl Nurs Res. 2004 Aug;17(3):178-86
references.pmid: 15343551
references.citation: Can Fam Physician. 2008 Oct;54(10):1424-30
references.pmid: 18854472
references.citation: Pediatr Rev. 2004 May;25(5):151-9
references.pmid: 15121906
references.citation: CMAJ. 2008 Jul 29;179(3):245-52
references.pmid: 18663204
references.citation: Infect Dis Obstet Gynecol. 2005 Mar;13(1):11-5
references.pmid: 16040322
references.citation: FDA Consum. 2001 Mar-Apr;35(2):15-7
references.pmid: 11444243
references.citation: Emerg Infect Dis. 1999 Sep-Oct;5(5):607-25
references.pmid: 10511517
references.citation: Matern Child Health J. 2004 Sep;8(3):149-62
references.pmid: 15499871
references.citation: J Am Diet Assoc. 2003 Dec;103(12):1646-9
references.pmid: 14647094
references.citation: J Infect Dis. 1998 Jan;177(1):155-60
references.pmid: 9419182