Invasive group A streptococcal infection in older adults in long-term care facilities and the community, United States, 1998-2003

Limited information exists on the incidence and characteristics of invasive group A streptococcal (GAS) infections among residents of long-term care facilities (LTCFs). We reviewed cases of invasive GAS infections occurring among persons > or =65 years of age identified through active, population...

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Bibliographic Details
Published in:Emerging infectious diseases 2007-12, Vol.13 (12), p.1852-1859
Main Authors: THIGPEN, M.C, RICHARDS, C.L, LYNFIELD, R, BARRETT, N.L, HARRISON, L.H, ARNOLD, K.E, REINGOLD, A, BENNETT, N.M, CRAIG, A.S, GERSHMAN, K
Format: Article
Language:English
Subjects:
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Community-Acquired Infections - epidemiology
Community-Acquired Infections - microbiology
Community-Acquired Infections - mortality
Cross Infection - epidemiology
Cross Infection - microbiology
Cross Infection - mortality
Diseases
elderly
Female
group A streptococcus
Humans
Long-Term Care
long-term care facilities
Male
Medical sciences
Miscellaneous
mortality
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Streptococcal infections
Streptococcal Infections - epidemiology
Streptococcal Infections - microbiology
Streptococcal Infections - mortality
Streptococcus
Streptococcus pyogenes
surveillance
Surveys
Time Factors
United States - epidemiology
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Summary:Limited information exists on the incidence and characteristics of invasive group A streptococcal (GAS) infections among residents of long-term care facilities (LTCFs). We reviewed cases of invasive GAS infections occurring among persons > or =65 years of age identified through active, population-based surveillance from 1998 through 2003. We identified 1,762 invasive GAS cases among persons > or =65 years, including 1,662 with known residence type (LTCF or community). Incidence of invasive GAS infection among LTCF residents compared to community-based elderly was 41.0 versus 6.9 cases per 100,000 population. LTCF case-patients were 1.5 times as likely to die from the infection as community-based case-patients (33% vs. 21%, p
ISSN:1080-6040
1080-6059
DOI:10.3201/eid1312.070303