Screening asymptomatic households for Streptococcus pyogenes pharyngeal carriage as a part of in-hospital investigation of puerperal sepsis

R Cohen, S Cohen, M Afraimov, T Finn… - American Journal of …, 2019 - Elsevier
Background Invasive group A streptococcal (iGAS) infection in the peripartum setting is a
rare but devastating disease occasionally occurring as a health care–associated infection
(HAI). Current guidelines suggest enhanced surveillance and streptococcal isolate storage
after a single case of iGAS, as well as a full epidemiological investigation that includes
screening health care workers (HCWs) from several sites after 2 cases. Current guidelines
do not recommend routine screening of household members of a patient with iGAS. Methods …