Streptococcal infection in a regional burns centre and a plastic surgery unit

Whitby, Michael; Sleigh, J. D.; Reid, William A.; McGregor, Ian A.; Colman, G.

doi:10.1016/0195-6701(84)90102-6

Cited by 12 publications

(3 citation statements)

References 5 publications

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“…Hands have not been emphasized as a target of sampling in some investigations of GAS infection outbreaks [4,[10][11][12][13]. Also, in the recommendations from the CDC, hands are not included as a target of investigation [1].…”

Section: Discussionmentioning

confidence: 99%

Outbreak of Infections Caused by Group AStreptococcusafter Modified Radical Mastectomy

Qing-Zeng

Yun-Bo²,

Liu³

et al. 2013

Surgical Infections

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Background: Eight infections occurred after modified radical mastectomies in a tertiary-care hospital. Group A streptococci (GAS) were isolated from three of the eight patients. Methods: To control the outbreak, an epidemiologic investigation was conducted, and healthcare workers were screened for pathogens. Strains isolated from healthcare workers were compared with patient strains by emm typing. Results: One surgeon attended one of the eight operations and observed the other seven. Streptococcus strains from the hands of this surgeon were identical to the patient strains. After the surgeon was suspended from duty and underwent eradication treatment, the outbreak was controlled. Conclusions: This outbreak of GAS infection is believed to have occurred by airborne transmission. Suspending patient care by healthcare workers who carry the causative GAS in a site(s) other than the respiratory tract for only the first 24 h they are receiving chemoprophylaxis may not be long enough. Sampling of the hands of healthcare workers during an investigation of nosocomial GAS infection is valuable.

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Section: Discussionmentioning

confidence: 99%

Outbreak of Infections Caused by Group AStreptococcusafter Modified Radical Mastectomy

Qing-Zeng

Yun-Bo²,

Liu³

et al. 2013

Surgical Infections

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“…62,75,81 However, several investigators have failed to document environmental contamination. 35,37,41,51,58,68,73,88 One outbreak of nosocomial streptococcal infection was due to ingestion of contaminated food. 59 Nosocomial outbreaks of streptococcal infections also have been caused by group C, 90,91 and group G 92 streptococcus.…”

Section: Lessons From Nosocomial Outbreaksmentioning

confidence: 99%

“…* References 35,38,42,43,53,57,60,64,76,79. †References 33,36,37,39,44,46,47,49,52,58,65,67,70,78. ‡References 36,37,[39][40][41]44,46,47,49,52,67,70,[78][79][80]86. November 1996…”

Section: Evaluation and Management Of Healthcare Workers With Pharyngmentioning

confidence: 99%

Management of Healthcare Workers with Pharyngitis or Suspected Streptococcal Infections

Weber

Rutala²,

Denny³

1996

Infection Control and Hospital Epidemiology

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The group A streptococcus may cause pharyngitis, rheumatic fever, streptococcal toxic shock syndrome, and serious skin and soft-tissue infections. More than 50 nosocomial outbreaks have been reported since 1966. For this reason, healthcare facilities should develop policies for the diagnosis and treatment of symptomatic hospital employees, and for the recognition and management of potential outbreaks. The clinical diagnosis of streptococcal pharyngitis is unreliable. Rapid streptococcal tests may be used for initial screening, but a negative rapid test should be confirmed with a properly obtained culture. Penicillin remains the treatment of choice, but new alternatives now include a 5-day course of either azithromycin or cefpodoxime.

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