Invasive group A streptococcal disease: managing close contacts in community settings
Guidelines for managing close community contacts of cases of invasive group A streptococcal (iGAS) disease, including flow diagrams.
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This publication is to help health professionals manage cases of invasive group A streptococcal (iGAS) disease.
Risk information for close community contacts of cases of iGAS infection is also available.
Previous guidance was published by Public Health England.
Updates to this page
Published 19 March 2008Last updated 7 March 2023 + show all updates
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Updated information on risk assessment in nurseries, schools and other childcare settings (section 4.1).
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Changed to using diagnosis date (definition included) instead of onset date to define close contacts and the 10-day post-exposure period. Clarified actions required within 10 days of exposure and for the 30-day surveillance period, and that actions should be undertaken for both confirmed and probable cases. Added Clarithromycin as a second line choice for chemoprophylaxis.
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Corrected algorithm 4.
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Updated guidance.
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First published.