Positive Mantoux, Child Care center…HELP!!!!?
Question by LeAnn S: positive mantoux, child care center…HELP!!!!?
I have a history of negative mantoux tests, decades. In mid-August I had a negative mantoux, and then last week I had a mantoux test for another job. I had immediate intense itching, eyes burning, scratchy, developed hives on my neck on the car ride home. I have gone to an infectious disease dr, they did AFB cultures, when can I get the results? My current job, started in September is at a daycare center, w/ +/-100 children and >100 families involved. Employees are not required to have mantoux tests in child care centers in MN. I am very concerned someone is spreading TB at the child care center, but the health dept. is not!! I have had very little contact with anyone other than the children and employees there. Kids (some adopted from russia, india, etc)and adults have been coughing since I started working there. Was it the allergic reaction that caused the positive TB test, or a booster effect, or? If you have kids in child care centers, make sure all workers are screened!!
It was a transdermal PPD Mantoux, not a multi-pronged test. Induration measured 22 X 21 mm. Adopted children from foreign countries are cleared by a physician in that country, not the U.S. MN is a state that no longer screens children, uless there are symptoms that would indicate the test. There are many symptoms of TB, but most common are cold symptoms and a cough that lasts greater than 2 – 3 weeks, sometimes blood streaked, fatigue, night sweats, low fever. How many times do you think doctors see children with cold symptoms? It’s just a cold, right?
Just because there is medication available that could hopefully kill it off, should we not try to prevent the spread of the disease? I had two mantoux tests within that time 1.) for a state license I needed, and 2.) for a new job that required it within 30 days of hire. False positives are possible from a booster effect, go to your favorite search engine and type in “tuberculosis booster effect.”
Many misconceptions w/TB.
Best answer:
Answer by elgil
How come you have so many tests? As far as I know, a positive means one of two things : You have the decease in an advanced stage, or you were expose to it. In your case, must be the last one.
Answer by Kelsey
Your mantoux test wasn’t necessarily positive. It sounds more like you had an allergic reaction to something in the test itself. A positive mantoux test will appear as a bubble at the sit of injection 48-72 hours after it’s given. It does not cause itchy watery eyes, or hives, unless you are allergic to it. You need to let your Doc. know your symptoms, becasue from now on, you shouldn’t have anymore mantoux tests. Instead, you’ll have to get a chest x-ray. I know, you’re probably thinking “well how can I be allergic, if I already had one, and didn’t have a reaction to that?” The answer is that allergic reactions never manifest on the first dose of anything… it’s almost always the second, though sometimes it could be the third or 4th dose of something. And, even if the test is positive, it doesn’t necessarily mean that you have TB, only that you’ve been exposed to it.
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