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TB (Tuberculosis)
Skin Test
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What is the test?
Tuberculosis is a bacterial
infection that most often involves the lungs, but can involve
many other organs. Although antibiotics can treat most cases,
TB remains one of the most common causes of death worldwide.
The TB skin test, also called the purified protein derivative
(PPD) test or Mantoux test, shows if you've ever been infected
with the bacteria that cause tuberculosis. Infections with these
bacteria can be active or inactive. In active infections, the
bacteria are reproducing rapidly, and the person is contagious
when he or she coughs. In people with inactive infections, the
bacteria are alive deep within the lungs, but "asleep." Because
inactive infections can later "wake up" and become active, it
is important to recognize and treat both types of TB infections.
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How do I prepare
for the test?
Because vaccinations
and steroids can affect the results of the test, tell your doctor
if you've recently been vaccinated for an infectious disease
or if you're taking a steroid medication.
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What happens
when the test is performed?
A doctor injects a small
amount of liquid containing protein extracted from killed TB
bacteria just under the surface of the skin of your forearm,
through a tiny needle. You might feel a slight pinch from the
injection, and see a small swollen area form where the liquid
has been injected. The doctor often draws a circle around the
injection spot and asks you to avoid washing it away. Then, 48-72
hours later, you return to have the injection area examined.
If the skin is firm and raised where the injection was given,
the doctor measures the size of the affected area. The larger
it is, the greater the likelihood that you have been infected
with the TB bacteria at some time in the past, and that you have
a current infection. The test cannot distinguish between an inactive
and active infection.
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What risks are
there from the test?
There are no risks.
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Must
I do anything special after the test is over?
Remember to return to have
the injection site examined.
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How
long is it before the result of the test is known?
The result is known
two to three days later when the skin is examined. If the test
is positive, your doctor may do blood or urine tests and x-rays
of the chest and possibly other parts of the body to look for
evidence of an active infection. If you do not have an active
infection, your doctor might prescribe an antibiotic given over
several months, to help prevent you from developing active tuberculosis.
If you do have an active infection, a much more intensive treatment
involving multiple antibiotics is required.
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