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How to Check a Mantoux Test?

Published in Tuberculosis Testing 3 mins read

Checking a Mantoux test, also known as the tuberculin skin test (TST), involves a specific process to accurately determine the body's reaction to the injected substance. The result is based on the skin's reaction at the injection site.

Who Performs the Mantoux Test Check?

For an accurate assessment, the Mantoux test result should be checked by a doctor or medical professional. Their expertise ensures correct measurement and interpretation of the reaction, which is crucial for diagnosis.

When Should the Mantoux Test Be Checked?

Timing is critical for the reliable interpretation of a Mantoux test. The reaction should be checked within 48 to 72 hours of the injection. Checking too early or too late can lead to inaccurate results.

How is the Mantoux Test Checked?

The core of checking a Mantoux test lies in the precise measurement of the reaction on the skin. Here's a breakdown of the process:

  • Locate the Reaction Site: The medical professional will identify the area on the forearm where the tuberculin solution was injected.
  • Identify the Lump (Induration): The key indicator is the formation of a firm, raised, palpable area, often referred to as a "lump" or "induration." This induration is caused by cells from the immune system responding to the tuberculin.
  • Measure the Lump: The lump formed on the skin has to be measured on a scale of millimeters. This measurement reflects the diameter of the induration.
  • Ignore Surrounding Redness: It is crucial to measure without considering the surrounding redness of the skin. Redness (erythema) alone is not indicative of a positive reaction and should not be included in the measurement. The focus is solely on the firm, raised area.

This measurement of the induration in millimeters is then used to interpret whether the test result is negative, positive, or borderline, based on clinical guidelines and the patient's risk factors.

Key Aspects of Mantoux Test Reading

For clarity, here’s a summary of the essential steps and considerations for checking a Mantoux test:

Aspect Detail
Who Reads It Doctor or trained medical professional
Timing of Reading 48 to 72 hours after the injection
What to Measure The firm, raised area (induration or lump)
Measurement Unit Millimeters (mm)
What to Ignore Any surrounding redness (erythema) or bruising
Purpose To detect latent or active tuberculosis infection

Accurate measurement and professional interpretation are vital for the reliability of the Mantoux test as a diagnostic tool. For more detailed information on tuberculin skin testing, you may refer to resources from health organizations like the Centers for Disease Control and Prevention (CDC).

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