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Mantoux Test (PPD)

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Fasting Required

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Purpose of the Test

To help determine whether or not you may have been exposed to and become infected by the Mycobacterium tuberculosis (TB) bacteria

When this test is required

TB skin tests are requested when the doctor wants to screen their patient for a latent TB infection. They may be done yearly in those that are part of a high-risk group – either because they have a disease that weakens their immune system or because they work or live around others in high risk groups. TB skin tests are not used as a general population screen, but may be performed prior to a person joining an at risk population, such as: going to college, or becoming a teacher or healthcare professional.Since TB is airborne and passed through respiratory secretions, TB skin tests may be requested when someone has been in close contact with a patient who has an active case of TB (although it is usually about 6 weeks after contact and initial infection before a positive result would emerge), or when you have been in a foreign country where TB may be more common.TB skin tests should not be done when a person has had a previous positive reaction as they are more likely to have a severe local reaction.

What the Test Detects

Tuberculosis (TB) is an infectious disease caused by a bacterium named Mycobacterium tuberculosis. It may affect many body organs, but primarily affects the lungs (pulmonary). Tuberculosis, (once called consumption), has been a common cause of death for thousands of years. TB may cause a latent or inactive infection or an active, progressive disease. About 90% of the people who become infected with TB manage to control its…Tuberculosis (TB) is an infectious disease caused by a bacterium named Mycobacterium tuberculosis. It may affect many body organs, but primarily affects the lungs (pulmonary). Tuberculosis, (once called consumption), has been a common cause of death for thousands of years. TB may cause a latent or inactive infection or an active, progressive disease. About 90% of the people who become infected with TB manage to control its growth and confine the TB to a few cells in the body. The bacteria in these cells are inactive but still alive. The patient is not sick, they do not have any symptoms, and they are not infectious, but they do have a “latent TB infection.” If the patient’s immune status is later compromised, the latent TB bacteria may begin to grow again, leading to an active case of tuberculosis disease. This active TB does cause illness in the patient and it can be passed to others through respiratory secretions such as sputum (spit or phlegm) or aerosols released by coughing, sneezing, laughing, or breathing.If the test is positive, further testing will be done to look for signs of active tuberculosis.  This could involve an X-ray. How is the sample collected for testing? No sample is required. The test is performed on the patient’s skin. A purified protein derivative (PPD) solution that contains TB antigens, but not live bacteria, is used to provoke a hypersensitivity skin reaction (a red raised bump) in those who may have been infected by TB.A healthcare professional will wipe your inner forearm with alcohol and let the skin dry. Using a syringe and a tiny needle, they will inject a small amount (0.1mL) of PPD solution just under the first layer of your skin. When done correctly, the injection forms a small bubble of fluid that looks like a blister. The site should be left uncovered and undisturbed; and perfumes and other cosmetics should not be applied. It will then need to be examined by a healthcare professional at 48 and/or 72 hours after the injection to see if a local skin reaction has occurred. Is any test preparation needed to ensure the quality of the sample? No test preparation is needed. See MoreSee Less

Preparation for the Test

None

Sample Requirements

No sample is required. A small amount of purified protein derivative (PPD) solution is injected just under the first layer of skin of your inner forearm.

Additional Notes

If you have had a positive TB skin test, usually you should not have another one done. A positive will remain positive and the skin reaction of any subsequent TB skin tests will likely become increasingly severe – to the point that they may require medical attention. Even a negative test may still result in moderate pain, itching, or redness. If the test is not done according to guidelines, however, it will need to be repeated.You may not respond to a TB skin test if you have had a recent viral infection or a “live” vaccine for conditions such as measles, mumps, chickenpox, influenza, or if you have overwhelming tuberculosis, another bacterial infection, or are taking immune suppressive drugs such as corticosteroids.