Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-03T08:52:27.231Z Has data issue: false hasContentIssue false

Two Outbreaks of Primarily Noninvasive Group A Streptococcal Disease in the Same Nursing Home, New York, 1991

Published online by Cambridge University Press:  21 June 2016

Louise-Ann McNutt
Affiliation:
Bureau of Communicable Disease Control, New York State Department of Health, Albany, New York Division of Field Epidemiology, Epidemiology Program Office, the Centers for Disease Control, Atlanta, Georgia
Aida E. Casiano-Colon
Affiliation:
Clinical Microbiology Laboratory, University of Rochester Medical Center, Rochester, New York
E. Bruce Coles
Affiliation:
Bureau of Communicable Disease Control, New York State Department of Health, Albany, New York
Dale L. Morse*
Affiliation:
Bureau of Communicable Disease Control, New York State Department of Health, Albany, New York
Marilyn Menegus
Affiliation:
Clinical Microbiology Laboratory, University of Rochester Medical Center, Rochester, New York
Annemarie Groth-Juncker
Affiliation:
St. Johns Home, Rochester, New York Department of Medicine, University of Rochester Medical Center, Rochester, New York
Janet Lansky
Affiliation:
St. Johns Home, Rochester, New York
Karen Bell
Affiliation:
Monroe County Health Department, Rochester, New York
Benjamin Schwartz
Affiliation:
Epidemiology Section, Respiratory Diseases Branch, Division of Bacterial Diseases, National Center for Infectious Diseases, the Centers for Disease Control, Atlanta, Georgia
*
New York State Department of Health, Bureau of Communicable Disease Control, Corning Tower Building, Room 651, Empire State Plaza, Albany, NY 12237

Extract

Group A Streptococcus has been identified as the cause of several outbreaks of infection in residents of nursing homes. These reports described outbreaks that included persons with severe invasive disease as well as more limited infection. The purpose of this report is to describe an investigation of two consecutive outbreaks of group A Streptococcus that occurred in a single nursing home, where all affected residents had disease of mild to moderate disease severity. This report focuses on the identification of risk factors for infection and describes the approach used to control the spread of infection in the nursing home.

Type
Readers' Forum
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Rubin, FL, Norden, CW, Heisler, B, Korica, Y. An outbreak of Streptococcus pyogenes infections in a nursing home. Ann Intern Med. 1984;101:494496.Google Scholar
2. Centers for Disease Control. Nursing home outbreaks of invasive group A streptococcal infections-Illinois, Kansas, North Carolina, and Texas. MMWR. 1990;39:577579.Google Scholar
3. Auerbach, SB, Schwartz, B, Williams, D, et al. Outbreak of group A streptococcal infections in a nursing home: lessons on prevention and control. Arch Intern Med. 1992;152:10171022.Google Scholar
4. Harkness, GA, Bentley, DW, Mottley, M, Lee, J. Streptococcus Pyogenes outbreak in a long-term care facility. Am J Infect Control. 1992;20:142148.Google Scholar
5. Moody, MD, Padula, J, Lizana, D, Hall, CT Epidemiologic characterization of group A streptococci by T-agglutination and M-precipitation tests in the public health laboratory. Health Lab Sci. 1965;2:149161.Google Scholar
6. Garibaldi, RA, Brodine, S, Matsumiya, A. Infections among patients in nursing homes: policies, prevalence, problems. N Engl J Med. 1981;305:731735.Google Scholar
7. Centers for Disease Control. Guidelines for infection control in hospital personnel. Infect Control. 1983;4(suppl):325349.Google Scholar