Group A streptococcal outbreak in a geriatric mental health unit - 14/09/24
Doi : 10.1016/j.ajic.2024.06.011
Halima Dabaja Younis, MD a, ⁎, 1 
, Jennie Johnstone, MD a, b, c, d, Irene Armstrong, MD e, Eric E. Brown, MD b, f, Alyssa Golden, PhD g, Averil Griffith, BSc g, Irene Martin, BSc g, Karen Donnait, BScN e, Mahad Nur, MSc e, Elnathan Mesfin, MSc f, Julianne V. Kus, PhD d, h, Allison McGeer, MD c, d, Renee Logan, MD f
, Jennie Johnstone, MD a, b, c, d, Irene Armstrong, MD e, Eric E. Brown, MD b, f, Alyssa Golden, PhD g, Averil Griffith, BSc g, Irene Martin, BSc g, Karen Donnait, BScN e, Mahad Nur, MSc e, Elnathan Mesfin, MSc f, Julianne V. Kus, PhD d, h, Allison McGeer, MD c, d, Renee Logan, MD f a Infection Prevention and Control Unit, Sinai Health, Toronto, Ontario, Canada
b Department of Medicine, University of Toronto, Toronto, Ontario, Canada
c Department of Microbiology, Sinai Health, Toronto, Ontario, Canada
d Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
e Toronto Public Health, Toronto, Ontario, Canada
f Centre for Addiction and Mental Health, Toronto, Ontario, Canada
g National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
h Public Health Ontario, Toronto, Ontario, Canada
⁎Address correspondence to Halima Dabaja Younis, Infection Prevention and Control Unit, Sinai Health, Toronto, ON, Canada.Infection Prevention and Control Unit, Sinai HealthTorontoONCanada
Résumé |
We report a group A streptococcal outbreak in a geriatric mental health inpatient unit. Communication with cognitively impaired patients, limitations in adherence to hygiene practices, and communal dining may have facilitated transmission. Settle plates aided in identifying a colonized patient. Rapid access to whole-genome sequencing facilitated assessment and management.
Le texte complet de cet article est disponible en PDF.Highlights |
• | GAS outbreaks may occur in any congregate setting housing frail older adults. |
• | Whole genome sequencing could facilitate assessment and management. |
• | Settles plates may help identify colonized patients when routine swabs cannot be obtained. |
Key Words : Group A streptococcus, Streptococcus pyogenes, Whole-genome sequencing, Settle plates
Plan
| Conflicts of interest: None to report. |
© 2024
Association for Professionals in Infection Control and Epidemiology, Inc. Tous droits réservés.
Vol 52 - N° 10
P. 1215-1218 - octobre 2024 Retour au numéro
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