How to Interpret the Tuberculin Skin Test (TST) for Pulmonary Tuberculosis Screening

Aug 10, 2022 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
Tuberculosis (TB) skin testing (Mantoux test) allows observation of the injection site and determination of whether the TB skin test result is negative. After the skin test, the patient should use a pen to draw a circle around the induration (raised, hardened area) at the injection site and observe it for 48–72 hours, comparing it with the original induration. The circle must be drawn carefully to avoid accidental removal or smudging by water, which could cause it to disappear and prevent accurate assessment of changes.

If you feel unwell and require antibiotic treatment, a skin test must be performed prior to initiating therapy. If the tuberculin skin test (TST) result is negative, antibiotics may be administered; however, if the result is positive, antibiotics should not be used. Thus, the TST result is critically important—failure to interpret it correctly may lead to serious consequences. So, how do you read the results of a tuberculosis (TB) screening skin test?

How to Interpret the Tuberculosis Screening Skin Test Result

The TB screening skin test result is assessed by observing the injection site and determining whether the reaction is negative or positive. After the intradermal injection, the patient should use a pen to draw a circle around the induration (raised area) at the injection site. The site must then be observed for 48–72 hours and compared with the original induration. Great care must be taken when drawing the circle—avoid rubbing it off or allowing water to wash it away, as this would render subsequent assessment of changes impossible. (Note: The sentence about drawing the circle is repeated in the original text.)

Please avoid spitting indiscriminately; instead, maintain good personal hygiene daily. Individuals particularly susceptible to tuberculosis often suffer from malnutrition and general physical weakness. Such individuals should take extra precautions. Wearing a mask in public places is strongly recommended to prevent cross-infection.

In daily life, cultivate healthy lifestyle and dietary habits. We hope this information has been helpful to you.