Food-borne illnesses during pregnancy: prevention and treatment.
OBJECTIVE
After hearing about outbreaks of illness resulting from Listeria and Salmonella, many of my patients are wondering about the risks of food-borne illnesses during pregnancy and what they can do to reduce their chances of contracting them.


CONCLUSIONS
Although heating or cooking food is the best way to inactivate food-borne pathogens, improved standards and surveillance have reduced the prevalence of contaminated foods at grocery stores. Therefore, it is no longer necessary for pregnant women to avoid foods like deli meats and soft cheeses (associated with Listeria); soft-cooked eggs (associated with Salmonella); or sushi and sashimi. Regardless of whether seafood is raw or cooked, pregnant women should choose low mercury seafood (eg, salmon and shrimp) over higher mercury varieties (eg, fresh tuna). Pregnant women should ensure that their food is obtained from reputable establishments; stored, handled, and cooked properly; and consumed within a couple of days of purchasing.
Tam
Carolyn
C
Erebara
Aida
A
Einarson
Adrienne
A
D005260:Female; D005517:Foodborne Diseases / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000209:etiology / Q000517:prevention & control
Emerg Infect Dis. 2004 Oct;10(10):1782-9
15504264
MMWR Surveill Summ. 2006 Nov 10;55(10):1-42
17093388
Am J Dis Child. 1989 Jul;143(7):828-32
2741856
N Engl J Med. 1996 Mar 21;334(12):770-6
8592552
JAMA. 1989 Mar 3;261(9):1313-20
2492614
Clin Infect Dis. 2005 Oct 15;41(8):1167-73
16163636
Am J Obstet Gynecol. 2001 May;184(6):1289-96
11349204
J Food Prot. 1997 Dec;60(12):1595-1611
31207758
Lancet Infect Dis. 2004 Apr;4(4):201-12
15050937
N Engl J Med. 1996 Sep 12;335(11):823-4
8778597
Obstet Gynecol. 1992 May;79(5 ( Pt 2)):820-1
1565377
Fertil Steril. 1991 Oct;56(4):781-2
1915959
Antimicrob Agents Chemother. 1998 Jun;42(6):1336-9
9624471
Ann Intern Med. 1998 Aug 1;129(3):221-8
9696731
J Food Prot. 1999 Jul;62(7):818-29
10419281
Medicine (Baltimore). 2002 Jul;81(4):260-9
12169881
Clin Infect Dis. 2006 Aug 15;43(4):512-7
16838242
Obstet Gynecol Surv. 1998 Dec;53(12):737-40
9870235
Foodborne Pathog Dis. 2006 Winter;3(4):403-12
17199522
Muscle Nerve. 1998 Jun;21(6):701-10
9585323
Rev Obstet Gynecol. 2008 Fall;1(4):179-85
19173022
Int J Food Microbiol. 2000 Oct 1;61(1):51-62
11028959
Am Fam Physician. 2002 Apr 1;65(7):1388-92
11996423
J Am Diet Assoc. 2003 Dec;103(12):1646-9
14647094
Lancet Infect Dis. 2004 May;4(5):294-300
15120346