Tuberculin Skin Test Record Form 2025

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The skin test involves receiving a small injection in your forearm and measuring the small bump, or induration, that appears after 48 to 72 hours. Depending on the size of the induration and your risk of TB exposure, the doctor will determine whether you tested positive or negative for TB.
Keep a record of your positive test result This includes even after you finish taking all of your TB medicine for inactive TB or active TB disease. Ask your health care provider for a written record of your positive TB skin test result.
The TB skin test is a test used to determine if a person is infected with TB bacteria. In this test, a standardized solution made with purified protein derivative (PPD), which is derived from tuberculin, is injected under the skin.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document 0 mm) Interpretation of reading (i.e., positive or negative, based on individuals risk factors)
The results should be read between 48 and 72 hours after administration. A patient who does not return within 72 hours will probably need to be rescheduled for another TST. Visually inspect injection site under good light, and measure induration (thickening of the skin), not erythema (reddening of the skin).
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Ask your health care provider for a written record of your positive TB skin test result.
There are two tests that are used to determine if a person has been infected with TB bacteria: TB blood tests (Interferon Gamma Release Assay [IGRA]) and the TB skin test (Mantoux tuberculin skin test).
Positive TB test Tests that diagnose active TB infections include chest X-rays and laboratory tests on a sputum sample. Sputum is the thick mucus that you cough up from your lungs. Its different from spit or saliva. Youll need treatment for TB, whether its latent or active.

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