Invasive Group A Streptococcal Infections Admitted to the Children's Hospital at Westmead—July 2018 to June 2023

This study observed an initial decline in iGAS cases during pandemic restrictions, followed by a resurgence post-pandemic with no concurrent increase in severity. Viral coinfections were frequent, which may complicate clinical assessment, emphasising the need for heightened vigilance. The acute severity of iGAS highlights the importance of early recognition and management.