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Skin Testing Information

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What You Need to Know About the TB Skin Test

Getting tested and treated for tuberculosis (TB)


can protect yourself, your family and friends,
and your community. There are two types
of tests for TB infection: the TB blood test
and the TB skin test. This fact sheet provides
information on the TB skin test.

TB Skin Test Tuberculosis


Bacteria
The TB skin test, also known as the tuberculin skin
test, may be used to find out if you are infected
with TB germs. A health care worker will use a small TB germs spread through
needle to inject testing fluid (called tuberculin) under
the air from one person to
the skin on the lower part of your inner arm.
another. Anyone can get TB.
TB germs usually attack the
After Receiving the TB Skin Test
lungs but can move to any
After the test, you should avoid using bandages,
putting on lotion, or scratching the test area part of your body.
because it may affect the results. You can wash
the area with water, but do not wipe or scrub. If The bacteria responsible
the area itches, put an ice cube or cold cloth on it. for causing TB can live in
the body for years without
After 2 or 3 days, you must return to have a health care worker
symptoms. This is called
read your skin test. You may have swelling or a bump where the
testing fluid was injected. The health care worker will measure the latent TB infection or inactive
bump or swelling and will tell you if your skin test reaction is TB. People with inactive
positive or negative. TB do not have signs and
symptoms of active TB
If you are not able to return within 2 to 3 days, you will need
to repeat the skin test again.
disease and cannot spread
TB bacteria to others.

Without treatment, inactive


Return to have your skin test read
TB can become active TB
Date:
disease at any time and
Time:
make you sick. If not treated
Location: properly, active TB disease
can be fatal.

Publication Number 301232 CS 339493-B August 07, 2023


If your skin test is POSITIVE: If your TB skin test is NEGATIVE:

• You have TB germs in your body. • Your body did not react to the test. You likely
• The test does not tell whether you have do not have inactive TB or active TB disease.
inactive TB or active TB disease. You • You may need to have more tests if:
will need other tests, such as a physical » You have symptoms of active TB
examination, chest x-ray, and lab work to disease, like coughing, chest pain,
determine if you have active TB disease. fever, weight loss, or tiredness.
• Once you test positive for TB, you will » You have HIV infection.
always have a positive skin test even if
you complete treatment for TB. Ask your » Your exposure to TB germs was recent.
health care provider for a written record of You may need a second skin test 8 to 10
your positive TB skin test result. This will be weeks after the last time you spent time
helpful if you are asked to have another test with someone with active TB disease. This
in the future. is because it can take several weeks after
infection for your immune system to react
to the TB skin test. If your reaction to the
second test is negative, you likely do not
have inactive TB or active TB disease.

Did You Receive the Bacille Calmette-Guérin (BCG) Vaccine?


BCG is a vaccine for TB. This vaccine is not widely used in the United States.
Many people born outside of the United States have received the BCG TB vaccine.

It is often given to infants and small children in other countries where TB is more
common. It protects children in those countries from getting severe forms of active
TB disease, such as TB meningitis. Protection from TB goes away as people get older.

Let your health care provider know if you were previously vaccinated
with the BCG TB vaccine.

In some people, the BCG TB vaccine may cause a positive TB skin test even if they are not infected with TB
germs. Unlike the TB skin test, TB blood tests are not affected by prior BCG vaccination. Therefore, TB blood
tests are the preferred test for people who have received the BCG TB vaccine.

TB Can Be Treated
If you have inactive TB, you can take medicine to prevent the development
of active TB disease even if you do not feel sick.

TB germs can live in your body for years without causing symptoms. Without
treatment, inactive TB can develop into active TB disease and make you sick.

If you have been diagnosed with active TB disease, you will need to take and
finish all your TB medicine. This is to help you feel better and prevent other
people from getting sick.

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