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Volume 13, Number 12—December 2007

Research

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

Michael C. Thigpen*Comments to Author , Chesley L. Richards*, Ruth Lynfield†, Nancy L. Barrett‡, Lee H. Harrison§, Kathryn E. Arnold¶, Arthur Reingold#, Nancy M. Bennett**, Allen S. Craig††, Ken Gershman‡‡, Paul R. Cieslak§§, Paige Lewis*, Carolyn M. Greene*, Bernard Beall*, Chris A. Van Beneden*, and for the Active Bacterial Core surveillance/Emerging Infections Program Network
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Minnesota Department of Health, Minneapolis, Minnesota, USA; ‡Connecticut Department of Public Health, Hartford, Connecticut, USA; §Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; ¶Georgia Department of Human Resources, Atlanta, Georgia, USA; #University of California at Berkeley School of Public Health, Berkeley, California, USA; **University of Rochester School of Medicine and Dentistry, Rochester, New York, USA; ††Tennessee Department of Health, Nashville, Tennessee, USA; ‡‡Colorado Department of Public Health and Environment, Denver, Colorado, USA; §§Oregon State Public Health, Portland, Oregon, USA; 1Presented at the 42nd Annual Meeting of the Infectious Diseases Society of America, September 30–October 3, 2004, Boston, Massachusetts, USA.;

Main Article

Table 4

Most common emm types identified in persons >65 y with invasive group A streptococcal infection, by residence, ABCs areas, 1998–2003*

emm type No. LTCF case-patients (%), N = 324 No. community-based case-patients (%), N = 1,090
1 55 (17.0) 233 (21.4)
3 44 (13.6) 141 (12.9)
28 39 (12.0) 122 (11.2)
12 21 (6.5) 116 (10.6)
89 27 (8.3) 61 (5.6)
77 9 (2.8) 39 (3.6)
6 12 (3.7) 22 (2.0)
18 6 (1.9) 28 (2.6)
11 10 (3.1) 23 (2.1)
4 11 (3.4) 21 (1.9)

*ABCs, Active Bacterial Core surveillance; LTCF, long-term care facility. Case-patients with missing responses for residence type and emm type were excluded from analysis. Table stratified by overall frequency.

Main Article

1Presented at the 42nd Annual Meeting of the Infectious Diseases Society of America, September 30–October 3, 2004, Boston, Massachusetts, USA.

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