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Am J Infect Control ; 47(7): 846-849, 2019 07.
Article in English | MEDLINE | ID: mdl-30661909

ABSTRACT

In this report, we summarize the results of surveillance, on-site assessments, and molecular analysis conducted as part of a group A Streptococcus outbreak investigation in 2 skilled nursing facilities. We identified cases in 24 individuals (6 deaths) and infection prevention deficiencies. Isolates from 14 individuals represented the globally emergent clade 3 emm89 strain. Molecular analysis suggests that the 2 outbreaks were related. Wound care practices and 1 symptomatic shared employee may have facilitated transmission. Strict adherence to infection prevention practices is needed to prevent group A Streptococcus transmission.


Subject(s)
Health Personnel/ethics , Streptococcal Infections/epidemiology , Streptococcus pyogenes/pathogenicity , Aged , Aged, 80 and over , Clone Cells , Contact Tracing , Disease Outbreaks , Female , Homes for the Aged , Humans , Male , Molecular Epidemiology , North Carolina/epidemiology , Nursing Homes , Public Health Surveillance , Streptococcal Infections/microbiology , Streptococcal Infections/mortality , Streptococcal Infections/transmission , Streptococcus pyogenes/isolation & purification , Streptococcus pyogenes/physiology , Survival Analysis
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