Volume 28, Number 5—May 2022
CME ACTIVITY - Synopsis
Invasive Group A Streptococcus Outbreaks Associated with Home Healthcare, England, 2018–2019
Laura E. Nabarro, Colin S. Brown, Sooria Balasegaram, Valérie Decraene, James Elston, Smita Kapadia, Pauline Harrington, Peter Hoffman, Rachel Mearkle, Bharat Patel, Derren Ready, Esther Robinson, and Theresa Lamagni
Table 1
Definitions used in a study of invasive group A Streptococcus infection associated with home healthcare, England, 2018–2019
| Term | Definition |
|---|---|
| Invasive group A Streptococcus (iGAS) infection |
Isolation of GAS from a normally sterile site, either by PCR or culture. For this study, iGAS also includes GAS infections in which GAS was isolated from a normally nonsterile site in combination with a severe clinical presentation, such as streptococcal toxic shock syndrome or necrotizing fasciitis |
| Group A Streptococcus (GAS) infection |
Isolation of GAS from a non-sterile site in combination with clinical symptoms attributable to bacterial infection including fever (temperature >38°C), sore throat, wound infection, or cellulitis |
| Group A Streptococcus carriage |
Isolation of GAS from a nonsterile site but no symptoms attributable to infection with this microorganism |
| Home healthcare (HHC) |
Community health services, including district nursing teams, general practitioners, podiatry (chiropody), community midwifery, hospital outreach, and palliative care, which provide medical or nursing care within a patient’s home |
| Residential care | Live-in accommodation that provides 24-hour care and support to its residents |
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