Hi Katie,

I just encountered a situation last month where an autopsy identified necrotizing granuloma and we had a similar request. I asked if they followed published biosaftey recommendations for proper PPE during autopsies, and they said they do. If that is the case with your coroner, they are protected if procedures generate small aerosolized particles, as the recommendations include N-95 or PAPR. (There isn’t anything special the coroner should do for TB.) That said, WHO published guidance in 2014 -  Infection Prevention and Control of Epidemic- and Pandemic-Prone Acute Respiratory Infections in Health Care, that addresses PPE during autopsy (appendix F). Given the emergence of the SARS-like virus in China it may be helpful to have a refresher for PPE requirements and infection control practices, generally. If you want to talk, please feel free to give me a call at the number below. I am usually in the office until 4:30 EST.

Maureen Murphy-Weiss, BSN, RN

Program Manager II RN

Ben Franklin TB Program

(614) 645-6518

mamurphy-weiss@columbus.gov

Columbus Public Health
240 Parsons Ave, Columbus, OH 43215 
www.publichealth.columbus.gov  

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Hi TB Nurses,

Has anyone completed training for their Coroner on TB?  Our Coroner is looking for training when TB is suspected, confirmed, or not on the differential.  We spoke with our lab but they didn’t have any special information related to postmortem sample collection. 

Thank you for any ideas!

Katie

Katie Kelsch BSN, RN, PHN

Senior Public Health Nurse

Infectious Disease

Community Health Branch (Courier #16CH)

Yolo County Health & Human Services Agency

Email: katie.kelsch@yolocounty.org

Phone: (530) 666-8339

Mobile: (530) 908-5739

Fax: (530) 669-1549 (Confidential)

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