Streptococcus pneumoniae
Invasive Disease

Wisconsin Division of Public Health Disease Surveillance Manual (EpiNet, February 2005)

I. IDENTIFICATION

A. CLINICAL DESCRIPTION: Invasive Streptococcus pneumoniae infections cause many clinical syndromes, depending on the site of infection including pneumonia, bacteremia and meningitis.

B. REPORTING CRITERIA: Laboratory confirmation.

C. LABORATORY CRITERIA FOR CONFIRMATION:

• Isolation of Streptococcus pneumoniae by culture from a normally sterile site (e.g., blood, cerebrospinal fluid, or less commonly joint, pleural or pericardial fluid).

 D. WISCONSIN CASE DEFINITION: A case that is laboratory confirmed.

II. ACTIONS REQUIRED / PREVENTION MEASURES

A. WISCONSIN DISEASE SURVEILLANCE CATEGORY II: REPORT TO THE LOCAL HEALTH OFFICER within 72 hours of identification of a case or suspected case.

B. EPIDEMIOLOGY REPORTS REQUESTED

• Acute and Communicable Disease Case Report (DPH 4151)
• Vaccine and Serogroup Worksheet

C. PUBLIC HEALTH INTERVENTIONS:

• Immediate treatment is recommended.
• Notifiable at national level.
• Vaccine history is required in children under 5 years by the Centers for Disease Control and Prevention (CDC) for vaccine efficacy surveillance programs.

III. CONTACTS FOR CONSULTATION  

A. BCDP / COMMUNICABLE DISEASE EPIDEMIOLOGY SECTION: (608) 261-6955.

B. REGIONAL STAFF: See Epinet Introduction: “REGIONAL OFFICE CONTACTS”.

C. WSLH / BACTERIOLOGY: (608) 263-3421.

IV. RELATED REFERENCES

1. "Streptococcal pneumoniae – Invasive” DPH Disease Fact Sheet Series: View a list of all current Communicable Disease Fact Sheets

2. Heymann DL, ed. PNEUMOCOCCAL PNEUMONIA. In: Control of Communicable Diseases Manual. 18 th ed. Washington , DC : American Public Health Association, 2004:413-417.

3. Pickering LK, ed. Pneumococal Infections. In: Red Book: 2003 Report of the Committee on Infectious Diseases. 26 th ed. Elk Grove Village , IL : American Academy of Pediatrics, 2003:490-500.

 

V. DISEASE TRENDS