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Public Health Services www.hamilton.ca/TBResources Phone: 9055462063 Fax: 9055464078POSITIVE TB SKIN TEST (ST) / IRA REPORTING FORM (March 2019)Patients Last NameFirst Name Date of Birth: (dd/MMM/YYY)Address/City/Postal

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How to fill out positive mantoux skin test

01

Step 1: Clean the injection site with an alcohol swab.

02

Step 2: Using a tuberculin syringe, draw up 0.1 mL of purified protein derivative (PPD) solution.

03

Step 3: Inject the PPD solution intradermally, at a 15-degree angle, into the volar surface of the forearm.

04

Step 4: Gently massage the injection site to disperse the PPD solution.

05

Step 5: Use a pen to mark the injection site for future reference.

06

Step 6: Advise the patient to avoid scratching or covering the injection site.

07

Step 7: Instruct the patient to return for a reading of the test 48 to 72 hours after the injection.

08

Step 8: Interpret the test results based on the size of the raised wheal or induration at the injection site.

Who needs positive mantoux skin test?

01

Individuals who have been exposed to tuberculosis or at higher risk of TB infection may need a positive Mantoux skin test.

02

This includes healthcare workers, individuals living or working in congregate settings (such as homeless shelters or correctional facilities), close contacts of TB patients, and those with weakened immune systems.

03

The test may also be required for immigration purposes or before starting certain medications (such as biologic therapies).

04

Consult a healthcare professional for a comprehensive assessment of who needs a positive Mantoux skin test.

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What is a positive Mantoux skin test?

A positive Mantoux skin test indicates that a person has been exposed to the tuberculosis (TB) bacteria. It is determined by the size of the induration at the test site after 48 to 72 hours and suggests a latent TB infection.

Who is required to file a positive Mantoux skin test?

Individuals working in healthcare settings, caretakers, or those who are at an increased risk of TB exposure or reactivation are typically required to file a positive Mantoux skin test.

How to fill out a positive Mantoux skin test?

Filling out a positive Mantoux skin test involves documenting the date of administration, the date of reading, the size of the induration in millimeters, as well as the healthcare provider's name and signature.

What is the purpose of a positive Mantoux skin test?

The purpose of a positive Mantoux skin test is to screen for latent TB infections, which can later develop into active TB. It helps in the identification and treatment of individuals who may need preventive therapy.

What information must be reported on a positive Mantoux skin test?

Information that must be reported includes the patient's name, date of birth, test date, reading date, the size of the induration measured in millimeters, the interpretation (positive or negative), and the administering healthcare provider's details.

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