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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 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
139–347 (3–507)
Outbreaks with case data, n = 9
Case-patient characteristics, n = 57
Median age, y 83 77–90 (42–100)
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.

Main Article

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