一家养老院爆发了化脓性链球菌感染。

An outbreak of Streptococcus pyogenes infections in a nursing home.

作者信息

Ruben F L, Norden C W, Heisler B, Korica Y

出版信息

Ann Intern Med. 1984 Oct;101(4):494-6. doi: 10.7326/0003-4819-101-4-494.

Abstract

An outbreak of serious infections caused by Streptococcus pyogenes occurred in a nursing home for elderly patients. The outbreak began in mid-winter and continued for 12 months. Thirteen residents and two nurses had infections. Severity of infection was worse in residents, who developed sepsis, necrotizing fasciitis, cellulitis, septic arthritis, pneumonia, and conjunctivitis; in contrast, the nurses had pharyngitis only. Six of thirteen residents required acute hospital care, and the index case died with sepsis. Typing of S. pyogenes was done in 13 of 15 cases, and the same serotype (M-non-typable, T-25) was found. Control measures consisted of identifying all patients with infections, obtaining cultures, and providing prompt treatment. Patients in nursing homes are highly susceptible to serious infections with S. pyogenes.

摘要

一家老年疗养院发生了由化脓性链球菌引起的严重感染疫情。疫情始于冬季中期，持续了12个月。13名居民和2名护士受到感染。居民的感染情况更为严重，他们出现了败血症、坏死性筋膜炎、蜂窝织炎、化脓性关节炎、肺炎和结膜炎；相比之下，护士仅患有咽炎。13名居民中有6人需要住院接受急症治疗，首例病例死于败血症。15例病例中的13例进行了化脓性链球菌分型，发现为同一血清型（M-不可分型，T-25）。控制措施包括识别所有感染患者、进行培养并及时提供治疗。疗养院的患者极易受到化脓性链球菌的严重感染。