An outbreak of group A Streptococcal infection among health care workers.
Clin Infect Dis
; 35(11): 1353-9, 2002 Dec 01.
Article
em En
| MEDLINE
| ID: mdl-12439798
ABSTRACT
We describe the nosocomial transmission of group A Streptococcus species (GAS) from a single source patient to 24 health care workers (HCWs). DNA typing revealed that all of the isolates were identical to that of the source patient. The isolates were M type 1, positive for production of nicotine adenine dinucleotidase, and negative for opacity factor, all of which are factors reported to have a higher correlation with invasive disease. The 24 HCWs developed symptoms of pharyngitis < or =4 days after exposure to the source patient. Nosocomial transmission occurred < or =25 h after exposure to the source patient, before the institution of outbreak-control measures. A questionnaire was distributed to HCWs to help identify the factors responsible for the high attack rate among those who were exposed. Invasive GAS disease in a nosocomial setting can be highly transmissible. Rapid identification, early treatment, and adherence to infection-control practices may prevent or control outbreaks of infection.
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Base de dados:
MEDLINE
Assunto principal:
Infecções Estreptocócicas
/
Streptococcus pyogenes
/
Surtos de Doenças
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article