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A Maternal-Neonatal Outbreak of Infections Due to an Unusual Group A β-Hemolytic Streptococcus

Published online by Cambridge University Press:  02 January 2015

Andrew M. Wiesenthal
Andrew M. Wiesenthal*
Affiliation:
Pediatric Infectious Diseases Department, University of Colorado School of Medicine, Denver, Colorado
*
5555 East Arapahoe Road, Littleton, CO 80122
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Abstract

An outbreak of group A β-hemolytic streptococcal infections involving three parturients, three newborns, and a nursery RN is reported. Six of six organisms available for serotyping were M-untypable, T-11, serum opacity reaction-negative. Propagation of the outbreak may have been fostered by the common use of a single sitz bath, although the evidence to support this is weak. The outbreak was rapidly controlled via strict cohorting, appropriate treatment and isolation of cases, and the routine use of triple dye for umbilical cord care.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 6 , June 1984 , pp. 271 - 274
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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References

1.Semmelweiss, IP, Die Aetiologie der Begriff und die Prophylaxis des Kindbellfiebers. Vienna, Hartleben, 1861. (Medical Classics translated by Murphy FP, Baltimore, Williams & Wilkins, 1941, vol 5.)Google Scholar
2.Smith, J, A further investigation into the source of infection in puerperal fever. Journal of Obstetrics and Gynecology of the British Empire 1933;40:991–1009.CrossRefGoogle Scholar
3.Mclntyre, DM, An epidemic of Streptococcus pyogenes puerperal and postoperative sepsis with an unusual carrier site—The anus. Am J Obstel Gynecol 1968;101:308–313.CrossRefGoogle Scholar
4.Ogden, E, Amstey, MS, Puerperal infection due to group A β-hemolytic streptococcus. Obstet Gynecol 1978;52:53–55.Google ScholarPubMed
5.McCabe, WR, Abrams, AA, An outbreak of streptococcal puerperal sepsis. N Engl J Med 1965;272:615–618.CrossRefGoogle ScholarPubMed
6.Gray, JDA, Outbreak of streptococcal infection in a maternity unit. Lancet 1956;1:132–136.Google Scholar
7.Dillon, HC, Group A type 12 streptococcal infection in a newborn nursery. Am J Dis Child 1966;112:177–184.CrossRefGoogle Scholar
8.Peter, G, Hazard, J: Neonatal group A streptococcal disease. J Pediatr 1975;87:454–455.CrossRefGoogle Scholar
9.Nelson, JD, Dillon, HC, Howard, JB, A prolonged nursery epidemic associated with a newly recognized type of group A streptococcus. J Pediatr 1976;89:792–796.CrossRefGoogle ScholarPubMed
10.Langewisch, WH, An epidemic of group A type 1 streptococcal infections in newborn infants. Pediatrics 1956;18:438–447.CrossRefGoogle Scholar
11.Gezon, HM, Schaberg, MJ, Klein, JO, Concurrent epidemics of Staphylococcus aureus and group A streptococcus disease in a newborn nursery—Control with penicillin G and hexachlorophene bathing. Pediatrics 1973;51:383–390.CrossRefGoogle Scholar
12.Tancer, ML, McManus, JE, Bellotti, G, Group A, type 33, β-hemolytic streptococcal outbreak on a maternity and newborn service. Am J Obstet Gynecol 1969;103:1028–1033.CrossRefGoogle Scholar
13.Geil, CC, Castle, WK, Mortimer, EA, Group A streptococcal infections in newborn nurseries. Pediatrics 1970;46:849–854.CrossRefGoogle ScholarPubMed
14.Mean, PB, Ribble, JC, Dillon, TF, Group A streptococcal puerperal infection. Report of an epidemic. Obstet Gynecol 1968;32:460–464.Google Scholar
15.Finegold, SM, Martin, WJ, Scott, EG, The streptococci, including the enterococci and anaerobic streptococci, in Bailey, Scott (eds): Diagnostic Microbiology, ed 5. (1978), St Louis, CV Mosby Company, 1978, pp 58–60.Google Scholar
16.Bygdeman, S, Jacobsson, E, Myrbäck, K-E, et al: Hemolytic streptococci among infants in a maternity department. Scand J Infect Dis 1978;10:45–49.CrossRefGoogle Scholar
17.Boissard, JM, Eton, B, Neonatal umbilicus as a source of streptococcal infections in a maternity unit. Br Med J 1956;2:574–576.CrossRefGoogle Scholar
18.Kwantes, W, James, JRE, Hemolytic streptococci on the neonatal umbilicus. Br Med J 1956;2:576–578.CrossRefGoogle Scholar
19.Gooder, H, The association of a serum opacity reaction with serological type in Streptococcus pyogenes. J Gen Microbiol 1961;25:347–352.CrossRefGoogle ScholarPubMed
20.Lancefield, R, Group A streptococcal infections in animals—Natural and experimental, in Wannamaker, LW, Matsen, JM (eds): Streptococci and Streptococcal Diseases. New York, Academic Press, 1972, pp 313–326.Google Scholar