Key points
- Group A Streptococcus (GAS) infections cause serious illness and death for older adults.
- Long-term care facility (LTCF) residents are at high risk for severe infection and death.
- Strong infection prevention and control practices are critical.
- CDC tools address investigating and controlling GAS infections and outbreaks.

About these tools

CDC developed these investigation tools to provide detailed approaches to investigating and controlling GAS infections and outbreaks in LTCFs.
The investigation tools are a guide for addressing typical scenarios. They do not encompass all LTCF GAS infection scenarios and response actions.
Who should use these tools
This toolkit is intended for use by personnel in
- State, tribal, local, and territorial public health departments
- LTCFs, including skilled nursing and rehabilitation facilities
Collaboration is key
LTCF staff should work with their local public health departments when investigating suspected GAS outbreaks. Local public health departments can seek further assistance from their state, tribal, or territorial health departments. If needed, CDC is available for additional assistance.
Get the tools
Download the print-ready version
Investigation tools
These tools provide detailed approaches to investigating and controlling GAS infections in LTCFs.
Antibiotic regimens
Antibiotic regimens should be chosen on a case-by-case basis.
Increased risk for serious outcomes
Early recognition of GAS in LTCF residents is important to prevent serious outcomes.
Transmission in and between LTCFs
Strong infection prevention and control practices are critical to stopping GAS transmission and preventing outbreaks in LTCFs.
Glossary
Find definitions for key terms used in GAS investigations.
Additional resources
Find links to additional public health resources that may be useful during investigations in LTCFs.