What is the Mantoux Tuberculin Skin Test and How to Record It?

Definition & Meaning

The Mantoux Tuberculin Skin Test (TST) is a diagnostic tool used to determine if an individual has been exposed to the bacteria that cause tuberculosis (TB). This test involves the intradermal injection of a small amount of Purified Protein Derivative (PPD) into the skin, typically on the forearm. The test is read by a healthcare professional 48 to 72 hours later, focusing on the size of any resulting induration, or raised bump, rather than the redness surrounding it. The results help assess whether further medical evaluation is necessary.

How to Fill Out the Red Cross Mantoux Tuberculin Skin Test Record

Filling out the Red Cross Mantoux Tuberculin Skin Test Record requires attention to detail. Here are the key steps:

• Tester Information: Include the name and credentials of the healthcare professional administering the test.
• Date and Time: Record the exact date and time the PPD was administered.
• Lot Number: Document the lot number of the PPD used, which is crucial for tracking and safety.
• Expiration Date: Ensure the PPD is within its expiration date and record this on the form.
• Induration Measurement: Measure the induration in millimeters (mm) and record this value accurately.
• Result Interpretation: Mark the result as "Negative" or "Positive," based on the size of the induration and the individual's risk factors.

Steps to Complete the Mantoux Test Record

Completing the Mantoux Test Record involves several steps:

• Preparation: Gather all necessary information and materials before administering the test.
• Administration: Inject the PPD intradermally and ensure proper technique to minimize discomfort.
• Documentation: Immediately fill out the relevant sections of the form after administering the test.
• Follow-Up: Schedule a reading appointment within 48 to 72 hours and indicate this on the form.
• Reading the Test: During the follow-up, measure the induration and record the findings.

Key Elements of the Mantoux Test Record

Several elements are essential for accurately completing the Mantoux Test Record:

• Patient Information: Include the patient's name, date of birth, and any relevant medical history.
• Test Details: Document the site of injection (left or right forearm) and the date of the test.
• Induration Size: Clearly indicate the size of the induration in mm, as this is critical for interpretation.
• Result Status: Provide a clear indication of whether the test result is negative or positive.
• Signature: The administering healthcare provider must sign the form to validate the results.

Legal Use of the Mantoux Test Record

The Mantoux Test Record serves several legal purposes, especially in healthcare and educational settings. It is often required for:

• Employment: Many healthcare employers require proof of TB testing for new hires.
• School Admission: Educational institutions may mandate TB testing for students, particularly in nursing or medical programs.
• Public Health Compliance: Certain states have regulations requiring documentation of TB testing for public health monitoring.

Examples of Using the Mantoux Test Record

The Mantoux Test Record is utilized in various scenarios:

• Healthcare Settings: Hospitals and clinics use the record to track TB exposure among staff and patients.
• Educational Institutions: Nursing and medical students may be required to submit their Mantoux Test Records before clinical placements.
• Travel Requirements: Some countries require proof of TB testing for entry, necessitating the use of this record.

State-Specific Rules for the Mantoux Test Record

Different states may have specific regulations regarding the Mantoux Test Record. Common variations include:

• Reporting Requirements: Some states mandate that positive results be reported to public health authorities.
• Testing Frequency: Certain states may require annual testing for healthcare workers or specific populations.
• Documentation Standards: States may have unique forms or additional documentation requirements for TB testing.

Who Typically Uses the Mantoux Test Record?

The Mantoux Test Record is primarily used by:

• Healthcare Professionals: Doctors, nurses, and other healthcare providers administer the test and complete the record.
• Educational Institutions: Schools and universities require documentation for students in health-related programs.
• Public Health Officials: They monitor TB exposure and outbreaks using data from these records.