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Volume 15, Number 8—August 2009

Dispatch

Invasive Group B Streptococcal Disease in the Elderly, Minnesota, USA, 2003–2007

Neelay J. KothariComments to Author , Craig A. Morin, Anita Glennen, Delois Jackson, Jane Harper, Stephanie J. Schrag, and Ruth Lynfield
Author affiliations: Minnesota Department of Health, St. Paul, Minnesota, USA (N.J. Kothari, C.A. Morin, A. Glennen, J. Harper, R. Lynfield); University of Minnesota, Minneapolis, Minnesota, USA (N.J. Kothari); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D. Jackson, S.J. Schrag)

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Table 1

Comparison of LTCF residents and community-dwelling elderly persons with invasive GBS disease, Minnesota, 2003–2007*

Characteristic LTCF elderly, no. (%) Community elderly, no. (%)
Total no. case-patients 127 596
Male gender
63 (49.6)
338 (56.7)
Type of infection† 63 (49.6) 297 (49.8)
Bacteremia without focus 24 (18.9) 55 (9.2)
Pneumonia 17 (13.4) 120 (20.1)
Cellulitis 5 (3.9) 47 (7.9)
Septic arthritis 5 (3.9) 24 (4.0)
Osteomyelitis 6 (4.7) 20 (3.4)
Abscess 1 (0.8) 3 (0.5)
Meningitis 13 (11.0) 58 (10.2)
Other or >2 types
7 (5.5)
27 (4.5)
Concurrent condition data collected 96 (75.6) 448 (75.2)
No concurrent conditions 5 (5.2) 52 (11.6)
1 concurrent condition 34 (35.4) 142 (31.7)
2 concurrent conditions 34 (35.4) 132 (29.5)
>3 concurrent conditions
23 (24.0)
122 (27.2)
Concurrent condition types‡ 39 (40.6) 186 (41.5)
Diabetes 26 (27.1) 135 (30.1)
ASCVD 25 (26.0) 67 (15.0)
Congestive heart failure 13 (13.5) 23 (5.1)
Stroke 15 (15.6) 37 (8.3)
COPD 13 (13.5) 126 (28.1)
Cancer
44 (45.8)
195 (43.5)
Died 11 (8.7) 38 (6.4)

*LTCF residents were a median of 84 years of age; community residents, a median of 76 years of age (p<0.05). LTCF, long-term care facility; GBS, group B streptococcal; ASCVD, atherosclerotic cardiovascular disease; COPD, chronic obstructive pulmonary disease.
†A single patient may have had >1 type of infection.
‡Percentages are of those with concurrent condition data collected.

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