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. 1982 Aug;89(1):9–21. doi: 10.1017/s0022172400070492

A large outbreak of streptococcal pyoderma in a military training establishment.

J G Cruickshank, N F Lightfoot, K H Sugars, G Colman, M D Simmons, J Tolliday, E H Oakley
PMCID: PMC2134160  PMID: 7097006

Abstract

An outbreak of streptococcal pyoderma in a military institution into which fresh susceptible recruits were regularly introduced involved more than 1300 persons over an eighteen-month period. Two M types were responsible for the great majority of the cases and an attack by one conferred immunity to that strain but not to the other. Lesions varied from trivial to disabling. Epidemiological studies indicated that contact -- direct or indirect -- through such things as gymnasium equipment and room dust was the means of transmission. The outbreak was eventually controlled by vigorous case finding, thorough treatment of cases and the strict application of hygienic principles to prevent spread. There were no late complications and throat streptococci were not involved. It is possible to control such an outbreak without isolation or the making of any significant concessions in the training programme even when large numbers of persons are living and working at close quarters.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen A. M., Taplin D., Twigg L. Cutaneous streptococcal infections in Vietnam. Arch Dermatol. 1971 Sep;104(3):271–280. [PubMed] [Google Scholar]
  2. Anthony B. F., Perlman L. V., Wannamaker L. W. Skin infections and acute nephritis in American Indian children. Pediatrics. 1967 Feb;39(2):263–279. [PubMed] [Google Scholar]
  3. Bisno A. L., Nelson K. E. Type-specific opsonic antibodies in streptococcal pyoderma. Infect Immun. 1974 Dec;10(6):1356–1361. doi: 10.1128/iai.10.6.1356-1361.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. CRUICKSHANK R. The epidemiology of some skin infections. Br Med J. 1953 Jan 10;1(4801):55–59. doi: 10.1136/bmj.1.4801.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Colling A., Kerr I., Maxted W. R., Widdowson J. P. Streptococcal infection in a Junior Detention Centre: a five-year study. J Hyg (Lond) 1980 Dec;85(3):331–341. doi: 10.1017/s0022172400063403. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Dillon H. C., Jr, Moody M. D., Maxted W. R., Parker M. T. The epidemiology of impetigo and acute glomerulonephritis. Results of serological typing of group A streptococci. Am J Epidemiol. 1967 Nov;86(3):710–723. doi: 10.1093/oxfordjournals.aje.a120779. [DOI] [PubMed] [Google Scholar]
  7. Dudding B. A., Burnett J. W., Chapman S. S., Wannamaker L. W. The role of normal skin in the spread of streptococcal pyoderma. J Hyg (Lond) 1970 Mar;68(1):19–28. doi: 10.1017/s0022172400028461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ferrieri P., Dajani A. S., Wannamaker L. W. Benzathine penicillin in the prophylaxis of streptococcal skin infections: a pilot study. J Pediatr. 1973 Oct;83(4):572–577. doi: 10.1016/s0022-3476(73)80217-3. [DOI] [PubMed] [Google Scholar]
  9. Goepel J. R., Richards D. G., Harris D. M., Henry L. Fulminant streptococcus pyogenes infection. Br Med J. 1980 Nov 22;281(6252):1412–1412. doi: 10.1136/bmj.281.6252.1412. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. HILL M. J., JAMES A. M., MAXTED W. R. SOME PHYSICAL INVESTIGATIONS OF THE BEHAVIOUR OF BACTERIAL SURFACES. X. THE OCCURRENCE OF LIPID IN THE STREPTOCOCCAL CELL WALL. Biochim Biophys Acta. 1963 Nov 29;75:414–424. doi: 10.1016/0006-3002(63)90629-2. [DOI] [PubMed] [Google Scholar]
  11. Kaplan E. L., Anthony B. F., Chapman S. S., Ayoub E. M., Wannamaker L. W. The influence of the site of infection on the immune response to group A streptococci. J Clin Invest. 1970 Jul;49(7):1405–1414. doi: 10.1172/JCI106358. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Kaplan E. L., Wannamaker L. W. Suppression of the antistreptolysin O response by cholesterol and by lipid extracts of rabbit skin. J Exp Med. 1976 Sep 1;144(3):754–767. doi: 10.1084/jem.144.3.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Leonard R. R. Prevention of superficial cutaneous infections. Arch Dermatol. 1967 May;95(5):520–523. [PubMed] [Google Scholar]
  14. Leyden J. J., Stewart R., Kligman A. M. Experimental infections with group A streptococci in humans. J Invest Dermatol. 1980 Aug;75(2):196–201. doi: 10.1111/1523-1747.ep12522655. [DOI] [PubMed] [Google Scholar]
  15. McMillan M. R., Hurwitz R. M. Tropical bacterial pyoderma in Vietnam. An improved therapeutic regimen. JAMA. 1969 Dec 1;210(9):1734–1736. [PubMed] [Google Scholar]
  16. Parker M. T., Bassett D. C., Maxted W. R., Arneaud J. D. Acute glomerulonephritis in Trinidad: serological typing of group A streptococci. J Hyg (Lond) 1968 Dec;66(4):657–675. doi: 10.1017/s0022172400028394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Parker M. T. Streptococcal skin infection and acute glomerulonephritis. Br J Dermatol. 1969;81(Suppl):37+–37+. doi: 10.1111/j.1365-2133.1969.tb12832.x. [DOI] [PubMed] [Google Scholar]
  18. Peter G., Smith A. L. Group A streptococcal infections of the skin and pharynx (first of two parts). N Engl J Med. 1977 Aug 11;297(6):311–317. doi: 10.1056/NEJM197708112970606. [DOI] [PubMed] [Google Scholar]
  19. Poon-King T., Svartman M., Mohammed I., Potter E. V., Achong J., Cox R., Earle D. P. Epidemic acute nephritis with reappearance of M-type 55 streptococci in Trinidad. Lancet. 1973 Mar 3;1(7801):475–479. doi: 10.1016/s0140-6736(73)91896-5. [DOI] [PubMed] [Google Scholar]
  20. Potter E. V., Siegel A. C., Simon N. M., McAninch J., Earle D. P., Poon-King T., Mohommed I., Abidh S. Streptococcal infections and epidemic acute glomerulonephritis in South Trinidad. J Pediatr. 1968 Jun;72(6):871–884. doi: 10.1016/s0022-3476(68)80445-7. [DOI] [PubMed] [Google Scholar]
  21. Sharrett A. R., Finklea J. F., Potter E. V., Poon-King T., Earle D. P. The control of streptococcal skin infections in South Trinidad. Am J Epidemiol. 1974 Jun;99(6):408–413. doi: 10.1093/oxfordjournals.aje.a121629. [DOI] [PubMed] [Google Scholar]
  22. Taplin D., Lansdell L., Allen A. M., Rodriguez R., Cortes A. Prevalence of streptococcal pyoderma in relation to climate and hygiene. Lancet. 1973 Mar 10;1(7802):501–503. doi: 10.1016/s0140-6736(73)90324-3. [DOI] [PubMed] [Google Scholar]
  23. Wannamaker L. W. Differences between streptococcal infections of the throat and of the skin. I. N Engl J Med. 1970 Jan 1;282(1):23–31. doi: 10.1056/NEJM197001012820106. [DOI] [PubMed] [Google Scholar]

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