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 3
Characteristics of home healthcare–associated invasive group A Streptococcus infection outbreaks, England, 2018–2019
| Characteristics | No. (%) | IQR (range) |
|---|---|---|
| All outbreaks, n = 10 | ||
| Total cases | 96 (100) | NA |
| Total deaths | 28 (29) | NA |
| Median cases | 7 | 4–9 (2–39) |
| Median outbreak duration, d |
199 |
139–347 (3–507) |
| Outbreaks with case data, n = 9 | ||
| Case-patient characteristics, n = 57 | ||
| Median age, y | 83 | 77–90 (42–100) |
| Sex | ||
| F | 39 (68) | NA |
| M | 18 (32) | NA |
| Median days between cases | 21 | 6–46 (1–225) |
| Type of residence, n = 48 | ||
| Residential care | 17 (35) | NA |
| Own home | 31 (65) | NA |
| HHCW exposure, n = 96 | ||
| Patient receiving care | 92 (96) | NA |
| Household contact of recipient | 2 (4) | NA |
| None identified† | 2 (4) | NA |
*HHCW, home healthcare worker; NA, not applicable. †Cases linked to outbreaks through whole-genome sequencing but without any identified connection to home healthcare services.
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Page updated: April 18, 2022
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