Streptococcus Pyogenes (Group A Strep) Infections

01. Reporting Requirements. Each case of Streptococcus pyogenes (group A strep) infection that i s invasive or results in rheumatic fever or necrotizing fasciitis must be reported to the Department or Health Distric t within three (3) working days of identification. (3-17-22) 02. Investigation. Each reported case of Streptococcus pyogenes (group A strep) infection that i s invasive or results in rheumatic fever or necrotizing fasciitis must be investigated to confirm the diagnosis, t o determine if the infection is part of an outbreak, and to identify the source of the infection. (3-17-22) 03. Restrictions - Daycare Facility. An infected person must not attend or work in a daycare unti l twenty-four (24) hours has elapsed after treatment is initiated or until they are no longer infectious as determined by a physician, the Department, or Health District. (3-17-22) 04. Restrictions - Health Care Facility. An infected person must not work in a health care facility until twenty-four (24) hours has elapsed after treatment is initiated or until they are no longer infectious as determine d by a physician, the Department, or Health District. (3-17-22) 05. Restrictions - School. An infected person must not attend or work in a private, parochial, charter , or public school until twenty-four (24) hours has elapsed after treatment is initiated or until the patient is no longe r infectious as determined by a physician, the Department, or Health District. (3-17-22) 721. -- 729. (RESERVED)