title: Streptococcal A infection: reemerging and virulent.
abstract: Streptococcal A infections are reemerging as a dangerous clinical problem. This particular infection is usually a problem for the postpartum mother and not usually associated with fetal or neonatal infections. Maternal morbidity and mortality are overwhelming when compared with other maternal infections. Historically, group A streptococcus was the cause of epidemic postpartum sepsis prior to the advent of proper hand-washing techniques. Currently, transmission can occur directly from a colonized healthcare provider, other patients, or a community-acquired source. The Joint Commission and the International Surviving Sepsis Campaign have placed patient safety and early recognition and treatment of sepsis as major initiatives to improving patient outcomes.
authors.affiliation: Perinatal Resources, Rumford, Rhode Island, USA. maryellensosa@yahoo.com
authors.forename: Mary Ellen Burke
authors.initials: ME
authors.lastname: Sosa
mesh_terms: D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017604:Cesarean Section, Repeat; D021821:Communicable Diseases, Emerging / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D003422:Critical Care; D003646:Debridement; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D017053:Infection Control; D009730:Nursing Assessment; D011181:Postnatal Care; D011645:Puerperal Infection / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D012307:Risk Factors; D013290:Streptococcal Infections / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D013297:Streptococcus pyogenes; D018746:Systemic Inflammatory Response Syndrome / Q000453:epidemiology / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents