An outbreak of puerperal fever caused by group G streptococci

Area of Science:

• Medical Microbiology
• Infectious Disease Epidemiology

Background:

• Puerperal fever, a serious postpartum infection, poses significant risks to maternal health.
• Group G streptococci are an identified etiological agent in postpartum infections.

Purpose of the Study:

• To describe an outbreak of puerperal fever attributed to group G streptococci.
• To investigate the transmission route and control measures for the identified outbreak.

Main Methods:

• Case identification and epidemiological investigation of puerperal fever cases.
• Microbiological analysis to identify the causative agent, group G streptococci.
• Environmental assessment focusing on potential sources of contamination, including medical devices.

Main Results:

• Group G streptococci were confirmed as the causative agent of the puerperal fever outbreak.
• Automated douches were identified as a probable vehicle for transmission due to contamination.
• Abrupt cessation of the outbreak following disinfection of the automated douches.

Conclusions:

• Contaminated automated douches can serve as a vector for puerperal fever outbreaks caused by group G streptococci.
• Effective disinfection protocols are crucial for controlling streptococcal outbreaks in healthcare settings.
• Prompt implementation of hygiene and disinfection measures can rapidly mitigate puerperal fever transmission.