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A large outbreak of streptococcal pyoderma in a military training establishment

Published online by Cambridge University Press:  25 March 2010

J. G. Cruickshank ,
N. F. Lightfoot ,
K. H. Sugars ,
G. Colman ,
M. D. Simmons ,
J. Tolliday  and
E. H. N. Oakley
J. G. Cruickshank
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
N. F. Lightfoot
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
K. H. Sugars
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
G. Colman
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
M. D. Simmons
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
J. Tolliday
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
E. H. N. Oakley
Affiliation:
Royal Marines Commando Training Centre, Lympstone, Devon and Public Health Laboratory Service
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Summary

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An outbreak of streptococcal pyoderma in a military institution into which fresh susceptible recruits were regularly introduced involved more than 1300 persons over an eighteen-month period. Two M types were responsible for the great majority of the cases and an attack by one conferred immunity to that strain but not to the other. Lesions varied from trivial to disabling. Epidemiological studies indicated that contact – direct or indirect – through such things as gymnasium equipment and room dust was the means of transmission. The outbreak was eventually controlled by vigorous case finding, thorough treatment of cases and the strict application of hygienic principles to prevent spread. There were no late complications and throat streptococci were not involved. It is possible to control such an outbreak without isolation or the making of any significant concessions in the training programme even when large numbers of persons are living and working at close quarters.

Type
Research Article
Information
Journal of Hygiene , Volume 89 , Issue 1 , August 1982 , pp. 9 - 21
Copyright
Copyright © Cambridge University Press 1982

References

REFERENCES

Allen, A. M., Taplin, D. & Twigg, L. (1971). Cutaneous streptococcal infections in Vietnam. Archives of Dermatology 104, 271–280.CrossRefGoogle ScholarPubMed
Anthony, B. F., Perlman, L. V. & Wannamaker, L. W. (1967). Skin infections and acute nephritis in American Indian children. Paediatrics 39, 263–279.CrossRefGoogle ScholarPubMed
Bisno, A. L. & Nelson, K. E. (1974). Type specific opsonic antibodies in streptococcal pyoderma. Infection and Immunity 10, 1356–1361.CrossRefGoogle ScholarPubMed
Coburn, A. F. & Young, D. C. (1949). The Epidemiology of Haemolytic Streptococcus during World War II in the United States Navy. Baltimore: Williams and Wilkins.Google Scholar
Colling, A., Kerr, I., Maxted, W. R. & Widdowson, J. P. (1980). Streptococcal infection in a Junior Detention Centre: a five year study. Journal of Hygiene 85, 331–341.CrossRefGoogle Scholar
Communicable Disease Reports (1978). Streptococcal disease in a detention centre. 78/5.Google Scholar
Cruickshank, R. (1953). The epidemiology of some skin infections. British Medical Journal i, 55–59.CrossRefGoogle Scholar
Dillon, H. C., Moody, M. D., Maxted, W. R. & Parker, M. T. (1967). The epidemiology of impetigo and acute glomerulonephritis. Results of serological typing of Group A Streptococci. American Journal of Epidemiology 86, 710–723.CrossRefGoogle ScholarPubMed
Dudding, B. A., Burnett, J. W., Chapman, S. S. & Wannamaker, L. W. (1970). The role of normal skin in the spread of streptococcal pyoderma. Journal of Hygiene 68, 19–27.CrossRefGoogle ScholarPubMed
Ferrieri, P., Dajani, A. S. & Wannamaker, L. W. (1973). Benzathine penicillin in the prophylaxis of streptococcal skin infections: a pilot study. Journal of Paediatrics 83, 572–577.CrossRefGoogle ScholarPubMed
Goepel, J. R., Richards, D. G., Harris, D. M. & Henry, L. (1980). Fulminant Streptococcus pyogenes infection. British Medical Journal ii, 1412.CrossRefGoogle Scholar
Hill, M. J., James, A. M. & Maxted, W. R. (1963). Some physical investigations on the behaviour of bacterial surfaces. The occurrence of lipid in the streptococcal cell wall. Biochimica et Biophysica Acta 75, 414–424.CrossRefGoogle ScholarPubMed
Kaplan, E. L., Anthony, B. F., Chapman, S. S., Ayoub, E. & Wannamaker, L. W. (1970). The influence of the site of infection in the immune response to Group A streptococci. Journal of Clinical Investigation 49, 1405–1414.CrossRefGoogle ScholarPubMed
Kaplan, E. L. & Wannamaker, L. W. (1976). Suppression of the anti-streptolysin response by cholesterol and by lipid extracts of rabbit skin. Journal of Experimental Medicine 144, 754–767.CrossRefGoogle Scholar
Leonard, R. R. (1967). Prevention of superficial cutaneous infections. Archives of Dermatology 95, 520–523.CrossRefGoogle ScholarPubMed
Leyden, J. J., Stewart, R. & Kljgman, A. M. (1980). Experimental infections with Group A streptococci in humans. Journal of Investigative Dermatology 75, 196–201.CrossRefGoogle Scholar
McMitlan, M. & Hurwitz, R. (1969). Tropical pyoderma in Vietnam. Journal of the American Medical Association 210, 1734–1736.Google Scholar
Parker, M. T. (1969). Streptococcal skin infection and acute glomerulonephritis. British Journal of Dermatology 81 (supplement 1), 37–46.CrossRefGoogle ScholarPubMed
Parker, M. T., Bassett, D. C. J., Maxted, W. R. & Arneaud, J. D. (1968). Acute glomerulonephritis in Trinidad: serological typing of Group A streptococci. Journal of Hygiene 66, 657–675.Google ScholarPubMed
Peter, G. & Smith, A. L. (1977). Group A streptococcal infections of the skin and pharynx (first of two parts). New England Journal of Medicine 297, 313–317.Google ScholarPubMed
Pillsbury, D. M. & Livingood, C. S. (1968). Dermatology. In Internal Medicine in World War II, vol. 3, ch. 10. Washington: Department of the Army.Google Scholar
Poon-King, T., Potter, E. V., Svartman, M., Achong, J., Mohammed, I., Cox, R. & Earle, D. P. (1973). Epidemic acute nephritis with reappearance of M-type 55 streptococci in Trinidad. Lancet i, 475–479.CrossRefGoogle Scholar
Potter, E. V., Siegel, A. C. & Simon, N. M. (1968). Streptococcal infections and epidemic acute glomerulonephritis in South Trinidad. Journal of Paediatrics 72, 871–884.CrossRefGoogle ScholarPubMed
Ricketts, C. R., Squire, J. R. & Topley, E. (1951). Human skin lipids with particular reference to self-sterilising power of skin. Clinical Science 10, 89–93.Google Scholar
Sharrett, A. R., Finklea, J. F., Potter, E. V., Poon-King, T. & Earle, D. P. (1974). The control of streptococcal skin infections in South Trinidad. American Journal of Epidemiology 99, 408–413.CrossRefGoogle ScholarPubMed
Taplin, D., Lansdell, L., Allen, A. M., Rodriguez, R. & Cortes, A. (1973). Prevalence of streptococcal pyoderma in relation to climate and hygiene. Lancet i, 501–503.CrossRefGoogle Scholar
Wannamaker, L. W. (1970). Difference between streptococcal infections of the throat and skin (first of two parts). New England Journal of Medicine 282, 23–31.CrossRefGoogle Scholar