MMWR Morb Mortal Wkly Rep. 1999 Mar 5;48(8):163-6.
Group A Streptococcus (GAS), a common cause of pharyngitis and uncomplicated skin and soft tissue infections, can cause serious invasive infections (including necrotizing fasciitis and streptococcal toxic-shock syndrome [STSS]) and death. Since 1965, at least 15 postoperative or postpartum GAS outbreaks attributed to asymptomatic carriage in health-care workers (HCWs) have been reported. This report describes two nosocomial outbreaks of GAS infection in Maryland and California during 1996-1997; the findings suggest that early infection-control measures that include active surveillance may interrupt transmission and prevent morbidity and mortality.
A组链球菌（GAS）是咽炎以及单纯性皮肤和软组织感染的常见病因，可引发严重的侵袭性感染（包括坏死性筋膜炎和链球菌中毒性休克综合征[STSS]）并导致死亡。自1965年以来，至少已有15起因医护人员（HCWs）无症状携带而导致的术后或产后A组链球菌暴发事件被报道。本报告描述了1996 - 1997年期间在马里兰州和加利福尼亚州发生的两起医院内A组链球菌感染暴发事件；研究结果表明，包括主动监测在内的早期感染控制措施可能会中断传播并预防发病和死亡。
