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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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| Published in: | Emerging infectious diseases 2007-12, Vol.13 (12), p.1852-1859 |
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| container_title | Emerging infectious diseases |
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| creator | 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 |
| description | 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 |
| doi_str_mv | 10.3201/eid1312.070303 |
| format | article |
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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<0.01) but were less often hospitalized (90% vs. 95%, p<0.01). In multivariate logistic regression modeling, LTCF residence remained an independent predictor of death. Additional prevention strategies against GAS infection in this high-risk population are urgently needed.</description><identifier>ISSN: 1080-6040</identifier><identifier>EISSN: 1080-6059</identifier><identifier>DOI: 10.3201/eid1312.070303</identifier><identifier>PMID: 18258035</identifier><language>eng</language><publisher>United States: U.S. National Center for Infectious Diseases</publisher><subject>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</subject><ispartof>Emerging infectious diseases, 2007-12, Vol.13 (12), p.1852-1859</ispartof><rights>COPYRIGHT 2007 U.S. National Center for Infectious Diseases</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20796079$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18258035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>THIGPEN, M.C</creatorcontrib><creatorcontrib>RICHARDS, C.L</creatorcontrib><creatorcontrib>LYNFIELD, R</creatorcontrib><creatorcontrib>BARRETT, N.L</creatorcontrib><creatorcontrib>HARRISON, L.H</creatorcontrib><creatorcontrib>ARNOLD, K.E</creatorcontrib><creatorcontrib>REINGOLD, A</creatorcontrib><creatorcontrib>BENNETT, N.M</creatorcontrib><creatorcontrib>CRAIG, A.S</creatorcontrib><creatorcontrib>GERSHMAN, K</creatorcontrib><creatorcontrib>Active Bacterial Core surveillance / Emerging Infections Program Network</creatorcontrib><title>Invasive group A streptococcal infection in older adults in long-term care facilities and the community, United States, 1998-2003</title><title>Emerging infectious diseases</title><addtitle>Emerg Infect Dis</addtitle><description>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<0.01) but were less often hospitalized (90% vs. 95%, p<0.01). In multivariate logistic regression modeling, LTCF residence remained an independent predictor of death. Additional prevention strategies against GAS infection in this high-risk population are urgently needed.</description><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Community-Acquired Infections - microbiology</subject><subject>Community-Acquired Infections - mortality</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - mortality</subject><subject>Diseases</subject><subject>elderly</subject><subject>Female</subject><subject>group A streptococcus</subject><subject>Humans</subject><subject>Long-Term Care</subject><subject>long-term care facilities</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>mortality</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Streptococcal infections</subject><subject>Streptococcal Infections - epidemiology</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcal Infections - mortality</subject><subject>Streptococcus</subject><subject>Streptococcus pyogenes</subject><subject>surveillance</subject><subject>Surveys</subject><subject>Time Factors</subject><subject>United States - epidemiology</subject><issn>1080-6040</issn><issn>1080-6059</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqNkt9rFDEQxxdRbK2--ih5sSB0z_zYH8njUfxxUChY6-sym8zupexuziRb7KP_uTnvPDwoKEOYyfD5DuGbybLXjC4Ep-w9WsME4wtaU0HFk-yUUUnzipbq6aEu6En2IoQ7SlmSqOfZCZO8lFSUp9nP1XQPwd4j6b2bN2RJQvS4iU47rWEgdupQR-umVBE3GPQEzDzEsL0PburziH4kGjySDrQdbLQYCEyGxDUS7cZxnmx8uCC3KaEhNxEihgvClJI5p1S8zJ51MAR8tc9n2e3HD18vP-dX159Wl8ur3JSMxxykFEaYAqvWKEZbCS0ta1mVojCVlByqVmGnmBKsYlooVC10mlHkUItSS3GWrXZzjYO7ZuPtCP6hcWCb3w3n-wZ8tHrAhnGtW40lL5J5JeuU0LJQvE2hTcurNOt8N2vj3fcZQ2xGGzQOA0zo5tDUlKqKl-yfIKeyKOpKJTDfgT2kByTXXfSge5zQQ7IZO5vaS1bzuqiE2vKLR_gUBkerHxW8OxIkJuKP2MMcQrO6-fL_7PW3Y_b8L3aNMMR1cMO83ZlwDL7ZWzG3I5rDD_zZxQS83QMQ0up1HiZtw4HjtFZVOuIXIwXoww</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>THIGPEN, M.C</creator><creator>RICHARDS, C.L</creator><creator>LYNFIELD, R</creator><creator>BARRETT, N.L</creator><creator>HARRISON, L.H</creator><creator>ARNOLD, K.E</creator><creator>REINGOLD, A</creator><creator>BENNETT, N.M</creator><creator>CRAIG, A.S</creator><creator>GERSHMAN, K</creator><general>U.S. National Center for Infectious Diseases</general><general>Centers for Disease Control and Prevention</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>IOV</scope><scope>ISR</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>20071201</creationdate><title>Invasive group A streptococcal infection in older adults in long-term care facilities and the community, United States, 1998-2003</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d512t-a883d3d4e6bd910b8ab05786534d6882a6b9ef9193161c39e9bafc10e2a735c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Community-Acquired Infections - epidemiology</topic><topic>Community-Acquired Infections - microbiology</topic><topic>Community-Acquired Infections - mortality</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - mortality</topic><topic>Diseases</topic><topic>elderly</topic><topic>Female</topic><topic>group A streptococcus</topic><topic>Humans</topic><topic>Long-Term Care</topic><topic>long-term care facilities</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>mortality</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Streptococcal infections</topic><topic>Streptococcal Infections - epidemiology</topic><topic>Streptococcal Infections - microbiology</topic><topic>Streptococcal Infections - mortality</topic><topic>Streptococcus</topic><topic>Streptococcus pyogenes</topic><topic>surveillance</topic><topic>Surveys</topic><topic>Time Factors</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>THIGPEN, M.C</creatorcontrib><creatorcontrib>RICHARDS, C.L</creatorcontrib><creatorcontrib>LYNFIELD, R</creatorcontrib><creatorcontrib>BARRETT, N.L</creatorcontrib><creatorcontrib>HARRISON, L.H</creatorcontrib><creatorcontrib>ARNOLD, K.E</creatorcontrib><creatorcontrib>REINGOLD, A</creatorcontrib><creatorcontrib>BENNETT, N.M</creatorcontrib><creatorcontrib>CRAIG, A.S</creatorcontrib><creatorcontrib>GERSHMAN, K</creatorcontrib><creatorcontrib>Active Bacterial Core surveillance / Emerging Infections Program Network</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>Directory of Open Access Journals(OpenAccess)</collection><jtitle>Emerging infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>THIGPEN, M.C</au><au>RICHARDS, C.L</au><au>LYNFIELD, R</au><au>BARRETT, N.L</au><au>HARRISON, L.H</au><au>ARNOLD, K.E</au><au>REINGOLD, A</au><au>BENNETT, N.M</au><au>CRAIG, A.S</au><au>GERSHMAN, K</au><aucorp>Active Bacterial Core surveillance / Emerging Infections Program Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Invasive group A streptococcal infection in older adults in long-term care facilities and the community, United States, 1998-2003</atitle><jtitle>Emerging infectious diseases</jtitle><addtitle>Emerg Infect Dis</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>13</volume><issue>12</issue><spage>1852</spage><epage>1859</epage><pages>1852-1859</pages><issn>1080-6040</issn><eissn>1080-6059</eissn><abstract>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<0.01) but were less often hospitalized (90% vs. 95%, p<0.01). In multivariate logistic regression modeling, LTCF residence remained an independent predictor of death. Additional prevention strategies against GAS infection in this high-risk population are urgently needed.</abstract><cop>United States</cop><pub>U.S. National Center for Infectious Diseases</pub><pmid>18258035</pmid><doi>10.3201/eid1312.070303</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| 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 |
| title | Invasive group A streptococcal infection in older adults in long-term care facilities and the community, United States, 1998-2003 |
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