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Postoperative Group A β-Hemolytic Streptococcus Outbreak With the Pathogen Traced to a Member of a Healthcare Worker's Household

Published online by Cambridge University Press:  21 June 2016

Sindy M. Paul*
Affiliation:
New Jersey State Department of Health Division of Epidemiology, Trenton, New Jersey
Carol Genese
Affiliation:
New Jersey State Department of Health Division of Epidemiology, Trenton, New Jersey
Kenneth Spitalny
Affiliation:
New Jersey State Department of Health Division of Epidemiology, Trenton, New Jersey
*
New Jersey State Department of Health, 3635 Quakerbridge Road. Trenton, NJ 08625-0369

Abstract

A cluster of four group A (β-hemolytic Streptococcus postoperative wound infections was investigated at a community hospital. The serotypes of the Streptococcus isolated from all four cases, an asymptomatic anesthesiologist and one of his household members were M nontypable T28. During the outbreak period, December 1988, the infection rate among the 40 patients of the anesthesiologist was 7.5%. Among other patients not having contact with this healthcare worker, it was 0.09% (p = .0002 Fisher's exact test). This is only the second reported Group A β-hemolytic Streptococcus hospital outbreak in which the pathogen was traced to a member of a healthcare worker's household. Early outbreak detection and intervention limited the extent of the outbreak.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1990

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References

1. Hospital outbreak of streptococcal wound infection. MMWR. 1976;25:1.Google Scholar
2. Asnes, RS, Vail, D. Anal carrier rates of group A β-hemolytic streptococci in children with streptococcal pharyngitis. Pediatrics. 1973;52:439441.CrossRefGoogle Scholar
3. Berkelman, RL, Martin, D, Graham, DR, et al. Streptococcal wound infections caused by a vaginal carrier. JAMA. 1982;247:26802682.CrossRefGoogle ScholarPubMed
4. Gryska, PF, O'Dea, AE. Postoperative streptococcal wound infection. JAMA. 1970;213:11891191.CrossRefGoogle ScholarPubMed
5. McKee, WM, Di Caprio, JM, Roberts, CE Jr, et al. Anal carriage as the probable source of a streptococcal epidemic. Lancet. 1966;ii:10071009.CrossRefGoogle Scholar
6. McIntyre, DM: An epidemic of Streptococcus pyogenes puerperal and postoperative sepsis with an unusual carrier site—the anus. Am J Obstet Gynecol. 1968;101:308314.CrossRefGoogle ScholarPubMed
7. Mead, PB, Ribble, JC, Dillon, TF. Group A streptococcal puerperal infection report of an epidemic. Obstet Gynecol. 1968;32:460464.Google Scholar
8. Nash, FW, Mann, TP, Haydn, IW. An outbreak of streptococcal infection in a maternity unit. Postgrad Med J. 1965;41:182184.CrossRefGoogle Scholar
9. Pollack, MM, Schisgall, RM. Overwhelming postoperative streptococcal infection. J Pediatr Surg. 1978;13:527528.CrossRefGoogle ScholarPubMed
10. Richman, DD. Breton, SJ. Goldmann, DA. Scarlet fever and group A streptococcal'surgical wound infection traced to an anal carrier. J Pediatr. 1977;90:387390.CrossRefGoogle Scholar
11. Schaffner, W, Lefkowitz, LB Jr, Goodman, JS, et al. Hospital outbreak of infections with group A streptococci traced to an asymptomatic anal carrier. N Engl J Med. 1969;280:12241225.CrossRefGoogle Scholar
12. Schoenknecht, FD, Batjer, JD, Sherris, JC. Anal streptococci. N Engl J Med. 1969:281:220.Google ScholarPubMed
13. Schrack, WD, Miller, GB, Parkin, WE, et al. Four streptococcal infections traced to an anal carrier. Pennsylvania Medicine. 1979;82:3536.Google Scholar
14. Stamm, WE, Feeley, JC, Facklam, RR. Wound infections due to group A Streptococcus traced to a vaginal carrier. J Infec Dis. 1978:138:287292.CrossRefGoogle ScholarPubMed
15. Strasberg, SM, Silver, MS. Hemolytic Streptococcus gangrene an uncommon but frequently fatal infection in the antibiotic era. Am J Surg. 1968;115:763767.CrossRefGoogle ScholarPubMed
16. Tancer, ML, McManus, JE, Bellotti, G. Group A, Type 33, β-hemolytic streptococcal outbreak on a maternity and newborn service. Am J Obstet Gynecol. 1969;103:10281033.CrossRefGoogle Scholar
17. Quinn, RW, Hillman, JW. An epidemic of streptococcal wound infections. Arch Environ Health. 1965;11:2833.CrossRefGoogle ScholarPubMed
18. Bisno, AL. Streptococcus pyogenes. In: Mandell, GL, Douglas, RJ Jr, Bennett, JE, eds. Principles and Practices of Infectious Diseases. 2nd ed. New York, NY: Wiley Medical Publication; 1985:1129 Google Scholar
19. Barnhart, ER. Physicians' Desk Reference. 40th ed. Oradell, NJ: Medical Economics Company Inc.; 1986:1058,1194.Google Scholar