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Irish Mirror
Irish Mirror
National
Sophie Collins

Early signs of Strep A as family speak out about little girl who died of the illness due to late diagnosis

A family in Cork spoke out this week about their daughter who died of invasive Group A Strep infection four years ago.

They have claimed their little girl, Vivienne, would still be alive if doctors had spotted the signs of the potentially fatal condition sooner.

Now, Lilly and Dermot Murphy are calling for greater awareness of the dangers of Strep A, and what to look out for as parents and guardians.

READ MORE: When should I take my child to A&E with Strep A? Irish pharmacist's crucial advice to parents

In light of this tragic story, we have listed all the information you need to know, according to the Health Protection Surveillance Centre - which published this advice in December 2022 amid a rise in the number of children dying from the bacterial illness.

What is Strep A?

"Group A streptococcus (GAS) is a common bacteria. Lots of us carry it in our throats and on our skin and it doesn’t always result in illness. However, GAS does cause a number of infections, some mild and some more serious.

"GAS causes infections in the skin, soft tissue and respiratory tract. It’s responsible for infections such as tonsillitis, pharyngitis, scarlet fever, impetigo and cellulitis among others.

"The most serious infection caused by GAS occurs when it becomes invasive (invasive group A strep). This can happen when a person has sores or open wounds that allow the bacteria to get into the tissue, damage in their respiratory tract after a viral illness, or in a person who has a health condition that reduces their immunity to infection.

"When the immune system is compromised, a person is more vulnerable to invasive disease. This is called invasive Group A Strep (iGAS) and in rare cases it can be fatal.

"Whilst GAS infections are still uncommon, there has been a small increase in cases this year reported in the UK, particularly in children under 10 and sadly, a small number of deaths."

Most common symptoms

"GAS infections cause various symptoms such as sore throat, fever, chills and muscle aches.

"As a parent, if you feel that your child is seriously unwell, you should trust your own judgement."

Contact your GP if:

  • Your child is getting worse

  • Your child is feeding or eating much less than normal

  • Your child has had a dry nappy for 12 hours or more or shows other signs of dehydration

  • Your baby is under three months and has a temperature of 38C, or is older than three months and has a temperature of 39C or higher

  • Your baby feels hotter than usual when you touch their back or chest, or feels sweaty

  • Your child is very tired or irritable

Call 999 or go to an Emergency Department if:

  • Your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
  • There are pauses when your child breathes

  • Your child’s skin, tongue or lips are blue

  • Your child is floppy and will not wake up or stay awake

Can adults contract Strep A?

"Yes, adults can get it. However, the most serious infection caused by GAS occurs when it becomes invasive (invasive group A strep).

"iGAS infections are most common in the elderly, the very young, or people with an underlying risk factor."

How does it spread?

"GAS is spread by close contact with an infected person and can be passed on through coughs and sneezes or from a wound.

"Some people can have the bacteria present in their body without feeling unwell or showing any symptoms of infections and while they can pass it on, the risk of spread is much greater when a person is unwell."

How to protect yourself

"Good hand and respiratory hygiene are important for stopping the spread of many bugs.

"By teaching your child how to wash their hands properly with soap and warm water for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up, or spreading infection."

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