# 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), Division: EENT-EAR: Ear mastoid

Extent: E+W+S+N.I.

Ear and mastoid infections must meet at least one of the following criteria:
Otitis externa must meet at least one of the following criteria:
Patient has pathogens cultured from purulent drainage from ear canal
Patient 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
and organisms seen on Gram's stain of purulent drainage
Otitis media must meet at least one of the following criteria:
Patient has organisms cultured from fluid from middle ear obtained by tympanocentesis or at surgical operation
Patient 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
Otitis interna must meet at least one of the following criteria:
Patient has organisms cultured from fluid from inner ear obtained at surgical operation
Patient has a physician diagnosis of inner ear infection
Mastoiditis must meet at least one of the following criteria:
Patient has organisms cultured from purulent drainage from mastoid
Patient 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
AND at least 1 of the following:
organisms seen on Gram's stain of purulent material from mastoid
positive antigen test on blood

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Source: https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/4/division/4.1/division/4.1.6/division/3 (the official version)
Page: https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.6/division-3
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.