Section 410IAC1-2.5-99. Gonorrhea; specific control measures

   The specific control measures for gonorrhea (infectious agent: Neisseria gonorrhoeae) are as follows:

(1) An investigation by the local health officer shall be:

(A) performed within seventy-two (72) hours; and

(B) focused on identifying sexual partners who were at risk for transmitting to, or contracting the infection from, the case.

Case and contacts shall be fully evaluated and treated as recommended in the Update to CDC's Sexually Transmitted Diseases Treatment Guidelines, 2010: Oral Cephalosporins No Longer a Recommended Treatment for Gonococcal Infections, 2012, Morbidity and Mortality Weekly Report; August 10, 2012; Vol. 61; No. 31. Expedited partner therapy is allowed for the treatment of sex partners for gonorrhea (http://www.in.gov/isdh/files/EPT_Guidance_Document.pdf).

(2) Standard precautions shall be instituted for hospitalized individuals. Infected persons shall not engage in sexual activities involving the exchange of body fluids until:

(A) therapy is completed; and

(B) they no longer have symptoms.

Treated persons shall also refrain from sexual activities involving the exchange of body fluids with untreated previous sexual partners to avoid reinfection. Cases should be examined serologically for syphilis.

(3) Concurrent disinfection is required for articles contaminated with discharges.

(4) Quarantine is not required.

(5) Immunization is not available.

(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 State Department of Health; 410 IAC 1-2.5-99; filed Nov 25, 2015, 2:54 p.m.: 20151223-IR-410150039FRA)