Management of invasive group A streptococcal infections

© 2014. Invasive group A streptococcal (GAS) disease in children includes deep soft tissue infection, bacteraemia, bacteraemic pneumonia, meningitis and osteomyelitis. The expression of toxins and super antigens by GAS can complicate infection by triggering an overwhelming systemic inflammatory resp...

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Main Authors: Waddington, C., Snelling, Thomas, Carapetis, J.
Format: Journal Article
Published: 2014
Online Access:http://hdl.handle.net/20.500.11937/56279
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author Waddington, C.
Snelling, Thomas
Carapetis, J.
author_facet Waddington, C.
Snelling, Thomas
Carapetis, J.
author_sort Waddington, C.
building Curtin Institutional Repository
collection Online Access
description © 2014. Invasive group A streptococcal (GAS) disease in children includes deep soft tissue infection, bacteraemia, bacteraemic pneumonia, meningitis and osteomyelitis. The expression of toxins and super antigens by GAS can complicate infection by triggering an overwhelming systemic inflammatory response, referred to as streptococcal toxic shock syndrome (STSS). The onset and progression of GAS disease can be rapid, and the associated mortality high. Prompt antibiotics therapy and early surgical debridement of infected tissue are essential. Adjunctive therapy with intravenous immunoglobulin and hyperbaric therapy may improve outcomes in severe disease. Nosocomial outbreaks and secondary cases in close personal contacts are not uncommon; infection control measures and consideration of prophylactic antibiotics to those at high risk are important aspects of disease control. To reduce a substantial part of the global burden of GAS disease, an affordable GAS vaccine with efficacy against a broad number of strains is needed.
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spelling curtin-20.500.11937-562792017-09-13T16:10:29Z Management of invasive group A streptococcal infections Waddington, C. Snelling, Thomas Carapetis, J. © 2014. Invasive group A streptococcal (GAS) disease in children includes deep soft tissue infection, bacteraemia, bacteraemic pneumonia, meningitis and osteomyelitis. The expression of toxins and super antigens by GAS can complicate infection by triggering an overwhelming systemic inflammatory response, referred to as streptococcal toxic shock syndrome (STSS). The onset and progression of GAS disease can be rapid, and the associated mortality high. Prompt antibiotics therapy and early surgical debridement of infected tissue are essential. Adjunctive therapy with intravenous immunoglobulin and hyperbaric therapy may improve outcomes in severe disease. Nosocomial outbreaks and secondary cases in close personal contacts are not uncommon; infection control measures and consideration of prophylactic antibiotics to those at high risk are important aspects of disease control. To reduce a substantial part of the global burden of GAS disease, an affordable GAS vaccine with efficacy against a broad number of strains is needed. 2014 Journal Article http://hdl.handle.net/20.500.11937/56279 10.1016/j.jinf.2014.08.005 restricted
spellingShingle Waddington, C.
Snelling, Thomas
Carapetis, J.
Management of invasive group A streptococcal infections
title Management of invasive group A streptococcal infections
title_full Management of invasive group A streptococcal infections
title_fullStr Management of invasive group A streptococcal infections
title_full_unstemmed Management of invasive group A streptococcal infections
title_short Management of invasive group A streptococcal infections
title_sort management of invasive group a streptococcal infections
url http://hdl.handle.net/20.500.11937/56279