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Clinical Guidance for Listeria Exposure

A national Listeria outbreak linked to Silk® and Great Value plant-based beverages has been declared by the Public Health Agency of Canada. Alberta has one case; Canada has 18 cases, 13 of which resulted in hospitalization and 2 in death.

Risk factors

Individuals most at risk for serious infection are:

  • Neonates
  • People over 60 years of age
  • Those who are immunosuppressed
  • Pregnant people

 

Symptoms

Depending on the type of infection, onset can be anywhere from a few hours to 4-12 weeks. Following are symptoms broken down by infection type:

  • Acute Self-Limited Febrile Gastroenteritis: Fever, diarrhea, nausea, vomiting, headache, muscle pain. Usually resolves without treatment.
  • Invasive Listeriosis (septicemia):  Fever and chills (with or without prior gastrointestinal symptoms)
  • Invasive Listeriosis (meningoencephalitis):  Fever and change in mental status, with or without meningitis (headache, neck stiffness).
  • Infections in pregnancy: Fever, myalgia, abdominal or back pain, nausea, vomiting or diarrhea (usually in third trimester)

 

Recommended approach to those exposed to recalled products

  • Asymptomatic: No testing; counsel on symptoms.
  • Symptomatic with risk factors: Blood cultures, possible stool testing, consider empiric treatment.

 

More information

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My name is Smitha Yaltho and I feel privileged to work as a family physician. Why? I believe that being a family physician has been the best job any physician can hope to have. I have personally grown in my own abilities and skill-sets with diverse opportunities in ambulatory practice, acute care and work in Facility Living.  Working in primary care has been exciting and has also afforded me tremendous opportunities for growth while still remaining stimulating in its complexity.  I believe that Family physicians are trusted partners in patient care –  every step of the way. 

Why are you volunteering to serve on this committee?
I currently have an interest in Physician Leadership and  trauma informed care.  I have served as a director with the Board of Directors with the Edmonton North PCN, Edmonton’s largest PCN. Thereafter, I have worked as the Director of Medical Services with CapitalCare (also based in Edmonton) for almost 6 years. It is my express wish that my contribution on the ACFP board of directors will highlight the excellence of family medicine that exists right here and now within the Alberta health care system. 

What about the ACFP’s work do you find most valuable?
Ability to highlight and further support the excellence of primary care right here in Alberta.