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Invasive group a streptococcal disease in nursing homes, Minnesota, 1995-2006
Authors:Rainbow Jean  Jewell Brenda  Danila Richard N  Boxrud David  Beall Bernard  Van Beneden Chris  Lynfield Ruth
Affiliation:*Minnesota Department of Health, St. Paul, Minnesota, USA;Centers for Disease Control and Prevention, Atlanta, Georgia, USA
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.
Keywords:Streptococcus pyogenes   nursing home   epidemiology   outbreaks   infection control   research
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