{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.6/division-3",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.6/division-3.json",
  "legislation": "eudn/2018/945",
  "legislation_title": "Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-decision-2018-945",
  "path": "annex/II/division/4/division/4.1/division/4.1.6/division/3",
  "kind": "division",
  "number": null,
  "heading": "EENT-EAR: Ear mastoid",
  "text": "Ear and mastoid infections must meet at least one of the following criteria:\nOtitis externa must meet at least one of the following criteria:\nPatient has pathogens cultured from purulent drainage from ear canal\nPatient has at least one of the following signs or symptoms with no other recognized cause: fever (> 38 °C), pain, redness, or drainage from ear canal\nand organisms seen on Gram's stain of purulent drainage\nOtitis media must meet at least one of the following criteria:\nPatient has organisms cultured from fluid from middle ear obtained by tympanocentesis or at surgical operation\nPatient has at least two of the following signs or symptoms with no other recognized cause: fever (> 38 °C), pain in the eardrum, inflammation, retraction or decreased mobility of eardrum, or fluid behind eardrum\nOtitis interna must meet at least one of the following criteria:\nPatient has organisms cultured from fluid from inner ear obtained at surgical operation\nPatient has a physician diagnosis of inner ear infection\nMastoiditis must meet at least one of the following criteria:\nPatient has organisms cultured from purulent drainage from mastoid\nPatient has at least two of the following signs or symptoms with no other recognized cause: fever (> 38 °C), pain, tenderness, erythema, headache, or facial paralysis\nAND at least 1 of the following:\norganisms seen on Gram's stain of purulent material from mastoid\npositive antigen test on blood",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/4/division/4.1/division/4.1.6/division/3",
    "retrieved_at": "2026-11-01T15:13:03.598650+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}