Better health and ageing for all Australians

Australian national notifiable diseases case definitions

Tularaemia

This document contains the case definitions for tularemia which is nationally notifiable within Australia. This definition should be used to determine whether a case should be notified.

Communicable Diseases Surveillance

Print friendly version of Surveillance case definition for tularaemia (PDF 13 KB)

Surveillance case definition


Version
Status
 Last reviewed Implementation Date
1.1
  • Change ‘rods’ to ‘bacilli’.
  • ‘Laboratory Suggestive Evidence’ includes the following:
  • Immunofluorescence and Immunohistochemistry techniques.
14 August 2008
29 October 2008
1.0 Initial CDNA case definition 2004 2004

Reporting

Both confirmed cases AND probable cases should be notified.

Confirmed case

A confirmed case requires Laboratory definitive evidence only.

Laboratory definitive evidence

Isolation of Francisella tularensis.

Probable case

A probable case requires Laboratory suggestive evidence AND clinical evidence.

Laboratory suggestive evidence

1. Isolation of a Gram-negative bacilli suggestive of F. tularensis where the organism identity and pathogenicity have not yet been confirmed by a reference laboratory

OR

2. Detection of F. tularensis by nucleic acid testing

OR

3. Detection of Gram-negative bacilli suggestive of F. tularensis, confirmed by a reference laboratory

    OR
4. Detection of F. tularensis by direct immunofluorescence antigen detection testing
    OR
5. Detection of F. tularensis by immunohistochemical stains

Clinical evidence

A clinically compatible illness.


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