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  1. Results. * It is very unlikely that a side effect to the test will occur. If such an event does happen, the most common reaction is pain or redness at the test site. In very rare cases, a person who is hypersensitive to the solution could have a severe allergic reaction near the injection site.

  2. To determine if a skin test should be administered, conduct a risk assessment for each patient that takes into consideration recent exposure to TB disease, clinical conditions that increase the risk for TB disease if infected, and the program’s capacity to deliver treatment for latent TB infection. Locate and clean injection site.

  3. Mantoux Skin Testing for Tuberculosis. 2-Step Mantoux Skin Test. Step 1: Do an initial tuberculin skin test (Mantoux, 5 TU PPD). Read results 48-72 hours later. Step 2: If the results from Step 1 is 0-9mm of induration: Do a second tuberculin skin test in the other arm 7 to 21 days after Step 1.

  4. TUBERCULIN SKIN TEST FORM (also called TB or PPD) TO BE FILLED OUT BY THE STUDENT. TO BE FILLED OUT BY THE HEALTHCARE PROVIDER. *Please note that a positive result requires a chest x-ray.

  5. The TUBERCULOSIS SKIN TEST is a way of identifying TB infection. You cannot get TB from the skin test. Health care workers are required to be screened regularly for TB. SIDE EFFECTS: If you have been exposed to TB in the past, swelling and redness may develop at the site of the test.

  6. For previous POSITIVE Tuberculin Skin Test, complete the section at the bottom of page. ... TWO STEP TUBERCULIN SKIN TEST FORM ... Date of X-ray: X-ray results: TB Screening Form – Please indicate if you have any of the following symptoms: Yes No Chronic Cough Yes No Unexplained weight loss Yes No Production of sputum Yes No Unexplained ...

  7. Microsoft Word - TB-skin-test-2016.docx. Office of Practice and Professional Graduate Program. PHONE: 734‐763‐7304. EMAIL: UMSN‐GraduateClinicalPlacement@med.umich.edu.

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