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Skin Test Recording Form

Skin Test Recording Form

Use a skin recording form 0 template to make your document workflow more streamlined.

Prick skin test is negative or equivocal, apply ID test (2-3mm blebs) in duplicate along with diluent or saline control; c) Read each test at 15-20 minutes after placement                          TEST DATE LOT # PRODUCT PRICK W (mm)F ID#1 ID #2 W (mm) F W (mm) F PrePen® 1 [PPL] (undiluted) Results (Pos/Neg/Equiv Penicillin G 2 (10,000 U/ml) Diluent Control Histamine (1.0 mg/ml) Criteria for positive prick skin test: Induration >3mm greater than diluent control Criteria for...
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