{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T08:05:16Z","timestamp":1789459516901,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    Pediatric invasive Group A Streptococcus (iGAS) infections two years before, during, and a year after the Coronavirus Disease 2019 (COVID-19) pandemic were analyzed in an urban hospital in the Northeastern United States. Invasive GAS was diagnosed in 38 patients. There were as many infected children post-COVID as in the prior 4.5 years combined. The post-pandemic surge was most striking in late spring. The median age was youngest during the post-pandemic year at 2.3 years. During and after the pandemic, about half the children had concurrent virus detection, and two-thirds had no known chronic comorbidities, highlighting\n                    <jats:italic toggle=\"yes\">Streptococcus pyogenes\u2019<\/jats:italic>\n                    potential for significant morbidity in healthy and young children. The spectrum of iGAS disease manifestations was similar among the 3 time periods, with soft tissue infections predominating overall. Of post-pandemic GAS isolates, 67% were\n                    <jats:italic toggle=\"yes\">emm<\/jats:italic>\n                    1 and 33% were\n                    <jats:italic toggle=\"yes\">emm<\/jats:italic>\n                    12. Preventive efforts of this grave disease at all ages should continue.\n                  <\/jats:p>","DOI":"10.1177\/00099228261463464","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T06:29:42Z","timestamp":1782628182000},"page":"1268-1273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Invasive Group A Streptococcus Characteristics Before, During, and After COVID-19"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7267-3596","authenticated-orcid":false,"given":"Tsoline","family":"Kojaoghlanian","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"},{"name":"Division of Pediatric Infectious Diseases, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0648-5287","authenticated-orcid":false,"given":"Katja","family":"Anuth","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8755-1867","authenticated-orcid":false,"given":"Katheryn","family":"Cireseanu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areeba","family":"Qazi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0464-2878","authenticated-orcid":false,"given":"Jeremy","family":"Silverstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Bhatti","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"},{"name":"Division of Pediatric Hospital Medicine, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3942-6768","authenticated-orcid":false,"given":"Rabia","family":"Agha","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"},{"name":"Division of Pediatric Infectious Diseases, Maimonides Children\u2019s Hospital, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/pix099"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2014.08.005"},{"key":"e_1_3_2_4_2","article-title":"Standardization of epidemiological surveillance of invasive Group A Streptococcal infections","volume":"9","author":"Miller KM","year":"2022","unstructured":"Miller KM, Lamagni T, Cherian T, et al. Standardization of epidemiological surveillance of invasive Group A Streptococcal infections. Open Forum Infect Dis. 2022;9(Suppl 1):S31-S40.","journal-title":"Open Forum Infect Dis"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw248"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2017-0207"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1107.040900"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12601"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.GPP3-0054-2018"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00059"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7210a4"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2023.28.1.2200942"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/piad080"},{"issue":"3","key":"e_1_3_2_14_2","first-page":"351","article-title":"Increases in Group A Streptococcal infections in the pediatric population in Houston, TX, 2022","volume":"77","author":"Aboulhosn A","year":"2023","unstructured":"Aboulhosn A, Sanson MA, Vega LA, et al. Increases in Group A Streptococcal infections in the pediatric population in Houston, TX, 2022. Clin Infect Dis. 2023;77(3):351-354.","journal-title":"Clin Infect Dis"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/piad105"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-052089"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2016.00342"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofad188"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-5247(21)00332-3"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-024-47929-7"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261463464","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228261463464","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261463464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T07:22:20Z","timestamp":1789456940000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228261463464"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,27]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00099228261463464"],"URL":"https:\/\/doi.org\/10.1177\/00099228261463464","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,27]]}}}