Tuberculosis

Healthcare Employee TB Testing

All healthcare facilities should have policies and procedures in place to address TB screening for their employees based upon current CDC guidelines. The most recent guidelines can be found at https://www.cdc.gov/nchhstp/newsroom/2019/recommendations-for-tb-screening.html

CDC guidelines recommend a yearly facility risk assessment to classify facilities into low, medium, or potential on-going risk for TB exposure. Healthcare workers should be screened and tested based on the risk of encountering TB in their work environment. The Wyoming Department of Health created the Wyoming Department of Health TB Facility Risk Assessment that can be used along with the CDC guidelines. After creating a TB infection control plan, this tool can be used yearly to ascertain the risk of TB exposure. Low risk facilities do not need to perform yearly TB skin tests on their employees.

Wyoming and national TB rates are needed to complete a facility risk assessment. Those can be found on the Statistics button on this page. The state TB manual has a short section about TB infection control in healthcare settings which may be helpful (link to TB manual is below, page 58). If you have further questions about healthcare facilities and TB testing, please contact Sarah Hendricks at (307) 777-6563 or sarah.hendricks@wyo.gov.

Tuberculosis (TB) Forms and Documents

Completion of Active Treatment Letter

Completion of TB Infection (LTBI) Treatment Letter

Contact Investigation Report

Contact Investigation Summary

Directly Observed Therapy (DOT) Agreement – Active Tuberculosis Disease

Directly Observed Therapy (DOT) Agreement – Latent Tuberculosis Infection (LTBI) 

DOT  Treatment Record

Facility Risk Assessment

Formulary

Home Evaluation Form

Home Isolation Agreement

Interjurisdictional TB Notification Form

Monthly Clinical and Medication Monitoring

Patient Medication List

Prior Authorization Request Form

Patient Education – ACTIVE

Patient Education – LATENT

Patient Assistance Guidance

Patient TB Risk Assessment

TB Skin Test Not Indicated – Letter

TB Infection Treatment Record

TB Supply Order Form

Use & Disclosure Authorization

Targeted Tuberculosis (TB) Screening Guidelines

Evaluación de riesgo di tuberculosis del paciente (Patient TB Risk Assessment)

Acuerdo de terapia observada directamente (Active TB DOT Agreement)

Acuerdo de aislamiento en el hogar (Home Isolation Agreement)

Tratamiento de la infección con tuberculosis (TB Infection Patient Education Form)

Tratamiento de la enfermedad de tuberculosis (TB Disease Patient Education Form)

Acuerdo de terapia de observación directa Infección tuberculosa latente (Latent TB DPT Agreement)

Confirmación de cumplimiento con el tratamiento (2021 LTBI Treatment Completion Confirmation Memo)

TUBERCULOSIS STATISTICS IN WYOMING 

can now be found on the CDU Webpage under Surveillance Program and Statistics at https://health.wyo.gov/publichealth/communicable-disease-unit/hivaids-surveillance-program/

WDH TB Manual

Sputum Collection – Instructional Video 2
      https://www.youtube.com/watch?v=Vs9DWzuvXUc