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TB Skin Tests

TB Skin Tests. Family Medicine Board Review Course July 2008 Ronald H. Goldschmidt, MD. PPD (Mantoux) test interpretation 15 mm Persons with no known risk factors for TB (Targeted skin testing programs should only be conducted among high-risk groups)

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TB Skin Tests

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  1. TB Skin Tests Family Medicine Board Review Course July 2008 Ronald H. Goldschmidt, MD 1

  2. PPD (Mantoux) test interpretation • 15 mmPersons with no known risk factors for TB • (Targeted skin testing programs should only be conducted among high-risk groups) • 10 mmRecent immigrants (< 5 yrs) from high prevalence countries Injection drug users Residents & employees of high-risk congregate settings • (e.g., prisons, nsg homes, hospitals, homeless shelters) Mycobacteriology lab personnel Persons with clinical conditions that place them at high risk • (eg, DM, leukemia, ESRD) Children < 4 yo, or children/adolescents exposed to adults in high-risk categories • 5 mmHIV-positive person Patients with organ transplantsOther immunosuppressed patients, including steroids > 1 mo. Recent contacts of person with TB Persons with nodular or fibrotic changes on CXR c/w old TB

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