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Kristin Ryker, MPH
ISDH Vaccine-Preventable Disease Epidemiologist
According to the Indiana Communicable Disease Rule (410 IAC 1-2.3-99), local health department (LHD) staff are responsible for the investigation of invasive Streptococcus pneumoniae cases in individuals aged 6 years and older. (Indiana State Department of Health [ISDH] Field Epidemiologists investigate invasive S. pneumoniae cases in those under age 6.) Investigations must be initiated within 72 hours of notification of the case and must include:
LHDs may be notified of invasive S. pneumoniae cases through several sources, including health care providers, infection control practitioners, laboratories, or the ISDH. Case investigations are not completed when S. pneumoniae is isolated from a non-sterile site (eye, wound, sputum, urine). Case investigations should be completed when S. pneumoniae is isolated from a typically sterile site, including blood, cerebral spinal fluid, peritoneal fluid, pericardial fluid, joint fluid, or fluid collected through tympanocentesis.
The Streptococcus Pneumoniae Case Investigation Form is available at http://www.in.gov/isdh/files/49218-Streptococcus.pdf.
Local health departments should fax completed investigation forms to the ISDH Epidemiology Resource Center at 317.234.2812 within 30 days of case notification.