MANTOUX SCREENING TEST
(Tb skin test )
PBL 12
Directed By
Dr. Niveen El-Wakeel
What is mantoux test?
Pirquet test
PPD test
Tuberculin sensitivity
test
An intradermal test due to
hypersensitivity to PPD that
indicates past or present
infection with tubercle bacilli.
Tuberculosis
3
Procedure:
Inject 0.1 ml
of 5
tuberculin
units I.D,
usually on
the forearm.
The
patient's
arm is
examined
48-72 hours
after the
tuberculin is
injected.
The reaction
is an
induration
(swelling)
around the
site of the
injection.
The diameter of the
indurated area is
measured
Diameter of the
induration is 10 mm or
greater
Positive
test
10 mm
Diameter of the
induration is 10 mm or
less
Negative
test
5 mm
It is impossible to distinguish
between active disease & past
infection by a positive tuberculin
test.
prior exposure or
infection with other
mycobacteria or
vaccination with BCG
False +ve
test
impaired CMI response
False -ve
test
Why It Is Done
People in close contact with someone known to have TB.
Health care workers who are likely to be exposed to TB.
People with TB symptoms, such as an ongoing cough, night sweats, and
unexplained weight loss.
People who have had an abnormal chest X-ray.
People who have had a recent organ transplant or have an impaired
immune system, such as those with human immunodeficiency virus (HIV).
A tuberculin skin test should not be
done for people:
With a known TB infection.
Who have had a previous severe
reaction to the TB antigens.
Who have a skin rash that would
make it hard to read the skin test
Side effects:
Tachycardia
Chest tightening, breathing difficulty
Fever
Dizziness
Unusual tiredness or weakness
Skin rash
Quiz
 1) What is the result if the it is 10 or more mm
induration ?
A. People with no risk factor of Tb
B. With HIV infection
C. Children younger than 4 years old
D. Have close contact of people with infectious Tb
 2) What is meant by false positive reaction ?
A. May not react to the test even though they are
infected with M. tuberculosis
B. May not react to the test even though they are
not infected with M. tuberculosis
C. May react to the test even though they are not
infected with M. tuberculosis
D. May react to the test even though they are
infected with M. tuberculosis
Quiz
 3) What is meant by false negative reaction ?
A. May react to the test even though they are infected
with M. tuberculosis
B. May not react to the test even though they are not
infected with M. tuberculosis
C. May react to the test even though they are not
infected with M. tuberculosis
D. May not react to the test even though they are
infected with M. tuberculosis
Quiz
Hager Dorgham
Cheima Medjahed
Doaa Sabri
Jalila Ahmed
Fatin Aqilah Norazak
Nasuha Bukhari
Ahmed Katary
Karim Rashad
Khairul Hazwan
Hazwan Akmal
Taher Rizk
Mohamed Mosaad
Yousuf Hamed

Mantoux test

  • 1.
    MANTOUX SCREENING TEST (Tbskin test ) PBL 12 Directed By Dr. Niveen El-Wakeel
  • 3.
    What is mantouxtest? Pirquet test PPD test Tuberculin sensitivity test
  • 6.
    An intradermal testdue to hypersensitivity to PPD that indicates past or present infection with tubercle bacilli.
  • 7.
  • 9.
    Procedure: Inject 0.1 ml of5 tuberculin units I.D, usually on the forearm. The patient's arm is examined 48-72 hours after the tuberculin is injected. The reaction is an induration (swelling) around the site of the injection.
  • 10.
    The diameter ofthe indurated area is measured
  • 11.
    Diameter of the indurationis 10 mm or greater Positive test 10 mm
  • 12.
    Diameter of the indurationis 10 mm or less Negative test 5 mm
  • 13.
    It is impossibleto distinguish between active disease & past infection by a positive tuberculin test.
  • 14.
    prior exposure or infectionwith other mycobacteria or vaccination with BCG False +ve test
  • 15.
  • 16.
    Why It IsDone People in close contact with someone known to have TB. Health care workers who are likely to be exposed to TB. People with TB symptoms, such as an ongoing cough, night sweats, and unexplained weight loss. People who have had an abnormal chest X-ray. People who have had a recent organ transplant or have an impaired immune system, such as those with human immunodeficiency virus (HIV).
  • 17.
    A tuberculin skintest should not be done for people: With a known TB infection. Who have had a previous severe reaction to the TB antigens. Who have a skin rash that would make it hard to read the skin test
  • 18.
    Side effects: Tachycardia Chest tightening,breathing difficulty Fever Dizziness Unusual tiredness or weakness Skin rash
  • 20.
    Quiz  1) Whatis the result if the it is 10 or more mm induration ? A. People with no risk factor of Tb B. With HIV infection C. Children younger than 4 years old D. Have close contact of people with infectious Tb
  • 21.
     2) Whatis meant by false positive reaction ? A. May not react to the test even though they are infected with M. tuberculosis B. May not react to the test even though they are not infected with M. tuberculosis C. May react to the test even though they are not infected with M. tuberculosis D. May react to the test even though they are infected with M. tuberculosis Quiz
  • 22.
     3) Whatis meant by false negative reaction ? A. May react to the test even though they are infected with M. tuberculosis B. May not react to the test even though they are not infected with M. tuberculosis C. May react to the test even though they are not infected with M. tuberculosis D. May not react to the test even though they are infected with M. tuberculosis Quiz
  • 24.
    Hager Dorgham Cheima Medjahed DoaaSabri Jalila Ahmed Fatin Aqilah Norazak Nasuha Bukhari Ahmed Katary Karim Rashad Khairul Hazwan Hazwan Akmal Taher Rizk Mohamed Mosaad Yousuf Hamed

Editor's Notes

  • #17 A tuberculin skin test is done to find people who have tuberculosis (TB), including: