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The TST is an intradermal test conducted in three stages: 1) Administration 2) Reading 3) Interpretation. All tests should be performed, measured and interpreted by a trained health care professional. A positive test should be confirmed by two people with experience in interpreting the TST.
A tuberculin skin test (also called a Mantoux tuberculin test) is done to see if you have ever been exposed to tuberculosis (TB). The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm.
The two-step TST To perform a two-step TST, administer and read the first TST. If the result is negative, repeat a second TST one to four weeks later (no sooner than one week and no later than four weeks later.) The result of the second TST is the true baseline.
The two-step TB skin test can lower the chance that a boosted reaction from an old TB infection will be misinterpreted as a recent infection. If the reaction to the first-step TB skin test is classified as negative, a second-step TB skin test is given one to three weeks after the first test is read.
A 2-Step TST is recommended for initial skin testing of adults who will be periodically retested, such as healthcare workers. A 2 step is defined as two TSTs done within 1month of each other.
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