Invasive Group A Streptococcal Infection in Older Adults in Long-term Care Facilities and the Community, United States, 1998–20031

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Thigpen, Michael C. ; Richards, Chesley L. ; Lynfield, Ruth ; Barrett, Nancy L. ; Harrison, Lee H. ; Arnold, Kathryn E. ; Reingold, Arthur ; Bennett, Nancy M. ; Craig, Allen S. ; Gershman, Ken ; Cieslak, Paul R. ; Lewis, Paige ; Greene, Carolyn M. ; Beall, Bernard ; Van Beneden, Chris A.
• Corporate Authors:
  for the Active Bacterial Core surveillance/Emerging Infections Program Network
• Description:
  Limited information exists on the incidence and characteristics of invasive group A streptococcal (GAS) infections among residents of long-term care facilities (LTCFs). We reviewed cases of invasive GAS infections occurring among persons > or =65 years of age identified through active, population-based surveillance from 1998 through 2003. We identified 1,762 invasive GAS cases among persons > or =65 years, including 1,662 with known residence type (LTCF or community). Incidence of invasive GAS infection among LTCF residents compared to community-based elderly was 41.0 versus 6.9 cases per 100,000 population. LTCF case-patients were 1.5 times as likely to die from the infection as community-based case-patients (33% vs. 21%, p<0.01) but were less often hospitalized (90% vs. 95%, p<0.01). In multivariate logistic regression modeling, LTCF residence remained an independent predictor of death. Additional prevention strategies against GAS infection in this high-risk population are urgently needed.
• Subjects:
  Aged Aged, 80 And Over Age Distribution Community-Acquired Infections Cross Infection Female Humans Long-Term Care Male Research Risk Factors Streptococcal Infections Streptococcus Pyogenes Time Factors

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• Source:
  Emerg Infect Dis. 13(12):1852-1859.
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Issue:
  12
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:deb23c2e57d4e902cc2a2ad5f8fc60af9ac8fbc10d2d51fc27590730c7b03deb
• Download URL:
  https://stacks.cdc.gov/view/cdc/3175/cdc_3175_DS1.pdf
• File Type:
  [PDF - 214.92 KB ]