Cowlitz County

Tuberculosis Screening

Healthcare worker wearing blue scrubs, glasses and a yellow stethoscope holding a clipboard and smiling at the camera

Consider testing Person traveling in TB endemic areas. Migrant workers. Person experiencing homelessness. Contact to a tuberculosis case. Foreign-born person from tuberculosis-endemic area. Person who injects drugs. Immunosupressed person (e.g., HIV positive or organ transplant). Resident/employee of healthcare, correctional or long-term care facility. Person with chronic medical problem (e.g., diabetes, end stage renal disease). Test Tuberculosis Screening

Health Advisory: Syphilis Increase and Prevention of Congenital Syphilis

Graph showing the rate of primary and secondary syphilis per 100,000 persons in Washington state between 1995-2016. Shows increasing trend between 2013-2016. Call 253-798-6410 for a further explanation of the data.

Requested Actions Test all pregnant women for syphilis at the first prenatal encounter. Repeat syphilis testing during the third trimester among women at risk for STD (e.g., recent history of bacterial STD, multiple partners, homelessness; methamphetamine, opioid, or cocaine use; exchanging sex for money, drugs, etc.; having a sex partner who is a man who Health Advisory: Syphilis Increase and Prevention of Congenital Syphilis

Hepatitis B Immunization and Healthcare Workers

Team of healthcare workers stand at a table writing with pens

Healthcare Worker Immunization Pre-exposure evaluation for healthcare personnel previously vaccinated with complete, ≥ three dose hepatitis B vaccine series who have not had post-vaccination serologic testing* Source: CDC—MMWR December 20, 2013. * Should be performed one to two months after the last dose of vaccine using a quantitative method that allows detection of the protective Hepatitis B Immunization and Healthcare Workers

Latent Tuberculosis Infection Treatment Guidelines

Doctor holding clipboard talking to his patient

High-Priority Candidates for Latent Treatment Infection (LTBI) Treatment Positive QuantiFERON-TB Gold (QFT) (>0.35 IU) Tuberculosis Skin Test (TST) ≥5 mm HIV-positive people. Recent contacts of person with infectious tuberculosis (TB). People with fibrotic changes on chest x-ray (CXR) suggestive of previous TB; or inadequate treatment. People with organ transplants or immunosuppression therapy. TST ≥10 mm Latent Tuberculosis Infection Treatment Guidelines

Infection Control Guidelines

Minimalist medical treatment room with all white walls

Standard Precaution When to Use Standard Precautions During all patient encounters—prevents the spread of bloodborne pathogens such as HIV, Hepatitis B and Hepatitis C. Reason to Use Standard Precautions Protects the healthcare worker from patient’s potentially contaminated body fluids and prevents the spread of disease to others. Components of Standard Precautions Wash hands before and Infection Control Guidelines

Controlling Norovirus

Person wearing rubber gloves cleans a sink with a spray bottle and a cloth

You may hear norovirus called “the stomach flu.” Some viral illnesses that cause vomiting and diarrhea are caused by norovirus. You can become infected with norovirus many times in your life. Norovirus Is very contagious. Norovirus can spread quickly in places like daycare centers, nursing homes, schools, restaurants and cruise ships. Causes diarrhea and vomiting, Controlling Norovirus

Tdap and Pregnancy

Pregnant woman sitting in a field of flowers and sunshine holds her belly and smiles at it.She's wearing a teal dress and a multi-colored scarf.

Pertussis is a serious disease for young infants. Pertussis epidemics occur in the United States every three to five years. Even though we have a vaccine, pertussis is a common infectious disease. There are 10,000 to 40,000 cases and 10 to 20 deaths per year.[1] Pertussis is most serious in infants younger than six months. Tdap and Pregnancy

Chlamydia Diagnosis Follow-up

Hands taking a paper from a printer

Provider Checklist Patient treatment for chlamydia is not complete without partner treatment. After receiving a positive chlamydia result, check the following steps to help stop the spread of chlamydia and to protect your patient from reinfection: Provide patient education on essential points: Take medications as prescribed. Do not have sex for seven days after treatment, Chlamydia Diagnosis Follow-up

Environmental Cleaning

Clear water in a stainless steel sink

Quick Reference: Environmental Cleaning How to clean equipment and surfaces, when to clean, what to use Visibly Soiled surfaces: Scrub the surface with a cleaner/detergent or a disinfectant that contains a cleaner/detergent. Wear gloves! May need to rinse (check label). Will NOT need to rinse if using a wipe that contains both a detergent and Environmental Cleaning

Bloodborne Pathogens

Close up of a blood drop on the end of a needle, which is attached to a syringe. The syringe is sitting on a hard grey surface.

Post Exposure Prophylaxis and Training Resources National Clinicians’ Post-Exposure Prophylaxis (PEPline) Hotline (888) HIV-4911 Exposure to bloodborne pathogens can present serious risks to healthcare providers. Prompt post-exposure treatment for HIV and hepatitis B virus can be effective, but because each exposure case is unique, determining who should receive prophylaxis and which drugs are most appropriate Bloodborne Pathogens