Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature
Two cases of group A streptococcus (gas) postpartum endometritis were diagnosed within 24 h following uncomplicated vaginal delivery. Investigation by the infection control service identified all 10 obstetric personnel who performed any invasive procedure on both cases. These personnel were question...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1994-01-01
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| Series: | Canadian Journal of Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/1994/834746 |
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| _version_ | 1832556336087302144 |
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| author | Ziad A Memish Denise Gravel-Tropper Catherine Oxley Baldwin Toye Gary E Garber |
| author_facet | Ziad A Memish Denise Gravel-Tropper Catherine Oxley Baldwin Toye Gary E Garber |
| author_sort | Ziad A Memish |
| collection | DOAJ |
| description | Two cases of group A streptococcus (gas) postpartum endometritis were diagnosed within 24 h following uncomplicated vaginal delivery. Investigation by the infection control service identified all 10 obstetric personnel who performed any invasive procedure on both cases. These personnel were questioned about a recent history of sore throat, skin lesions, vaginal or rectal symptoms. Throat and rectal cultures were obtained for gas from all 10 personnel. A carrier was identified among the personnel screened. This nurse was removed from direct patient care and treated with a two-week course of oral clindamycin and rifampin with documentation of carrier eradication of gas at the end of therapy, 30 days, 60 days and six months post-treatment. All three isolated strains were identical by restriction endonuclease analysis and by M and T typing. Rapid implementation of infection control measures were successful in arresting this outbreak, with no further cases of gas occurring in the subsequent year. |
| format | Article |
| id | doaj-art-574d6a7cdab24bcdbcaa86de771f29a6 |
| institution | Kabale University |
| issn | 1180-2332 |
| language | English |
| publishDate | 1994-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases |
| spelling | doaj-art-574d6a7cdab24bcdbcaa86de771f29a62025-02-03T05:45:47ZengWileyCanadian Journal of Infectious Diseases1180-23321994-01-015627628110.1155/1994/834746Group A Streptococcal Endometritis: Report of an Outbreak and Review of the LiteratureZiad A Memish0Denise Gravel-Tropper1Catherine Oxley2Baldwin Toye3Gary E Garber4Division of Infectious Diseases, Department of Medicine, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, CanadaOccupational Health and Safety and Infection Control, Ottawa General Hospital, University of Ottawa, Ottawa, Ontario, CanadaDivision of Infectious Diseases, Department of Medicine, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, CanadaDivision of Infectious Diseases, Department of Medicine, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, CanadaDivision of Infectious Diseases, Department of Medicine, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, CanadaTwo cases of group A streptococcus (gas) postpartum endometritis were diagnosed within 24 h following uncomplicated vaginal delivery. Investigation by the infection control service identified all 10 obstetric personnel who performed any invasive procedure on both cases. These personnel were questioned about a recent history of sore throat, skin lesions, vaginal or rectal symptoms. Throat and rectal cultures were obtained for gas from all 10 personnel. A carrier was identified among the personnel screened. This nurse was removed from direct patient care and treated with a two-week course of oral clindamycin and rifampin with documentation of carrier eradication of gas at the end of therapy, 30 days, 60 days and six months post-treatment. All three isolated strains were identical by restriction endonuclease analysis and by M and T typing. Rapid implementation of infection control measures were successful in arresting this outbreak, with no further cases of gas occurring in the subsequent year.http://dx.doi.org/10.1155/1994/834746 |
| spellingShingle | Ziad A Memish Denise Gravel-Tropper Catherine Oxley Baldwin Toye Gary E Garber Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature Canadian Journal of Infectious Diseases |
| title | Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature |
| title_full | Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature |
| title_fullStr | Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature |
| title_full_unstemmed | Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature |
| title_short | Group A Streptococcal Endometritis: Report of an Outbreak and Review of the Literature |
| title_sort | group a streptococcal endometritis report of an outbreak and review of the literature |
| url | http://dx.doi.org/10.1155/1994/834746 |
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