title: Streptococcus pneumoniae transmission in chronic-care facilities: description of an outbreak and review of management strategies.
abstract: We report an outbreak of invasive Streptococcus pneumoniae disease in a chronic-care facility with a documented immunization rate of only 2.5%. We describe and discuss the infection control strategies used in prevention and management of such outbreaks, highlighting the role of immunization and presumptive chemotherapy.
authors.affiliation: Department of Medicine, San Francisco Veterans' Administration Medical Center, University of California, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Sheppard
authors.forename: K A
authors.initials: KA
authors.lastname: Bartlett
authors.forename: H W
authors.initials: HW
authors.lastname: Lampiris
mesh_terms: D003428:Cross Infection / Q000453:epidemiology* / Q000635:transmission*; D004196:Disease Outbreaks; D006787:Hospitals, Veterans / Q000706:statistics & numerical data; D006801:Humans; D017053:Infection Control / Q000379:methods*; D011008:Pneumococcal Infections / Q000453:epidemiology* / Q000635:transmission*; D011446:Prospective Studies; D012495:San Francisco / Q000453:epidemiology