AccessMedicine | Streptococcal Skin Infections
Group A streptococci are usually spread by transfer of organisms from an infected person or carrier through close personal contact. The major source of such spread is from patients with infections in the upper respiratory tract. Approximately 10 percent of the normal population carry group A streptococcus asymptomatically—a higher percentage of adults than of children in the oropharynx and less commonly in the nares and anus. Although the carriage rate of group A streptococcus on normal skin is less than 1 percent, a variety of skin lesions and puerperal sepsis may also be the source of intrahospital spread of infection. Group A streptococci introduced into the operating room in the form of a minor skin infection, or even through perianal carriage by a surgeon or anesthetist, may be responsible for an epidemic of streptococcal wound infections.Impetigo caused by group A streptococcus is a highly communicable infection and occurs predominantly in preschool-aged children (usually before the age of 2 years except in highly endemic areas). It is more common in warmer, more humid climates than in temperate zones. Its peak seasonal incidence is in the later summer and early fall.
Saturday, January 23, 2010
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