Appendix B: Provincial Case Definitions for Reportable ...
Ministry of Health and Long-Term Care Infectious Diseases Protocol Appendix B: Provincial case Definitions for Reportable Diseases Disease: group A streptococcal Disease, invasive (iGAS) Revised March 2017 Health and Long-Term Care group A streptococcal Disease, invasive (iGAS) Provincial Reporting Confirmed cases of disease Type of Surveillance case -by- case case Classification Confirmed case Isolation of group A Streptococcus (Streptococcus pyogenes) or DNA detection by nucleic acid amplification test (NAAT) from a normally sterile site ( , blood, cerebrospinal fluid, joint, pleural, pericardial fluid) with or without evidence of clinical severity, OR Isolation of group A Str eptococcus from a non-sterile site ( , skin) with evidence of severity. Laboratory Evidence Laboratory Confirmation Any of the following will constitute a confirmed case of invasive group A streptococcal (iGAS) Disease: Positive group A Streptococcus culture from a normally sterile site ( , blood, cerebrospinal fluid, joint, pleural, pericardial fluid); Positive group A Streptococcus culture from a non-sterile site ( , skin) with evidence of severity (refer to section below).
Health and Long-Term Care . Group A Streptococcal Disease, invasive (iGAS) 1.0 Provincial Reporting . Confirmed cases of disease . 2.0 Type of Surveillance
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