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.

Page last updated: 29 October 2008

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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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