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Epidemiological investigation traces 21 postoperative infections to an asymptomatic healthcare carrier, suggesting anal dissemination may be an underrecognized transmission route.
A PROTRACTED epidemic of 21 postoperative infections due to M-nontypable, Group A betahemolytic streptococci ceased after the implicated source, an anesthesiologist, was found to be an anal carrier of large numbers of streptococci. This is the second such outbreak reported and raises the possibility that dissemination of streptococci from an anal source is more common that is currently suspected.The OutbreakNine wound infections caused by Croup A betahemolytic streptococci occurred during three weeks in August, 1968, among general surgical, orthopedic and gynecologic patients (Fig. 1). The patients shared no common ward or operating theater and had contact with a . . .
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Schaffner et al. (1969) studied this question.
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