Positive ppd test

  1. 0 Just moved to new area. Doing pre-employment stuff for new job...
    My TB test read as positive today-now what happens? I'm stressed, this has never happened before. Any thoughts?
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  3. Visit  foster's mom profile page

    About foster's mom

    Joined Apr '08; Posts: 2.

    40 Comments so far...

  4. Visit  rn4ever? profile page
    3
    They might require you to have a chest x-ray. A positive PPD skin test doesn't automatically mean one has TB.
  5. Visit  mom2michael profile page
    1
    A positive PPD test means you've been exposed to TB, doesn't mean you have it. A chest X-ray will probably be the next thing and then they'll go from there. A co-worker of mine tests positive every time we do ours, she has her Xray to make sure it hasn't progressed since the last time she had one and all is good. She has tested positive for the last 15 or so years she said and her X-rays always look the same.
    foster's mom likes this.
  6. Visit  agr8rn profile page
    2
    [font=book antiqua]
    Quote from foster's mom
    just moved to new area. doing pre-employment stuff for new job...
    Quote from foster's mom
    [font=book antiqua]my tb test read as positive today-now what happens? i'm stressed, this has never happened before. any thoughts?
    [font=book antiqua]hi,
    [font=book antiqua]if you've converted to a positive ppd, that means that you have been exposed to or come in contact with someone who had active tb. can happen to anyone these days. (i would also say if you were born in another country, you may have had a bcg vaccine, but you indicate it was never positive in the past)

    [font=book antiqua]also, make sure that the test was truly positive, many nurses who don't work in infection control or who don't deal with them on a regular basis, misread them.

    [font=book antiqua]i worked in a prison as an icn, so i know the drill! did hundreds of tests a month...

    [font=book antiqua]positive ppds are read by the induration, not the redness.
    [font=book antiqua]think of a mosquito bite. it's a nasty area of redness and induration (the bump of the bite)
    [font=book antiqua]if your test looked and felt like that, it is positive if it measured more than 10mm.
    [font=book antiqua]if they simply saw it was read, it was not positive.

    [font=book antiqua]if it was positive, then you must be screened for symptoms such as cough, unexplained wt loss, night sweats, coughing up blood, etc.

    [font=book antiqua]you will also need a cxr to r/o tb. likely if you have none of the above symptoms, you are not active.

    [font=book antiqua]you have a few options, tb will not affect you now if you are young and healthy; it'll bury itself in your lungs until you are run-down and then it strikes.
    [font=book antiqua]the cdc recommends 9 months of inh therapy; this will not 'cure you' but it will greatly reduce your risk of becoming active in the future.
    [font=book antiqua]the greatest risk is elevated liver enzymes. usually they don't recommend for people over a certain age.

    [font=book antiqua]in that case, you are just observed yearly.

    [font=book antiqua]good luck. feel free to ask me any questions if i haven't answered them here.
    [font=book antiqua]amanda - resident cruise goddess
    [font=book antiqua]cruising to mexican riviera for nursing seminar!
    [font=book antiqua]whoo hoo!
    netglow and foster's mom like this.
  7. Visit  agr8rn profile page
    3
    [font=book antiqua]one last thing...

    [font=book antiqua]anyone who tests positive once, should not ever have the test again

    [font=book antiqua]once you are positive, you are positive. no need to repeat the test. you could actually have a severe reaction.

    [font=book antiqua]just get the chest xray when required. don't let anyone tell you that you have to take the ppd again.

    [font=book antiqua]nurse in last post whose friend has been getting it every year for 15 years... should not be getting it... some will try to force you, but don't take it.
    [font=book antiqua]they should screen you for symptoms and ask for negative chest xray within last year.
    [font=book antiqua]

    [font=book antiqua]again, it's that knowledge deficit...

    [font=book antiqua]hope that helps.
    [font=book antiqua]

    [font=book antiqua]amanda d.
    Oz2, shrimpchips, and foster's mom like this.
  8. Visit  aeauooo profile page
    1
    Best source of information of TB diagnosis, treatment, and prevention:

    www.cdc.gov
    foster's mom likes this.
  9. Visit  Epona profile page
    1
    Hi foster's mom. Make sure too that you wait the full 72 hours I believe it is. I knew of someone who went back in two days and they thought it was positive. The nurse asked her to come back around the 72 hour mark and they ruled it negative. Good luck!
    foster's mom likes this.
  10. Visit  foster's mom profile page
    0
    Thanks so much to all for the info. Helped alot.
  11. Visit  lanefrost profile page
    0
    Ok here is the deal, I am a health specialist, just came into the sector. Previous job was in administration in the corporate world. I took a TB test, and so did my wife who works for the same hospital. Her test site in less then three hours only showed a small needle mark where the skin test was applied. Mine went up into a blister site about around as a quarter. In 48 hours the area was red and not as swollen as prior. It had some swelling in the area and still the size of a quarter. The area did not exhibit a huge raised bump. The bump actually was not really raised, but laid under the skin. It was red as stated the size of a quarter, with the swelling under the skin with a slight swelling above the size smaller then the redness, which was quarter size. The LPN checked it, felt the swelling and gave me a negative. In 72 hours the site looked better then 48 hours. Less swelling, less redness. I have looked and been told that is it is positive there will be swelling the size of a dime, how high is the swelling to be, and what else should there be. I am afraid this LPN may of read it wrong. I have not been around anyone with TB. I have never been tested prior. As stated my wifes test was negative, her area looked like nothing. I heard the area should of had what looked like a wheel around it, what should I do if I believe this LPN did not know how to read the test??? I have no problems breathing, no symptoms, so what is negative what is positive??? I am confused. I heard the size of a dime with even the slightest raised area is positive. How much swelling should there be???
  12. Visit  agr8rn profile page
    1
    Sounds to me like your test may have been positive; either that or you had an allergic reaction to the ppd solution (it does happen.)
    Any amount of induration that can be palpated greater than 10mm (5mm if immunocompromised) is considered positive. Imagine a mosquito bite - a positive reading looks like that generally. (ie it is red and has palpable swelling/firmness above or under the skin)

    Anyone can be exposed in the community without even knowing it; it's much more common now than 20 years ago.

    If you think you were misread, mention it to your family physician and get a chest xray.
    A positive test doesn't mean you have TB, just were exposed to someone with it.
    lanefrost likes this.
  13. Visit  lanefrost profile page
    0
    thank you, will go to my physcian
  14. Visit  PsychRNOhio profile page
    0
    I am one of tose oddities who have an allergy to the serum
    Just need a chest x-ray yearly instead
  15. Visit  prenurstudent profile page
    0
    Quote from agr8rn
    Sounds to me like your test may have been positive; either that or you had an allergic reaction to the ppd solution (it does happen.)
    Any amount of induration that can be palpated greater than 10mm (5mm if immunocompromised) is considered positive. Imagine a mosquito bite - a positive reading looks like that generally. (ie it is red and has palpable swelling/firmness above or under the skin)

    Anyone can be exposed in the community without even knowing it; it's much more common now than 20 years ago.

    If you think you were misread, mention it to your family physician and get a chest xray.
    A positive test doesn't mean you have TB, just were exposed to someone with it.
    I am so glad I found this webpage. I am about to start an LVN program and I was told that I need the tb test. well my other 2 tests were negative, but this one really scared me. it turned red and it was swollen. it was kind of the size of a peny. After two days I went back to have it checked and the first nurse that check it, asked me if that was the first time i have tested positive, she though it was positive, but another male nurse though it was negetive, so he called a doctor, he said it was negative, i guess it was 7 mm. Anyways even if they say it was negative I am still really afraid, because n omy other two tests i didn't even get a red spot. I have so many questions, I know that once you test positive, you should not have the test again, will I be able to have the test again, will I always have a reaction, (7 mm) will the infection disappear or will increase? what if my next one is 10mm. I consider my test almost positive eventhough my enduration was less than 10mm. Will I be fine if I keep having the test every year. I am so afraid becuase I think I won't be able to find a job in the future if I test positive.


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