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Streptococcus pneumoniae Transmission in Chronic-Care Facilities: Description of an Outbreak and Review of Management Strategies

Published online by Cambridge University Press:  31 March 2016

Donald C. Sheppard ,
Kathleen A. Bartlett  and
Harry W. Lampiris
Donald C. Sheppard
Affiliation:
Department of Medicine, Division of Infectious Diseases, San Francisco Veterans' Administration Medical Center, University of California, San Francisco, California
Kathleen A. Bartlett
Affiliation:
Department of Medicine, Division of Infectious Diseases, San Francisco Veterans' Administration Medical Center, University of California, San Francisco, California
Harry W. Lampiris*
Affiliation:
Department of Medicine, Division of Infectious Diseases, San Francisco Veterans' Administration Medical Center, University of California, San Francisco, California
*
Department of Medicine, VAMC 111W, 4150 Clement St, San Francisco, CA 94121
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Abstract

We report an outbreak of invasive Streptococcus pneumoniae disease in a chronic-care facility with a documented immunization rate of only 2.5%. We describe and discuss the infection control strategies used in prevention and management of such outbreaks, highlighting the role of immunization and presumptive chemotherapy.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 11 , November 1998 , pp. 851 - 853
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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References

1. Centers for Disease Control and Prevention. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 1997;46(RR-8):1–24.Google Scholar
2. Lipsky, BA, Edward, JB, Inui, TS, Koepsell, TD. Risk factors for acquiring pneumococcal infections. Arch Intern Med 1986;146:2179–2185.CrossRefGoogle ScholarPubMed
3. Quick, RE, Hoge, CW, Hamilton, DJ, Whitney, CJ, Borges, M, Kobayashi, JM. Underutilization of pneumococcal vaccine in nursing homes in Washington state: report of a serotype-specific outbreak and a survey. Am J Med 1993;94:149–152.CrossRefGoogle ScholarPubMed
4. Centers for Disease Control and Prevention. Influenza and pneumococcal vaccination coverage levels among persons aged >65 years. MMWR 1995;44:506–507.65+years.+MMWR+1995;44:506–507.>Google Scholar
5. Hoge, CS, Reichler, MR, Dominguez, EA, Bremer, RS, Mastro, TD, Hendricks, MD, et al. An epidemic of pneumococcal disease in an overcrowded, inadequately ventilated jail. N Engl J Med 1994;331:643–648.CrossRefGoogle Scholar
6. Cherian, T, Steinhoff, MC, Harrison, LH, Rohn, D, McDougal, LK, Dick, J. A cluster of invasive pneumococcal disease in young children in child care. JAMA 1994;271:695–697.CrossRefGoogle ScholarPubMed
7. Stata Reference Manual, Release 5, Vol 1. College Station, TX: Stata Press; 1997:286.Google Scholar
8. Centers for Disease Control and Prevention. Outbreaks of pneumococcal pneumonia among unvaccinated residents in chronic care facilities— Massachusetts, October 1995; Oklahoma, February 1996; and Maryland, May-June 1996. MMWR 1997;46:60–62.Google Scholar
9. Snow, R, Babish, JD, McBean, AM. Is there any connection between a second pneumonia shot and hospitalization among Medicare beneficiaries? Public Health Rep 1995;110:720–725.Google ScholarPubMed
10. Farr, BM, Johnston, BL, Cobb, DK, Fisch, MJ, Germanson, TP, Adal, KA, et al. Preventing pneumococcal bacteremia in patients at risk. Arch Intern Med 1995;155:2336–2340.CrossRefGoogle ScholarPubMed
11. Musher, DM, Groover, JE, Graviss, EA, Baughn, RE. The lack of association between aging and postvaccination levels of IgG antibody to capsular polysaccharides of Streptococcus pneumoniae . Clin Infect Dis 1996;22:165–167.CrossRefGoogle ScholarPubMed