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Increase in invasive group A streptococcal infection notifications, England, 2022
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Rebecca Guy1
, Katherine L Henderson1
, Juliana Coelho2 , Helen Hughes3 , Emily L Mason1 , Sarah M Gerver1 , Alicia Demirjian1,4,5 , Conall Watson6 , Ashley Sharp1 , Colin S Brown1 , Theresa Lamagni1
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View Affiliations Hide AffiliationsAffiliations: 1 HCAI, Fungal, AMR, AMU and Sepsis Division, UK Health Security Agency, London, United Kingdom 2 Staphylococcus and Streptococcus Reference Section, AMRHAI, UK Health Security Agency, London, United Kingdom 3 Real-time Syndromic Surveillance Team, Field Services Division, UK Health Security Agency, London, United Kingdom 4 Department of Paediatric Infectious Diseases & Immunology, Evelina London Children’s Hospital, London, United Kingdom 5 Faculty of Life Sciences & Medicine, King’s College London, London, United Kingdom 6 Immunisation and Vaccine-Preventable Diseases Division, UK Health Security Agency, London, United KingdomRebecca GuyRebecca.Guy ukhsa.gov.uk
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Citation style for this article: Guy Rebecca, Henderson Katherine L, Coelho Juliana, Hughes Helen, Mason Emily L, Gerver Sarah M, Demirjian Alicia, Watson Conall, Sharp Ashley, Brown Colin S, Lamagni Theresa. Increase in invasive group A streptococcal infection notifications, England, 2022. Euro Surveill. 2023;28(1):pii=2200942. https://doi.org/10.2807/1560-7917.ES.2023.28.1.2200942 Received: 14 Dec 2022; Accepted: 05 Jan 2022
Abstract
Increases in invasive group A streptococcal (iGAS) infection and associated deaths, particularly in children, above seasonally expected levels are being seen this season (772 notifications reported in weeks 37 to 48 in 2022) across England. Diagnoses of iGAS infection from lower respiratory tract specimens in children under 15 years increased to 28% in November 2022. Medical practitioners have been alerted to the exceptional increase in incidence, including unusual numbers of children presenting with pulmonary empyema.

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