swelling 24 hrs after PPD in 3yo

[career seeker]

Hi,

I took my 3yo daughter in for her first PPD yesterday (about 26 hours ago). Today the incoulation site is very red and swollen (about 15mm). I know it is 48-72 hours before results should be interpreted but I was wondering if this could be a positive test or if it could be irritation from the injection? She keeps telling me that it hurts.

I just had my ppd 2 months ago and it came back neg. not sure if my husband has ever had one (he was born and grew up in Korea). We livein Alaska where there is a higher occurance of Tb than in the lower 48.

The medical side of me (MA and EMT) knows that I should just wait until monday but the mom side of me is worried. I guess I am just looking for reassurance. Feel free to tell me that I am totally overreacting!

Thanks for your comments. (also posted this on the pediatric board)

[psychonurse]

Having been a TB coordinator for many years you have to know the difference between swelling, redness and induration. Induration is like a lump under the skin and the swelling is different. It takes a period of time to learn how to read them, but if you are concerned, you can always take your child to the hospital and have them checked.

[nurseygrrl, LPN]

Your daughter's reaction doesn't sound like a positive PPD to me. I get the same sort of reaction after a PPD and I was told that it is a reaction to a component of the serum. I wouldn't worry...Let us know how you make out!

[career seeker]

Thank you for your replies. I am taking her back in to the pediatrician tomorrow morning to have it read. Today her arm is still somewhat red (about 9cm x 4cm) and the red area is slightly swollen but not as much as yesterday. There is a knot right under the site of innoculation about 1-2 cm. She really wont let anyone get a good look at it. She has really sensitive skin so I am hoping it is just an allergic reaction.

I will let you know what they say tomorrow.