1. Invasive Pneumococcal Disease (IPD)-2010
Veerinder (Vinny) Taneja
PHIN Coordinator
CEDS
TN-DOH

2. Background
List of Nationally Notifiable Infectious Disease Conditions is updated periodically
Additions/Deletions
Emerging Pathogens or decreasing incidence
State-CDC-CSTE collaboration
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.
-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 IPD
All 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 discontinued
Streptococcus pneumoniae, drug resistant, invasive (DRSP)
Streptococcus pneumoniae, invasive

4. Changes to NBS
NBS was recently upgraded to version on 03/19/2010
All 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 definition
Confirmed: Isolation of Streptococcus pneumoniae from a normally sterile body site in a person of any age.
Disease manual update and updated reportable conditions list
Provider education about reporting IPD and antibiotic testing results

6. NBS data entry changes
Leave all previously entered 2010 cases as is (MAKE NO CHANGES)
Enter all new cases of Invasive Pneumococcal Disease as
Streptococcus 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: 
ceftriaxone
erythromycin or clindamycin
levofloxacin
penicillin
tetracycline
meropenem
DRSP is defined as resistance to one or more of the antibiotics commonly used to treat Strep Pneumo.

9. Data Analysis
For years 2009 and prior the two old conditions will be used
For 2010 all three conditions will be used
For 2011 the new IPD condition will be used
Stratify by resistant and sensitive

10. References National Notifiable Diseases Surveillance System
CSTE Position Statement Number:
09-ID-06