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In a message dated 5/22/00 10:32:52 AM Eastern Daylight Time,

slouca@... writes:

<< I'm interested in learning more about TB testing too. If anyone knows

anything about this, or where to find out, I'd love to learn. I had a

job for several years that required annual TB testing and I always felt

it was not a good thing. Last year, when I had the test, I actually got

physically sick with swollen glands, heavyness in my chest and slight

difficulty breathing. It was the mantoux test, which they said does not

contain live bacteria (or whatever the TB bug is). This actually

contributed to my decision to quit that job, finally. I've been

concerned and curious ever since and I'd appreciate any enlightening

info. anyone may have. Thanks

-Sirka >>

I don't really have to worry about this, since I am a carrier of TB. But,

any info that get's passed on about the vax. I would love to know about,

since my daughter is assumably a carrier.

Jo

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Don't take any stock in the TB test. It's not a reliable test. If it

were, it would simply detect a harmless, highly pleomorphic mycobacterium

that may transform and not be detected again just weeks later.

The skin test places a small amount of the attenuated virus mixed with

chemical poisons ( " preservatives " ) into your bloodstream. If your immune

system is vital enough to shoot it right back out of the wound it was put

in, then doctors say you're infected with TB. You may never get sick from

it, but then who says medical " science " should make any sense.

But if your body is NOT vital enough to eject it and it retains the

poison -- to do damage no doubt -- then your doctor will say you may

rejoice, because you're not infected with TB. But wait, didn't they just

infect you with the skin test itself? Oops, there I go again trying to

make sense out of medicine!

On Mon, 22 May 2000 10:26:41 -0400 Sirka Louca <slouca@...>

writes:

> I'm interested in learning more about TB testing too. If anyone knows

> anything about this, or where to find out, I'd love to learn. I had

> a

> job for several years that required annual TB testing and I always

> felt

> it was not a good thing. Last year, when I had the test, I actually

> got

> physically sick with swollen glands, heavyness in my chest and

> slight

> difficulty breathing. It was the mantoux test, which they said does

> not

> contain live bacteria (or whatever the TB bug is). This actually

> contributed to my decision to quit that job, finally. I've been

> concerned and curious ever since and I'd appreciate any enlightening

> info. anyone may have. Thanks

> -Sirka

>

>

>

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> 1/3993/7/_/489317/_/959005936/

>

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>

>

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  • 3 months later...

gretchen,

here is something i have on tb testing...not something i'd want to do do

while pregnant or nursing!! (actually, i'd probably never do it) :o) can

i ask why you and your husband need to have the test for your daughter to go

to preschool? i have never heard of this??

" " Who should get a PPD skin test for tuberculosis?

A PPD test should be performed in people who may have been around someone

with active tuberculosis and in people who have symptoms of the disease.

Symptoms include a cough that won't go away, loss of weight, sweating at

night, fever and trouble breathing. A skin test should also be done in

persons with human immunodeficiency virus (HIV) infection. A PPD test should

also be done if you have a condition that weakens your immune system or makes

you more likely to get sick. Ask your doctor if you should have this test. "

this comes from a patient handout about TB--why would you need it to enter

preschool?

Tuberculin test--

procedure for the diagnosis of tuberculosis infection by the introduction

into the skin, usually by injection on the front surface of the forearm, of a

minute amount of purified protein derivative (PPD) tuberculin. Tuberculin is

a protein substance from the tuberculosis-causing bacillus, Mycobacterium

tuberculosis, first discovered and extracted by Koch in 1890. When the

test is positive, a region of swelling 10 mm (0.4 inch) or greater in

diameter, usually accompanied by redness, occurs within 48 hours at the site

of injection. A positive reaction indicates that the individual was

previously exposed to the tubercle bacillus, but it does not necessarily

indicate that active clinical tuberculosis is present, or ever existed. The

test is a help to the physician in determining the source and time of an

infection and in distinguishing tuberculosis from other pulmonary conditions.

alos, keep in mind that if found positive you would undergo 6 months of

intensive antibiotic treatments. this is now lending itself to a new

emerging strain of TB--that is antibiotic resistent!! :oP

if i find anything else i'll send it. good luck,

brigit

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Sorry, I don't khow about any info on-line, but it is not a

vaccination, it's a kind of allergy test.

> Does anyone on the list have info on the standard TB test? My 5

year old

> starts cooperative preschool next week, and though SHE is

religiously

> exempted from vaxes (we live in KY), my husband and I are apparently

> required to get TB tests every 2 years. I think I can hold off a

while

> due to being very pregnant - due late October - but would love to

find

> out exactly what's in this injection, do I want to do it while

nursing a

> tiny babe, etc. Any ideas? Thanks in advance - the information I

get

> from this list never ceases to fascinate/infuriate!!! Namaste,

Gretchen

> ________________________________________________________________

> YOU'RE PAYING TOO MUCH FOR THE INTERNET!

> Juno now offers FREE Internet Access!

> Try it today - there's no risk! For your FREE software, visit:

> http://dl.www.juno.com/get/tagj.

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  • 11 months later...

Hi all,

Is there any mercury in this test? We will need to get it for school entry.

In addition, has anyone had problems with their intent NOT to vaccinate their

kids. Has a letter and the proof of titers been accepted overall?

Thanks,

Eileen

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  • 1 month later...

My daughter's school does exactly the same thing. I'm in California also. I

signed the exemption on back of my daughter's vaccine card so she didn't

have to get the TB test, but I did have to get the test two years ago when

she started preschool there. Now she's in first grade and they sent out a

notice to all the parents telling us we need to get the test again - we need

to get it every two years. I've decided to let it go and see what happens,

mainly because I don't know enough about it. I don't want to submit to a

test I know nothing about. I've been meaning to research it and have not yet

had the time. So far, I've done nothing and fortunately, they are not on top

of things in the school office. I've been volunteering in the classroom

every week since school started. They'll probably send out another notice to

all the noncompliant parents and then I'll say I haven't had time (which is

true) and tell them I will make an appointment and let it go for awhile

longer.

I do remember that it was also required when I worked part-time for a

nonprofit AIDS services organization. At the time they told me I needed the

test and I was breastfeeding so I outright refused and they had me sign a

waiver. The waiver just stated that I refuse the test due to breastfeeding

and I will take the test as soon as I am done breastfeeding. Well that never

happened since I breastfed for four years and didn't work there for that

long.

I still haven't had time to research this test. I have the same questions

that you do. I'll start looking into it and let you know what I find out. If

anyone has information, please let me know.

Thanks,

Jane Sheppard

Future Generations

Publisher of Healthy Child Newsletter

Vital Information to Protect Your Children's Health

http://www.healthychild.com

> tb testing

>

>

> Hi Sandy,

>

> I'm not sure if you can forward this to someone that might have an answer

> for my question, but here goes:

>

> My son's school is requiring all parent volunteers to submit proof of tb

> testing in order to allow any parent to volunteer in any capacity. They

> justify this as saying that it is state law, required of teachers

> and staff,

> and they have the 'option' of requiring this of parent volunteers as well.

> Yet, even if your test is positive, you are still allowed to

> volunteer. So,

> it is obvious that this is just one more way for the school district to

> track the number of tb cases in the area. I know that there is

> an exemption

> for this on the back of immunization forms here in California,

> however, they

> are not handing out forms that have to be filled in by the

> doctor. They are

> saying that they want to see the 'test' results as shown by a health care

> professional or clinic, as handed out when the test is requested by a

> patient. They are also adamant on their stance that " the test is

> optional,

> but if you choose not to take it, we cannot accept your help as a

> volunteer. " I am not tempted to rock the boat on this one, since

> I believe

> my son would be the one to feel the fall-out on this issue.

>

> Any hints on how to handle this? I want to be a visible parent in the

> school community for my son's sake, as I have seen for myself the

> preferential treatment kids of involved parents get over those kids whose

> parents are not involved. Other than not volunteer, which I do see as a

> choice (the year is long and they are desperate for help, and these things

> can be overlooked), if I do cave in and take the test, what are

> the dangers

> or complications? What is the procedure for the test, and what

> is its rate

> of accuracy? Thanks!

>

>

>

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Contains small amounts of TB.

I know several children who've reacted - one was autistic and was basically

cured with homeopathy and regressed after TB test.

Wouldn't get it myself

Sheri

moderator

At 05:47 AM 10/04/2001 -0700, you wrote:

>My daughter's school does exactly the same thing. I'm in California also. I

>signed the exemption on back of my daughter's vaccine card so she didn't

>have to get the TB test, but I did have to get the test two years ago when

>she started preschool there. Now she's in first grade and they sent out a

>notice to all the parents telling us we need to get the test again - we need

>to get it every two years. I've decided to let it go and see what happens,

>mainly because I don't know enough about it. I don't want to submit to a

--------------------------------------------------------

Sheri Nakken, R.N., MA

Vaccination Information & Choice Network, Nevada City CA & UK

530-740-0561 Voicemail in US

http://www.nccn.net/~wwithin/vaccine.htm

" All that is necessary for the triumph of evil is that good men ( &

women) do nothing " ...Edmund Burke

ANY INFO OBTAINED HERE NOT TO BE CONSTRUED AS MEDICAL OR LEGAL ADVICE. THE

DECISION TO VACCINATE IS YOURS AND YOURS ALONE.

Well Within's Earth Mysteries & Sacred Site Tours

http://www.nccn.net/~wwithin

International Tours, Homestudy Courses, ANTHRAX & OTHER Vaccine Dangers

Education, Homeopathic Education

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You have the option to get a chest x-ray rather than the test. (I am in

CA too)

Dawn (mommy to Kailey 6-2-99 & Austin 6-27-01)

Re: RE: tb testing

Contains small amounts of TB.

I know several children who've reacted - one was autistic and was

basically

cured with homeopathy and regressed after TB test.

Wouldn't get it myself

Sheri

moderator

At 05:47 AM 10/04/2001 -0700, you wrote:

>My daughter's school does exactly the same thing. I'm in California

also. I

>signed the exemption on back of my daughter's vaccine card so she

didn't

>have to get the TB test, but I did have to get the test two years ago

when

>she started preschool there. Now she's in first grade and they sent out

a

>notice to all the parents telling us we need to get the test again - we

need

>to get it every two years. I've decided to let it go and see what

happens,

>mainly because I don't know enough about it. I don't want to submit to

a

--------------------------------------------------------

Sheri Nakken, R.N., MA

Vaccination Information & Choice Network, Nevada City CA & UK

530-740-0561 Voicemail in US

http://www.nccn.net/~wwithin/vaccine.htm

" All that is necessary for the triumph of evil is that good men ( &

women) do nothing " ...Edmund Burke

ANY INFO OBTAINED HERE NOT TO BE CONSTRUED AS MEDICAL OR LEGAL ADVICE.

THE

DECISION TO VACCINATE IS YOURS AND YOURS ALONE.

Well Within's Earth Mysteries & Sacred Site Tours

http://www.nccn.net/~wwithin

International Tours, Homestudy Courses, ANTHRAX & OTHER Vaccine Dangers

Education, Homeopathic Education

CEU's for nurses, Books & Multi-Pure Water Filters

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Share on other sites

I know several children who've reacted - one was autistic and was basically

cured with homeopathy and regressed after TB test.

I am in the process of getting my son diagnosed with either high functioning

Autism or Aspergers. HOW can you cure Autism? Would like more info on

this.

Thanks,

Dina

Woodbridge, VA

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Dina, Please go to www.vaccinationnews.com and look at the autism sites in

the " other links " section. Sandy

ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE

IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS

REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE

CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION

WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE

MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.

RE: RE: tb testing

I know several children who've reacted - one was autistic and was basically

cured with homeopathy and regressed after TB test.

I am in the process of getting my son diagnosed with either high functioning

Autism or Aspergers. HOW can you cure Autism? Would like more info on

this.

Thanks,

Dina

Woodbridge, VA

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  • 9 months later...
Guest guest

TUBERCULIN PURIFIED PROTEIN DERIVATIVE (MANTOUX)--TUBERSOL® Connaught

Tuberculin Test

Action and Clinical

Intracutaneous tuberculin testing is an accepted aid in the diagnosis of

tuberculosis infection.:

The reaction to intracutaneously injected tuberculin is a delayed

(cellular) hypersensitivity reaction. The reaction which characteristically

shows a delayed course, reaching its peak more than 24 hours after

administration, consists of induration due to cell infiltration and occasionally

vesiculation and necrosis. Clinically, a delayed hypersensitivity reaction to

tuberculin is a manifestation of previous infection with M. tuberculosis or a

variety of nontuberculosis bacteria. In most cases sensitization is induced by

natural mycobacterial infection or by vaccination with BCG vaccine.

The sensitization following infection with mycobacteria occurs primarily

in the regional lymph nodes. Small lymphocytes (T lymphocytes) proliferate in

response to the antigenic stimulus to give rise to specifically sensitized

lymphocytes. After several weeks, these lymphocytes enter the blood stream and

circulate for long periods of time. Subsequent restimulation of these sensitized

lymphocytes with the same or a similar antigen, such as the intradermal

injection of tuberculin, evokes a local reaction mediated by these cells.

The tuberculin reaction is characterized by the early predominance of

mononuclear cells (small and medium sized lymphocytes and monocytes). Only a

small proportion of these cells appear to be lymphocytes sensitized to

tuberculin. Most cells are brought into the reaction through the release of

biologically active substances by sensitized lymphocytes. An increase in

vascular permeability leading to erythema and edema also occurs in tuberculin

reactions.

Characteristically, delayed hypersensitivity reactions to tuberculin begin

at 5 to 6 hours, are maximal at 48 to 72 hours and subside over a period of

days. In those who are elderly or those who are being tested for the first time

reactions may develop slowly and may not peak until after 72 hours. Immediate

hypersensitivity reactions to tuberculin may occur.

Indications And Clinical Uses :

As an aid in the detection of infection with M. tuberculosis.:

Previous BCG vaccination is not a contraindication to tuberculin testing.

The repeated testing of uninfected persons does not sensitize them to

tuberculin.

Contra-Indications:

Allergy to any component of Tuberculin Purified Protein Derivative

(Mantoux) Tubersol (see Supplied) or an allergic or anaphylactic reaction to a

previous test of Tuberculin Purified Protein Derivative (Mantoux) Tubersol.:

Tuberculin Purified Protein Derivative (Mantoux) Tubersol should not be

administered to known tuberculin positive reactors because of the severity of

reactions (e.g., vesiculation, ulceration or necrosis) that may occur at the

test site in highly sensitive persons; to patients with severe blistering

tuberculin reactions in the past; to patients with extensive burns or eczema or

to persons with documented active TB or documented treatment (active or passive)

in the past.

Warnings in Clinical States:

Tuberculin Purified Protein Derivative (Mantoux) Tubersol 250 U.S. units

(TU) per test dose (0.1 mL) is not, under any circumstances, to be used for the

initial injection.

Tuberculin PPD 250 U.S. units (TU) per test dose (0.1 mL) is to be used

only after the individual has been tested with, and failed to respond to the 5

TU dose, but is suspected of being infected with M. tuberculosis.

Avoid injecting Tuberculin PPD s.c. If this occurs, no local reaction will

develop, but a general febrile reaction and/or acute inflammation around old

tuberculosis lesions may occur in highly sensitive individuals.

Do not inject i.v.

Precautions:

General: Effective use of tuberculin testing requires an understanding of

the characteristics inherent to the test and extrinsic factors relating that

have influence on interpertation of the results. The utility of the tuberculin

test depends on the prevalance of infection with M. tuberculosis and to relative

prevalence of cross-reaction with nontuberculous mycobacteria.

The possibility of allergic reactions in individuals sensitive to

components of Tuberculin Purified Protein Derivative Tubersol should be

evaluated. Epinephrine HCl solution (1:1 000) and other appropriate agents

should be available for immediate use in case an anaphylactic or acute reaction

occurs. Before the use of this product, all appropriate precautions should be

taken to prevent adverse reactions. This includes a review of the patient's

history with respect to possible hypersensitivity to the product or similar

products, determination of previous testing history with Tuberculin Purified

Protein Derivative Tubersol, and the presence of any contraindications to the

use of Tuberculin Purified Protein Derivative. Familiarity with the

recommendations for the initial management of anaphylaxis in non-hospital

settings is recommended before administering Tuberculin Purified Protein

Derivative Tubersol.

Reactivity to the test may be depressed or suppressed for as long as 4 to

6 weeks in individuals who have had viral infections (rubeola, influenza, mumps

and probably others) or in those who are receiving corticosteroids or

immunosuppressive agents.

Reactivity to PPD may be temporarily depressed by certain live virus

vaccines (measles, mumps, rubella, oral polio). Therefore, if a tuberculin test

is to be performed it should be administered either before or at the same time

as the live virus vaccines (such as MMR), or wait at least 30 days before

administering the test.

Anything that impairs or attenuates cell mediated immunity (CMI)

potentially can cause a false negative tuberculin reaction (viral infections,

particularly HIV; live virus vaccines; severe protein malnutrition; lymphoma;

leukemia; sarcoidosis; use of glucocorticosteroids and other immunosuppressant

drugs).

In HIV-infected individuals, tuberculin skin test results are less

reliable as CD4 counts decline, and negative tuberculin reactions may occur in

more than 40% of HIV-infected persons who have active tuberculosis. HIV-infected

individuals should receive tuberculin skin testing as recommended.

Special care should be taken to ensure the product is not injected into a

blood vessel.

A separate, sterile syringe and needle, or a sterile disposable unit, must

be used for each individual patient to prevent the transmission of infectious

agents. There have been case reports of transmission of HIV and hepatitis by

failure to scrupulously observe sterile technique. In particular, the same

needle and/or syringe must never be used to re-enter a multi-dose vial to

withdraw product even when it is to be used for testing of the same patient.

This may lead to contamination of the vial contents and infection of patients

who subsequently receive product from the vial.

Needles should not be recapped and should be disposed of properly.

In those who are elderly or being tested for the first time, reactions may

develop slowly and may not peak until after 72 hours.

Adverse Reactions:

Vesiculation, ulceration or necrosis may appear at the test site in highly

sensitive persons. Pain, pruritus and discomfort at the test site may also

occur.

Strongly positive reactions may result in scarring at the test site.

Immediate erythematous or other reactions may occur at the injection site.

The reason(s) for these occurences are presently unknown.

There have been rare systemic allergic reactions reported that were

manifested by immediate skin rash or generalized rash within 24 hours. Two of

the reported cases had concurrent symptoms of upper respiratory stridor. These

reactions were treated with epinephrine and steroids and resolved. No cause and

effect was able to be established with a specific component of skin test.

Physicians, nurses, and pharmacists should report any adverse occurrences

temporally related to the administration of the product in accordance with local

requirements and to the Medical Director, Connaught Laboratories Limited, 1755

Steeles Avenue West, Toronto, Ontario, Canada, M2R 3T4.

Dosage & Administration:

Parenteral biological products should be inspected visually for extraneous

particulate matter and/or discoloration before administration. If these

conditions exist, the product should not be administered.

The Test: For the initial intracutaneous (Mantoux) tuberculin test it is

customary to use 5 TU (bioequivalent) per dose (0.1 mL).

Five Tuberculin units (TU) per test dose of 0.1 mL is the standard

strength tuberculin test used for intracutaneous (Mantoux) testing. 1 TU per

test (0.1 mL) and 250 TU per test dose (0.1 mL) are also available, however,

these are not standardized and have limited clinical application in routine or

serial (two-step) testing. Under no circumstances is the 250 TU per test dose

(0.1 mL) to be used for the initial injection.

Method of Administration: The preferred site of the test is the flexor

surface of the forearm.

The skin site is first cleansed with a suitable germicide and should be

dry prior to injection of the antigen.

The rubber cap of the vial should be wiped with a suitable germicide and

should be dry prior to needle insertion. The needle is then inserted gently

through the cap and 0.1 mL of Tuberculin PPD is drawn into the syringe.

The test dose (0.1 mL) of Tuberculin PPD is administered with a 1 mL

syringe calibrated in tenths and fitted with a short, 1/4 to 1/2 inch, 26 or 27

gauge needle.

The point of the needle is inserted into the most superficial layers of

the skin with the needle bevel pointing upward. If the intracutaneous injection

is performed properly, a definite pale bleb will rise at the needle point, about

10 mm (3/8 " ) in diameter. This bleb will disperse within minutes. No dressing is

required.

In the event of an improperly performed injection (i.e., no bleb formed),

the test should be repeated immediately at another site.

Failure to store and handle Tuberculin PPD as recommended will result in a

loss of potency and inaccurate test results.

Interpretation of the Test: Intracutaneous tuberculin testing is an

accepted aid in the diagnosis of tuberculosis. Sensitivity to tuberculin, may be

the result of a previous infection with mycobacteria. This infection, likely due

to M. tuberculosis, may have occured years ago or may be of recent origin.

The test should be read 48 to 72 hours after administration of the

Tuberculin. Sensitivity is indicated by induration, usually accompanied by

erythema. Distinctly palpable induration should be measured at the widest

diameter in millimeters (mm) and recorded. The tip of a ballpoint pen pushed at

a 45° angle toward the site of injection will stop at the edge of induration.

Presence and size of necrosis and edema (if present) should also be recorded.

See Table I.

CPS:TABLE_C14400$$28_t1

Table I--Tuberculin Purified Protein Derivative (Mantoux)--Tubersol

Interpretation of Tuberculin Test

Tuberculin reaction size, mm induration Setting in which reaction

considered significant

0-4 HIV infection and expected risk of tuberculosis infection is high

(e.g., patient is an immigrant from a country where TB is endemic, is a

household contact, or has an abnormal x-ray). Anergy testing, if done, should

show anergy. This reaction size is not normally considered significant but in

the presence of immune suppression may be important.

5-9 HIV infection Contact of active contagious case Abnormal chest x-ray

with fibronodular disease

³ 10 All others

BCG vaccination may produce a PPD reaction that cannot be distinguished

reliably from a reaction caused by infection with M. tuberculosis. For a person

who was vaccinated with BCG, the probability that a PPD reaction results from

infection with M. tuberculosis increases as the size of the reaction increases,

when the person is a contact of a person with TB, when the person's country of

origin has a high prevalence of TB, and as the length of time between

vaccination and PPD testing increases. For example, a PPD test reaction of ³ 10

mm probably can be attributed to M. tuberculosis infection in an adult who was

vaccinated with BCG as a child and who is from a country with high prevalence of

TB.

Booster Effect: Infection of an individual with tubercle bacilli or other

mycobacteria results in a delayed hypersensitivity response to tuberculin which

is demonstrated by the skin test. The delayed hypersensitivity response may

gradually wane over a period of years. If a person received a tuberculin test at

this time (after several years) the response may be a reaction that is not

significant. The stimulus of the test may boost or increase the size of the

reaction to a second test, sometimes causing an apparent conversion or

development of sensitivity.

Although the booster phenomenon may be documented at any age, its

frequency increases with age and is highest among persons >55 years old. When

the tuberculin skin testing of adults is to be repeated periodically, as in

employee-health or institutional screening programs, a 2 step approach can

reduce the likelihood that a boosted reaction will be incorrectly interpreted as

representing a recent infection. If the first tuberculin test result is

negative, a second 5-TU test should be given 1 to 3 weeks later. If the second

result is positive, it probably indicates the boosting of a remote infection.

Persons who have a boosting reaction should be classified as reactors, not

converters. If the second result is negative, the person should be considered

uninfected, and any positive reaction to subsequent skin test should be

considered a true tuberculin skin test conversion.

Since a tuberculin reactivity may not necessarily indicate the presence of

active tuberculous disease, individuals showing a tuberculin reaction should be

further evaluated with other diagnostic procedures.

Those individuals giving a positive tuberculin reaction may or may not

show evidence of tuberculous disease. Chest X-ray examination and

microbiological examination of the sputum in these cases is recommended as a

means of determining the presence or absence of pulmonary tuberculosis.

The possibility should not be excluded that the skin sensitivity is due to

previous contact with atypical mycobacteria or previous BCG vaccination. In the

absence of signs of tuberculous disease, differential diagnosis by means of

intracutaneous skin tests with PPD derived from atypical mycobacteria may be

indicated.

Each person who is tested with Tuberculin Purified Protein Derivative

Tubersol should be given a permanent personal record. In addition, it is

essential that the physician or nurse record the testing history in the

permanent medical record of each patient. This permanent office record should

contain the name of the product, date given, dose, manufacturer and lot number.

Availability And Storage:

Tuberculin Purified Protein Derivative Tubersol for intracutaneous

(Mantoux) tuberculin testing is prepared by the Connaught Laboratories Limited

from a large Master Batch Connaught Tuberculin (CT68) which has been obtained

from a human strain of M. tuberculosis grown on a protein-free synthetic medium.

The use of a standard preparation derived from a single batch (CT68) has been

recommended in order to eliminate batch to batch variation by the same

manufacturer.

It is estimated that this batch is large enough to provide solutions for

many years. From this batch, Tuberculin PPD at 3 concentrations is available in

sterile isotonic phosphate buffered saline containing Tween 80 (0.0005%) as a

stabilizer. Phenol 0.28% is added as a preservative.

Independent studies conducted by the U.S. Public Health Service in humans

have determined the amount of CT68 in stabilized solution necessary to produce

bio-equivalency with Tuberculin PPD-S (in phosphate buffer without Tween 80)

using 5 U.S. units (TU) Tuberculin PPD-S as the standard. Prior to release, each

successive lot is tested for potency in comparison with a Standard.

Tuberculin PPD (Mantoux)--Tubersol bioequivalent to 5 U.S. units (TU)

PPD-S per test dose (0.1 mL) is available in 1 and 5 mL vials. Tuberculin PPD

(Mantoux)--Tubersol 1 TU and 250 TU per test dose (0.1 mL) are available in 1 mL

vials. Tuberculin PPD (Mantoux)--Tubersol solutions do not require further

dilution.

Store between 2 and 8°C. Do not freeze. Product which has been exposed to

freezing should not be used. Tuberculin PPD solutions can be adversely affected

by exposure to light. The product should be stored in the dark except when doses

are actually being withdrawn from the vial. A vial of Tuberculin PPD which has

been entered and in use for 1 month should be discarded because oxidation and

degradation may have reduced the potency. Do not use product beyond the expiry

date.

Re: TB Testing

In a message dated 7/27/02 8:30:59 AM GTB Daylight Time, dawnrice@...

writes:

<<

the surface layers of the skin? What is the injected material made >>

insert is listed here:http://www.us.aventispasteur.com/PRODUCT/Default.htm

Personally I refuse to inject ANYTHING(harmless or not) into my body anymore.

sara

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Guest guest

Dawn, I have no info of what you're looking for but I've had the TB

test done twice. It itches. My doctor had to put a bandaid on me to

keep me from plying with the bubble under my skin. LOL! I was 18 and

completely fascinated by the liquid under my skin.

We had to get it for my mom to have her own daycare at home. Though

I'd been tested for TB before so I saw no reason to get tested

again. *grumble grumble*

I'd be interested to know what info does come up about....

~ :)

San , TX

> Is there any risk in having the TB test done? Is TB injected into

> the surface layers of the skin? What is the injected material

made

> of? Does anyone have any good information, sites or whatever on

this?

>

> Thanks

> Dawn

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Guest guest

I too have refused, but I am in the process of completing my teaching

credential and they require TB testing. I do have the option of

having a chest x-ray, I did this, but how often do I have to have

this done? And are there any other options?

Thanks for the link, I am going to check it out now.

Dawn

> In a message dated 7/27/02 8:30:59 AM GTB Daylight Time,

dawnrice@c...

> writes:

>

> <<

> the surface layers of the skin? What is the injected material

made >>

>

> insert is listed

here:http://www.us.aventispasteur.com/PRODUCT/Default.htm

>

> Personally I refuse to inject ANYTHING(harmless or not) into my

body anymore.

> sara

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Guest guest

In a message dated 7/28/02 2:43:06 AM GTB Daylight Time, dawnrice@...

writes:

<<

having a chest x-ray, I did this, but how often do I have to have

this done? And are there any other options? >>

The insert states sputum testing,but I don't know of anyone having actually

done that.

sara

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  • 3 years later...
Guest guest

. . . No, I don't know what you would be

reacting to . . . Unless it might be the latex glove

they were wearing.

My daughter is a TB test reactor . . . She's fine

though. It just indicated that she had been exposed to

TB at some time. Working in hospital setting makes

that likely. . . She has to get a chest x-ray

periodically to be sure she hasn't developed TB, but

otherwise it's not a problem.

Hugs,

Rogene

--- Lamse <wannabe_proverbs31@...>

wrote:

> Patty or Rogene,

>

> I had to have a TB test yesterday for the Hospice

> volunteering training I am doing. I am used to

> these because I have worked in nursing for many

> years. I have never had a positive reaction, but I

> know what one looks like. I don't have a positive

> reaction so far, but I do have a rash in the area

> shaped like a circle. I also have a rash shaped

> like the band-aid they put on it. Usually when I

> have to have a blood test or someting I ask for

> paper tape. They only had band-aides. I am a

> bleeder so I needed something, I was wearing a white

> shirt. Now I have these two rashes that itch some.

> I know why I have a rash from the band-aide, what I

> am concerned about is the round rash from the TB

> test. Is there anything you know of that may be in

> the solution that I could be reacting to?

>

> Thanks,

>

> L

>

>

> ---------------------------------

> How low will we go? Check out Messenger’s low

> PC-to-Phone call rates.

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