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Outbreak of group A streptococcal pneumonia among Marine Corps
recruits--California, November 1-December 20, 2002.
Autor –
Zeitschrift/Erscheinungsdatum –
MMWR Morb Mortal Wkly Rep 2003 Feb 14;52(6):106-9.
STUDY OBJECTIVES:
During November 1-December 20, 2002, a total of 163 Marine Corps personnel
from the Marine Corps Recruit Depot (MCRD) in San Diego, California, including
160 new recruits, were admitted to the Naval Medical Center San Diego
(NMCSD) for possible pneumonia. For 128 (79%) patients, pneumonia was
confirmed by chest radiograph; of these 128 cases, 31 (24%) were definitely
or probably caused by group A streptococci (GAS). This is the first outbreak
of serious GAS-associated illness at a San Diego military training facility
since the 1987 outbreak of rheumatic fever and the largest outbreak of
GAS pneumonia in the United States since 1968. This report summarizes
the results of the investigation of this outbreak, which indicate that
GAS infection can occur among military recruit populations despite routine
chemoprophylaxis administered to incoming recruits. Instituting routine
surveillance for noninvasive GAS disease in military training facilities
might prevent future invasive GAS outbreaks.
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