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              <text>&lt;a href="http://doi.org/10.1093/clinids/14.1.29" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1093/clinids/14.1.29&lt;/a&gt;</text>
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                <text>GROUP-A STREPTOCOCCAL BACTEREMIA IN A COMMUNITY TEACHING HOSPITAL - 1980-1989</text>
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                <text>adults; Infectious Diseases; Microbiology; Immunology; endocarditis; infections; group-b; episodes; acute rheumatic-fever; beta-hemolytic streptococci; erythromycin resistance; pyogenes bacteremia; shock-like syndrome</text>
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                <text>This report reviews 45 episodes of group A streptococcal bacteremia during 1980-1989 in a large hospital; 24 episodes occurred in the first 5 years of study (1980-1984) and 21 in the last 5 years (1985-1989). Four episodes were nosocomial. The remaining 41 episodes were community acquired, of these episodes, 12 occurred in patients who were transferred from nursing homes. There was a definite seasonal predominance (84%) during November-June. All but three patients had chronic underlying conditions. The major portals of entry were the skin and lungs, and the main types of infection were primary septicemia, cellulitis and soft-tissue infection, pneumonia, and infective endocarditis. The overall mortality rate was 24%; 20% of the deaths were due to infection. Factors that adversely influenced mortality were septic shock (P &lt; .02), &lt; 10,000/mm3 leukocytes (P &lt; .05); &lt; 80% segmented polymorphonuclear leukocytes and band forms (P &lt; .02). and hyperbilirubinemia (P &lt; .01). Neither prevalence nor severity of group A streptococcal bacteremia increased during the last 5 years of study.</text>
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                <text>&lt;a href="http://doi.org/10.1093/clinids/14.1.29" target="_blank" rel="noreferrer noopener"&gt;10.1093/clinids/14.1.29&lt;/a&gt;</text>
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