Group A Streptococcus outbreak among residents and employees of two skilled nursing facilities: North Carolina, 2017.

Am J Infect Control

North Carolina Department of Health and Human Services, Division of Public Health, Communicable Disease Branch, Raleigh, NC; Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, Division of State and Local Readiness, Atlanta, GA.

Published: July 2019

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.

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Source
http://dx.doi.org/10.1016/j.ajic.2018.12.006DOI Listing

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