Tuberculin Skin Test

Definition

No longer routinely offered on inpatients, except in specific populations.

Intradermal injection of purified protein derivative (PPD) and measurement of induration diameter in 48-72 hours for diagnosis of latent TB infection (also positive in most active TB cases).

Criteria for a positive test are:

  • ≥ 5mm - high risk of developing active TB (e.g. HIV, close contact of TB case, immunocompromised)

  • ≥ 10mm - other risk factors for TB infection (healthcare worker, IV drug use, diabetes)

  • ≥ 15mm - no risk factors for TB