Summary

  • Listeria infection can be dangerous for pregnant women, the elderly and people whose immune systems are not working properly.
  • Prevention is best – people at risk of listeria infection should avoid high risk foods.
Listeria is an illness caused by eating foods contaminated by the bacteria, Listeria monocytogenes. Listeria infection (also known as listeriosis) is uncommon but it can cause death in at-risk people, such as the elderly and people whose immune systems are not working properly. It can be dangerous to pregnant women and their unborn babies.

Listeria high-risk foods

The following high-risk foods should be avoided:
  • Ready-to-eat seafood such as smoked fish or mussels, oysters or raw seafood such as sashimi or sushi
  • Pre-prepared or pre-packaged fruit and vegetable salads including those available from buffets, salad bars and sandwich bars
  • Drinks made from fresh fruit and vegetables where washing procedures are unknown (excluding pasteurised or canned juices)
  • Deli meats which are eaten without further cooking or heating, such as pate, ham, Strasbourg (Stras) and salami and cooked and diced chicken (as used in sandwich shops)
  • Any unpasteurised milk or foods made from unpasteurised milk
  • Soft-serve icecreams
  • Soft cheeses, such as brie, camembert, ricotta and feta (these are safe if cooked and served hot)
  • Ready-to-eat foods, including leftover meats, which have been refrigerated for more than one day
  • Dips and salad dressings in which vegetables may have been dipped
  • Raw vegetable garnishes.

Listeria symptoms range from mild to severe

Early symptoms include:
  • Fever
  • Headache
  • Tiredness
  • Aches and pain.
These can lead to more serious problems, including:
  • Meningitis (brain infection)
  • Septicaemia (blood poisoning).

Listeria is dangerous for pregnant women

Even a mild infection can cause:
  • Miscarriage
  • Stillbirth
  • Premature birth
  • A baby who is very ill when born.

Other people who are at high risk of listeria

People at high risk include:
  • The elderly
  • People whose immune system is weakened by illnesses like cancer, liver or kidney disease and diabetes
  • People on medications like prednisone or cortisone. This includes organ transplant patients.

Listeria can be treated with antibiotics but prevention is best

Early use of antibiotics can help, but prevention is best.

Safe foods to avoid listeria

These include:
  • Freshly prepared foods, to be eaten immediately
  • Freshly cooked foods, to be eaten immediately
  • Hard cheeses, cheese spreads, processed cheese
  • Milk – freshly pasteurised and UHT
  • Yogurt
  • Canned and pickled food

Some hints when handling and preparing food

When you handle and prepare food, you should take care to:
  • Wash your hands before preparing food, and between handling raw food and ready-to-eat foods
  • Wash raw fruit and vegetables well before eating
  • Cook all foods of animal origin, including eggs, thoroughly
  • Don't use the same boards and knives for cooked foods that you used for raw foods unless they have been washed in warm, soapy water
  • Defrost food by placing it on the lower shelves of the fridge or use a microwave.

Store food with care

When you store food, you should:
  • Keep food covered
  • Place cooked food in the fridge within one hour of cooking
  • Put raw meat, poultry and fish below cooked or ready-to-eat food in the fridge to prevent drips that could contaminate pre-prepared food
  • Do not use refrigerated foods beyond their use-by dates.
  • Keep your fridge clean.

Food temperatures

  • Your fridge temperature should be below 5°C
  • Keep hot foods hot (above 60°C) and cold foods cold (at or below 5°C)
  • Reheat food until the internal temperature of the food is piping hot
  • Ensure microwaved food reaches an even temperature before eating.

Things to remember

  • Listeria infection can be dangerous for pregnant women, the elderly and people whose immune systems are not working properly.
  • Prevention is best – people at risk of listeria infection should avoid high risk foods.

More information

Healthy pregnancy

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Keeping healthy during pregnancy

Health concerns during pregnancy

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This page has been produced in consultation with and approved by: Department of Health and Human Services - RHP&R - Health Protection - Communicable Disease Prevention and Control Unit

Last updated: March 2014

Content on this website is provided for education and information purposes only. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your doctor or other registered health professional. Content has been prepared for Victorian residents and wider Australian audiences, and was accurate at the time of publication. Readers should note that, over time, currency and completeness of the information may change. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions.