Outbreak Investigation Toolkit

Investigating Group A Strep in Long-term Care Facilities

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.
Nurse taking care of an older male patient sitting in a wheelchair in a long-term care facility

About these tools

Healthcare professional wearing a mask
CDC tools provide scenarios for investigating GAS outbreaks in LTCFs.

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

Get investigation tools and antibiotic regimen information in one print-ready PDF file.

Investigation tools

These tools provide detailed approaches to investigating and controlling GAS infections in LTCFs.

Keep Reading: Investigation Tools

Antibiotic regimens

Antibiotic regimens should be chosen on a case-by-case basis.

Keep Reading: Antibiotic Regimens

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.

Keep Reading: Glossary

Additional resources

Find links to additional public health resources that may be useful during investigations in LTCFs.

Keep Reading: Additional Resources