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Volume 28, Number 5—May 2022

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 LamagniComments to Author 
Author affiliation: Public Health England, London, UK

Main Article

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

Main Article

Page created: March 03, 2022
Page updated: April 18, 2022
Page reviewed: April 18, 2022
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