Droplet/contact precautions until 24 hours of appropriate antimicrobial coverage received
Report cases of invasive Group A Streptococcus (iGAS) to Public Health immediately, and for possible prophylaxis in close contacts
Medical emergency: surgical debridement and broad-spectrum IV antibiotics required
Immediately consult plastic surgery and infectious disease for all patients
Usually rapidly progressive with pain out of proportion to appearance
Consider need for tetanus prophylaxis
May be polymicrobial or monomicrobial
Gram negative bacilli
AND
Clindamycin is added for antitoxin effect until patient stabilized
+/-
If clinically unstable or suspected/confirmed MRSA
AND
Clindamycin is added for antitoxin effect until patient stabilized
+/-
If clinically unstable or suspected/confirmed MRSA
AND
Clindamycin is added for antitoxin effect until patient stabilized
Select cases of invasive GAS may benefit from immunoglobulin (IVIG).
Consult ID for advice.
Report cases of invasive Group A Streptococcus to Public Health immediately for consideration of close contact prophylaxis
Duration dependent on surgical debridement and clinical evolution
Guidelines