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. 2008 May;14(5):772-7.
doi: 10.3201/eid1405.070407.

Invasive group a streptococcal disease in nursing homes, Minnesota, 1995-2006

Jean Rainbow  1 , Brenda Jewell, Richard N Danila, David Boxrud, Bernard Beall, Chris Van Beneden, Ruth Lynfield
Affiliations

Invasive group a streptococcal disease in nursing homes, Minnesota, 1995-2006

Jean Rainbow et al. Emerg Infect Dis. 2008 May.

Abstract

Nursing home residents are at high risk for invasive group A streptococcal (GAS) disease, and clusters of cases in nursing homes are common.To characterize the epidemiologic features of invasive GAS disease in nursing homes, we conducted active, statewide, population- and laboratory-based surveillance in Minnesota from April 1995 through 2006. Of 1,858 invasive GAS disease cases, 134 (7%) occurred in nursing home residents; 34 of these cases were identified as part of 13 clusters. Recognizing cases of GAS disease in nursing homes posed challenges. Measures to ensure identification of case-patients as residents of specific nursing homes need to be included in standard guidelines for the prevention and control of invasive GAS disease in this setting.

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Figures

Figure 1
Figure 1
Annual number of cases of invasive group A streptococcal infections and percentage of cases occurring among nursing home residents, April 1995–2006. LTCF, long-term care facility.
Figure 2
Figure 2
Number of cases of invasive group A streptococcal infections and percentage of cases occurring among nursing home residents by month of culture, Minnesota, 1995–2006.
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