2 BackgroundList of Nationally Notifiable Infectious Disease Conditions is updated periodicallyAdditions/DeletionsEmerging Pathogens or decreasing incidenceState-CDC-CSTE collaborationFor example, a disease may be added to the list as a new pathogen emerges, or a disease may be deleted as its incidence declines.Public health officials at state health departments and CDC continue to collaborate in determining which diseases should be nationally notifiable; CSTE, with input from CDC, makes recommendations annually for additions and deletions to the list of nationally notifiable diseases.-For example, a disease may be added to the list as a new pathogen emerges, or a disease may be deleted as its incidence declines.-Public health officials at state health departments and CDC continue to collaborate in determining which diseases should be nationally notifiable; CSTE, with input from CDC, makes recommendations annually for additions and deletions to the list of nationally notifiable diseases.
3 2010 Changes for IPDAll cases of invasive pneumococcal disease should be reported using a SINGLE condition:Streptococcus pneumoniae, invasive disease (IPD) (all ages)The classification of invasive pneumococcal disease cases into two separate conditions should be discontinuedStreptococcus pneumoniae, drug resistant, invasive (DRSP)Streptococcus pneumoniae, invasive
4 Changes to NBSNBS was recently upgraded to version on 03/19/2010All 3 conditions are now available in NBS under the Select Condition drop down
5 Changes to NBS- IPD 2 of the old conditions will soon be disabled Changes to case definitionConfirmed: Isolation of Streptococcus pneumoniae from a normally sterile body site in a person of any age.Disease manual update and updated reportable conditions listProvider education about reporting IPD and antibiotic testing results
6 NBS data entry changesLeave all previously entered 2010 cases as is (MAKE NO CHANGES)Enter all new cases of Invasive Pneumococcal Disease asStreptococcus Pneumoniae, Invasive Disease (IPD)Enter Antimicrobial Resistance Testing Results
7 Antimicrobial Resistance Testing Results !!!!!!!!!NEED TO DISCUSS DETAILS OF WHAT IS EXPECTED!!!!!
8 Recommended Antibiotic Results The antibiograms for S. pneumo are recommended to include the following: ceftriaxoneerythromycin or clindamycinlevofloxacinpenicillintetracyclinemeropenemDRSP is defined as resistance to one or more of the antibiotics commonly used to treat Strep Pneumo.
9 Data AnalysisFor years 2009 and prior the two old conditions will be usedFor 2010 all three conditions will be usedFor 2011 the new IPD condition will be usedStratify by resistant and sensitive
10 References National Notifiable Diseases Surveillance System CSTE Position Statement Number:09-ID-06
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