MANTOUX SKIN TEST (TITLE TO, PINAKAUNA PAGE)

Description Purpose Normal Findings Nursing

Considerations

an intradermal test is one method of In a healthy person BEFORE:

for hypersensitivity determining whether whose immune (Isang buong slide)
to tuberculin that a person is infected system is normal, ● Check the
indicates past or with Mycobacterium induration greater label of the
present infection tuberculosis. than or equal to 15 PPD vial for
with tubercle bacilli. mm is considered a proper
(isang buong slide positive skin test. If strength,
(isang buong slide din to) blisters are present expiry date
lang to) (vesiculation), the and the date
test is also vial was
considered positive. opened
In some groups of
people, the test is ● Clean the
considered positive top of the
if induration less vial with an
than 15 mm is alcohol swab
present. and let it dry.
Draw 0.1 ml
(Same goes here (5 tuberculin
one full slide) units) into
tuberculin
syringe.

DURING:
(isang buong slide)
● Clean the
skin surface
of the
forearm of
the patient
for the test
site.

● Keeping the
skin taut,
hold the
syringe
almost
parallel to
the skin (at
approximatel
y 15
degrees) and
insert needle
with the
bevel up into
the
superficial
layer of skin
until the The
 bevel is fully
inserted and
the tip is
visible under
the skin.
Relax the
skin and
inject the
PPD.

AFTER:
(isang buong slide)
● Inform the
patient that
mild itching,
swelling, or
irritation may
occur and
these are
normal
reactions
that do not
require any
treatment.
Inform the
patient to
avoid
scratching
the site,
keep the site
clean and
avoid putting
creams,
lotions, or
adhesive
dressings on
the site
● Record
administratio
n of PPD on
MAR and
Tuberculin
Skin Test
Report Form
#101098.

● Indicate the
solution
name and
amount
administered
, site of
administratio
n, solution
 expiry and
the date
given
● Record date
and time to
measure
induration
● Report result
and any
adverse
effects to
physician.