Get the free Tuberculosis (tb) Skin Test Form

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This form is to be completed by a Healthcare Professional only. It captures information related to the administration and results of a tuberculosis skin test, including necessary details about the applicant and their healthcare provider.

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What is tuberculosis tb skin test?

The tuberculosis (TB) skin test, also known as the Mantoux test, is a diagnostic tool used to determine if a person has been exposed to the TB bacteria. A small amount of purified protein derivative (PPD) is injected under the skin, and the reaction is measured after 48 to 72 hours.

Who is required to file tuberculosis tb skin test?

Individuals who are at higher risk for tuberculosis exposure, such as healthcare workers, individuals with certain medical conditions, or those who have had recent contact with a TB patient, may be required to undergo the TB skin test.

How to fill out tuberculosis tb skin test?

To fill out the tuberculosis TB skin test, a healthcare provider will record the date of injection, the site of the injection, and the size of the induration (swelling) in millimeters at the designated time after the test.

What is the purpose of tuberculosis tb skin test?

The purpose of the tuberculosis TB skin test is to detect latent TB infection in individuals who may not show symptoms but can still carry and spread the TB bacteria.

What information must be reported on tuberculosis tb skin test?

The information that must be reported on the tuberculosis TB skin test includes the date of the test, the person who administered it, the size of the induration, and any relevant medical history that may affect the interpretation of the results.

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