Authority: IC 16-19-3-4; IC 16-41-2-1

Affected: IC 16-41-2; IC 16-41-9

Sec. 134. The specific control measures for Streptococcus pneumoniae, invasive disease, are as follows:

1. (1) An investigation of cases and the source of infection shall be as follows:

   1. (A) An investigation by a department field representative, in collaboration with the local health officer, shall:

      1. (i) be performed within seventy-two (72) hours for cases less than five (5) years of age; and

      2. (ii) include:

         1. (AA) a complete pneumococcal vaccine immunization history;
         2. (BB) drug resistance pattern of isolate; and
         3. (CC) a history of chronic underlying medical conditions, asplenia, or immunosuppression.

   2. (B) An investigation by a local health officer shall:

      1. (i) be performed within seventy-two (72) hours for all other cases; and

      2. (ii) include:

         1. (AA) a complete pneumococcal vaccine immunization history;
         2. (BB) drug resistance pattern of isolate; and
         3. (CC) a history of chronic underlying medical conditions, asplenia, or immunosuppression.
2. (2) For hospitalized patients, standard precautions are required.

3. (3) Disinfect:

   1. (A) purulent discharges; and
   2. (B) articles soiled by purulent discharges.
4. (4) Quarantine is not applicable.
5. (5) Immunization of contacts is not required. Protection of contacts is not applicable.
6. (6) The Centers for Disease Control and Prevention and the Council of State and Territorial Epidemiologists set the standard clinical and laboratory case definition.

(Indiana Department of Health; 410 IAC 1-2.5-134; filed Nov 25, 2015, 2:54 p.m.: 20151223-IR-410150039FRA; readopted filed Nov 12, 2021, 8:41 a.m.: 20211208-IR-410210385RFA; readopted filed Nov 14, 2025, 11:18 a.m.: 20251210-IR-410240588RFA)