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The two-step PPD test is used to detect individuals with past TB infection who now have diminished skin test reactivity. This procedure reduces the likelihood that a boosted reaction is later interpreted as a new infection.
In summary, 2-step PPD testing requires 2 PPD's to be placed, 1-3 weeks apart, with each of those tests read 48-72 hours after placement.
A 2 step is defined as two TST's done within 1month of each other. 2. What is the procedure for 2-step TB skin test? Both step 1 and step 2 of the 2 step TB skin test must be completed within 28 days.
The 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 TST's done within 3 months of each other. The optimal time for testing would be to complete the 2 TST's within 1-4 weeks of each other.
One appointment will be the injection itself and a second appointment 48-72 hours later will be for reviewing the results. The second round of testing ensures that no one is given a false negative diagnosis.
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The Tuberculin Skin Test (TST) is a screening method developed to evaluate an individual's status for active Tuberculosis (TB) or Latent TB infection. The 2-Step TST is recommended for initial skin testing of adults who will be periodically retested, such as healthcare workers.
If you have a negative skin test, you need a repeat test at least once every four years. If you have a documented positive skin test, you must have an initial chest X-ray. After that, you still need to be screened every four years.
Using a TB blood test for baseline testing does not require two-step testing. Additionally, TB blood tests are not affected by the BCG vaccine. * Note: An individual TB risk assessment should be used to help interpret test results and determine whether health care personnel are at increased risk for TB.

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