{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:09:40Z","timestamp":1767161380767,"version":"build-2238731810"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"unspecified","delay-in-days":8452,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[1993,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Group A streptococci account for less than 1% of all surgical wound infections but are an important cause of nosocomial outbreaks. We report here a cluster of four group A streptococcal infections that occurred within an 11-day period on a single surgical service. The index case presented with toxic shock-like syndrome. Epidemiologic investigation did not identify any relationship between infections. Restriction endonuclease analysis and M and T typing found the four isolates to be unrelated. Restriction endonuclease analysis is a useful tool for determining relatedness of nosocomial isolates of group A streptococci.<\/jats:p>","DOI":"10.1086\/646732","type":"journal-article","created":{"date-parts":[[2009,9,3]],"date-time":"2009-09-03T13:42:37Z","timestamp":1251985357000},"page":"265-267","source":"Crossref","is-referenced-by-count":4,"title":["A Cluster of Surgical Wound Infections due to Unrelated Strains of Group A Streptococci"],"prefix":"10.1017","volume":"14","author":[{"given":"F.B.","family":"Jamieson","sequence":"first","affiliation":[{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Green","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.E.","family":"Low","sequence":"additional","affiliation":[{"name":"University of Toronto"},{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.E.","family":"Simor","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Goldman","sequence":"additional","affiliation":[{"name":"University of Toronto"},{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ng","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"McGeer","sequence":"additional","affiliation":[{"name":"University of Toronto"},{"name":"University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"S0899823X0009084X_bib019","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1093\/infdis\/165.1.147","article-title":"Mother-to-infant vertical transmission and cross-colonization of Streptococcus pyogenes confirmed by DNA restriction fragment length polymorphism analysis","volume":"165","author":"Bingen","year":"1992","journal-title":"J Infect Dis"},{"key":"S0899823X0009084X_bib003","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(66)92931-X"},{"key":"S0899823X0009084X_bib010","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1056\/NEJM198907063210101","article-title":"Severe group A streptococcal infections associated with a toxic shock-like syndrome and scarlet fever toxin A","volume":"321","author":"Stevens","year":"1989","journal-title":"N Engl J Med"},{"key":"S0899823X0009084X_bib018","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1093\/infdis\/158.6.1317","article-title":"DNA fingerprints of Streptococcus pyogenes are M type specific","volume":"158","author":"Cleary","year":"1988","journal-title":"J Infect Dis"},{"key":"S0899823X0009084X_bib014","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/0196-6553(88)90053-3","article-title":"CDC definitions for nosocomial infections, 1988","volume":"16","author":"Garner","year":"1988","journal-title":"Am J Infect Control"},{"key":"S0899823X0009084X_bib004","doi-asserted-by":"crossref","first-page":"2680","DOI":"10.1001\/jama.1982.03320440028027","article-title":"Streptococcal infections caused by a vaginal carrier","volume":"247","author":"Berkelman","year":"1982","journal-title":"JAMA"},{"key":"S0899823X0009084X_bib005","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1056\/NEJM199010043231406","article-title":"An outbreak of surgical wound infections due to group A streptococcus carried on the scalp","volume":"323","author":"Mastro","year":"1990","journal-title":"N Engl J Med"},{"key":"S0899823X0009084X_bib006","doi-asserted-by":"publisher","DOI":"10.1086\/646115"},{"key":"S0899823X0009084X_bib013","first-page":"192","article-title":"Severe group A streptococcal disease: southern Ontario","volume":"17","author":"Demers","year":"1991","journal-title":"Can Dis Week Rep"},{"key":"S0899823X0009084X_bib012","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.me.41.020190.001535"},{"key":"S0899823X0009084X_bib020","doi-asserted-by":"publisher","DOI":"10.3109\/00365548809032477"},{"key":"S0899823X0009084X_bib016","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1084\/jem.78.2.127","article-title":"Typing group A hemolytic streptococci by M precipitin reactions in capillary pipettes","volume":"78","author":"Swift","year":"1943","journal-title":"J Exp Med"},{"key":"S0899823X0009084X_bib017","volume-title":"Current Protocols in Molecular Biology","author":"Wilson","year":"1989"},{"key":"S0899823X0009084X_bib001","volume-title":"National Nosocomial Infections Study Report, Annual Summary","year":"1977"},{"key":"S0899823X0009084X_bib007","volume-title":"CRC Handbook of Hospital Acquired Infections","author":"Aber","year":"1981"},{"key":"S0899823X0009084X_bib008","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/0140-6736(90)92777-F","article-title":"Changing epidemiology of group A streptococcal infection in the USA","volume":"336","author":"Schwartz","year":"1990","journal-title":"Lancet"},{"key":"S0899823X0009084X_bib015","volume-title":"Manual of Clinical Microbiology","author":"Facklam"},{"key":"S0899823X0009084X_bib011","doi-asserted-by":"publisher","DOI":"10.3109\/00365549009027073"},{"key":"S0899823X0009084X_bib021","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/0195-6701(91)90105-H","article-title":"Increased number of sporadic nosocomial group A streptococcal bacteremias during a community epidemic","volume":"19","author":"Strobaek","year":"1991","journal-title":"J Hosp Infect"},{"key":"S0899823X0009084X_bib009","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1056\/NEJM198707163170305","article-title":"Clinical and bacteriologic observations of a toxic shock-like syndrome due to Streptococcus pyogenes","volume":"317","author":"Cone","year":"1987","journal-title":"N Engl J Med"},{"key":"S0899823X0009084X_bib002","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1080\/00039896.1965.10664166","article-title":"An epidemic of streptococcal wound infections","volume":"11","author":"Quinn","year":"1965","journal-title":"Arch Environ Health"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X0009084X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T08:56:56Z","timestamp":1762419416000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X0009084X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,5]]},"references-count":21,"aliases":["10.2307\/30148364"],"journal-issue":{"issue":"5","published-print":{"date-parts":[[1993,5]]}},"alternative-id":["S0899823X0009084X"],"URL":"https:\/\/doi.org\/10.1086\/646732","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,5]]}}}