A 组链球菌在两家熟练护理机构的居民和员工中爆发：北卡罗来纳州，2017 年。
Group A Streptococcus outbreak among residents and employees of two skilled nursing facilities: North Carolina, 2017.
机构信息
North Carolina Department of Health and Human Services, Division of Public Health, Communicable Disease Branch, Raleigh, NC.
North Carolina Department of Health and Human Services, Division of Public Health, Communicable Disease Branch, Raleigh, NC.
出版信息
Am J Infect Control. 2019 Jul;47(7):846-849. doi: 10.1016/j.ajic.2018.12.006. Epub 2019 Jan 18.
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.
在本报告中，我们总结了在 2 家熟练护理机构进行的 A 组链球菌暴发调查的监测、现场评估和分子分析结果。我们在 24 个人（6 人死亡）中发现了病例和感染预防缺陷。来自 14 个人的分离株代表了全球新兴的 3 型 emm89 菌株。分子分析表明，这 2 次暴发有关。伤口护理操作和 1 名有症状的共享员工可能促进了传播。需要严格遵守感染预防措施，以防止 A 组链球菌传播。
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