scholarly journals Nosocomial Transmission of Invasive Group A Streptococcus from Patient to Health Care Worker

2009 ◽  
Vol 49 (3) ◽  
pp. 354-357 ◽  
Author(s):  
Mark D. Lacy ◽  
Kim Horn
2013 ◽  
Vol 2 (Suppl 1) ◽  
pp. O89
Author(s):  
C Landelle ◽  
P Lesprit ◽  
P Legrand ◽  
P Brehaut ◽  
D Ducellier ◽  
...  

2017 ◽  
Vol 76 (5) ◽  
pp. 225-227
Author(s):  
Atsunori Sugita ◽  
Kosaku Kinoshita ◽  
Tomohide Komatsu ◽  
Rumi Tagami ◽  
Shingo Ihara ◽  
...  

2014 ◽  
Vol 53 (2) ◽  
pp. 573-578 ◽  
Author(s):  
Martha A. Murray ◽  
Lorie A. Schulz ◽  
Joseph W. Furst ◽  
Jason H. Homme ◽  
Sarah M. Jenkins ◽  
...  

A process employing patient- or parent-collected pharyngeal swabs for group AStreptococcus(GAS) testing would expedite diagnosis and treatment, reduce patient exposure to the health care setting, and decrease health care costs. Our aim was to determine the concordance between patient- or parent-collected (self-collected) and health care worker (HCW)-collected pharyngeal swabs for detection of GAS by PCR. From 9 October 2012 to 21 March 2013, patients presenting with a sore throat meeting criteria for GAS testing and not meeting criteria for severe disease were offered the opportunity to collect their own pharyngeal swab. The HCW also collected a swab. Paired swabs were tested by GAS real-time PCR, allowing semiquantitative comparisons between positive results. Of the 402 participants, 206 had a swab collected by the patient and 196 a swab collected by the parent. The percent positivity results were 33.3% for HCW-collected swabs and 34.3% for self-collected swabs (P= 0.41). The overall concordance between the two collection strategies was 94.0% (95% confidence interval [CI], 91.3 to 96.0). Twenty-four of the paired swabs had discordant results, with 10 and 14 positives detected only with the HCW- and self-collected swabs, respectively (P= 0.41). The person collecting the swab in the self-collected arm, the order of collection, and prior swab collection training did not influence results. Among the 124 specimens that were positive by both collection methods, the amount of GAS DNA was higher in the self-collected versus the HCW-collected swabs (P= 0.008). Self-collected pharyngeal swabs provide a reliable alternative to HCW collection for detection of GAS and offer a strategy for improved health care delivery.


2018 ◽  
Vol 5 (7) ◽  
Author(s):  
Andrew J Alexander ◽  
Carol Myers ◽  
Stephen B Beres ◽  
Randall J Olsen ◽  
James M Musser ◽  
...  

Abstract A series of postpartum Streptococcus pyogenes infections prompted an investigation to rule out potential transmission by a health care worker. None of the hospital staff screened were colonized. All isolates were determined to be unrelated by molecular methods, including whole-genome sequencing. Thus, nosocomial transmission was considered unlikely.


1991 ◽  
Vol 91 (3) ◽  
pp. S329-S333 ◽  
Author(s):  
Angelina Viglionese ◽  
Virginia Finn Nottebart ◽  
Hollis A. Bodman ◽  
Richard Platt

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