16 Invasive Group A Streptococcus

https://www.cdc.gov/groupastrep/

156 cases

34 deaths

94.9 % of cases were hospitalized

13.3 cases per 100,000 population


16.1 Epidemiologic Review

16.1.1 Disease Information

Overview: Group A streptococcus (GAS) is a bacterial infection caused by the bacterium Streptococcus pyogenes. The bacteria are usually found in the blood, cerebrospinal fluid (CSF) or body fluids.

Symptoms: Symptoms can vary but common types of invasive disease include bacteremia (infection in the blood), cellulitis (infection of the deep layers of the skin), pneumonia and meningitis (infection in the brain and spinal cord).

Transmission: Transmission occurs between people when a healthy person comes into contact with bodily fluids (blood, respiratory droplets, etc.) of an infected person.

Treatment: GAS is a serious disease that requires treatment with antibiotics as soon as possible.

Prevention There are no specific recommendations for prevention. Practicing good hygiene habits like washing your hands often can help avoid spreading infections. It is also important that people using needles to inject themselves are always using new, clean needles and not reusing or sharing needles.

16.1.2 Demographics


Rates for <1, 1-4, and 5-17 years of age are not displayed due low case counts.


Race Rate per 100k
American Indian or Alaska Native <5 cases
Asian <5 cases
Black or African American 22.8
Native Hawaiian or Other Pacific Islander <5 cases
Other Race 4.2
Two or More Races <5 cases
Unknown <5 cases
White 16


Rates for American Indian or Alaska Native, Asian, Native Hawaiian or Other Pacific Islander, Two or More Races, and Unknown Race are not displayed due low case counts.


Ethnicity Rate per 100k
Hispanic or Latino 5.4
Not Hispanic or Latino 14.9
Unknown <5 cases


Rates for Unknown Ethnicity are not displayed due to low case counts.

16.1.3 Outbreaks

No outbreaks were identified in 2022.

16.1.4 Monthly and Historical Comparisons



2022 had the the highest rate of Group A Streptoccocus in the previous 5 years.


Data for Utah and the CDC were retrieved from the CDC’s Notifiable Infectious Disease Data Tables and were available up until 2020. National data was not available for this disease in the time range at time of report.

16.2 Key Things to Know

  • Most commonly reported symptoms were fever, swelling of an extremity and nausea.
  • 38% of cases were admitted to the ICU, 27% of cases were given vasopressors, and 13% of cases were intubated. These are important indicators of infection severity.
  • 33% had a wound, 26% of cases were current smokers, 24% of cases were reported drug abuse, and 15% reported experiencing homelessness.
  • Common comorbidities among cases include hypertension (high blood pressure), chronic lung disease, diabetes, and cardiovascular (heart) disease.
  • 92% of cases presented with bacteremia (bacteria found in the blood when it should not be there).