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. 2019 Jul;47(7):846-849.
doi: 10.1016/j.ajic.2018.12.006. Epub 2019 Jan 18.

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

Katie J Palladino  1 , Tammra Morrison  2 , Sopio Chochua  3 , Lori Bowers  4 , Jennifer K MacFarquhar  5
Affiliations

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

Katie J Palladino et al. Am J Infect Control. 2019 Jul.

Abstract

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.

Keywords: Clade 3 emm89; Health care personnel; Infection prevention; Long-term care; Wound care.

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