After a disease, when can a Mantoux test be done? Is it possible to do manti after an illness to a child

Reading time for this article: 8 min.

Many parents are interested in the answer to the question - is it possible to make manti for a child after an illness? After all, at this time the baby's body is weakened, and it is not clear how he can react to the vaccine. By answering this question correctly, you can find out when it is better to vaccinate. And is it worth doing it right during the illness?

The first thing to note is that the Mantoux test is not considered vaccination and vaccination. This is a kind of diagnostic that helps develop immunity against serious and dangerous disease, tuberculosis, as well as to identify its course in the body. However, although Mantoux is not considered an injection, certain rules must be observed when conducting such a test. They will help to accurately determine the course of the disease in the body.

As a rule, Mantoux is carried out for children in order to identify pathogenic bacteria in their bodies, namely Koch's bacillus. Her presence speaks of the course of tuberculosis, which must be urgently treated. Most dangerous view The disease is considered to be pulmonary tuberculosis, which is quite difficult to completely cure.

After the test, the reaction may be different:

• positive;
• negative;
• false positive.

Based on these results, it will be possible to accurately identify the disease that is asymptomatic in the baby's body.

So, it became clear that the Mantoux test is a diagnostic test that should not be influenced by any extraneous factors.

A child is vaccinated against tuberculosis maternity hospital. It's called BCG. After vaccination, the reaction of the child's body to Mantoux will be positive. Thanks to early vaccination, it is possible to develop its own antibodies in the body, which will protect the baby from mycobacteria.

The first time Mantoux is carried out for babies at the age of 1 year. After that, it should be carried out annually. If the child has a negative result, after 2-3 weeks, the diagnosis must be repeated. In case of a repeated result, the doctor decides to conduct another BCG.

Where is the sample placed? It is usually given subcutaneously inner part hands between wrist and elbow.

If the Mantoux test for some reason does not suit the child, he is given a diaskin test. It is similar in conduct. Such a test shows the result based on the presence or absence of tuberculosis bacteria in the body. If the person is healthy, the diagnosis will show a negative result.

If the parents decide to abandon Mantoux, then the child should have a diaskin test. For adults, this method is used infrequently, since they usually undergo fluorography.

Factors that can lead to an incorrect Mantoux result in a child

At birth, the baby must be given BCG - this is a vaccination against tuberculosis. At this time, the test result will be incorrect, because Mycobacterium tuberculosis will be present in the body. The following factors can also cause distortion of the result:

• allergy in a child;
• rheumatism;
• recent vaccination;
• respiratory diseases (asthma, bronchitis);
• improper storage of the medicine or its expired suitability;
• painful condition (runny nose, fever).

Many people think that Mantu cannot be wetted with water - this is not so. Water will not distort the result. It is much worse if the baby gets sick during the test, because in this case the result will be incorrect. Also, the distortion of the result may be affected by the fact that the baby will rub or scratch the injection site of the drug. Some parents, in order to avoid this, begin to seal the injection site with adhesive tape or cover it with brilliant green, which is also wrong. You just need to distract the baby from the injection site and after a while he will forget about him, and then after checking it will be possible to get the correct result.

Is it possible for a baby to do Mantu immediately after the disease

If a child has recently had a cold, flu, SARS, or has a runny nose before the test, it is important for parents to familiarize themselves with this information:

• It is worth conducting a test one month after the transfer of SARS.
• A month after the baby has completely recovered from the flu or a cold. If you do Mantoux before this time, the administered drug will be perceived by the body as an aggressor. In this case, it will start producing a large number of protective bodies, which will undoubtedly affect the test result.
• 45 days after measles.
• Six months after chicken pox.
• 6 months after the course of mononucleosis, since the disease causes severe immunosuppression.

However, such dates cannot be called exact. After all, everyone children's body recovering different time. Also, you can not conduct a test during a runny nose or mild temperature, since this will also distort the result.

If Mantoux is carried out ahead of time, this can cause a number of consequences, in addition to a distorted result:

• severe runny nose;
• cough;
• nausea, which often turns into vomiting;
• fever;
• chills;
• weakness;
• frequent dizziness;
• cephalgia;
• the appearance of irritation at the site of the test;
• rash localized all over the body;
• development of constipation or diarrhea.

If a child is allergic to an administered drug, this can lead to anaphylaxis, nasopharyngeal edema, and an increase in the symptoms of an ongoing illness.

Therefore, if a child coughs, make Mantoux better after a full recovery. Otherwise, it can aggravate the course of the disease, as well as cause difficulties during therapy.

Sometimes the baby is allowed to spend Mantu a week after the end of the illness, but the final decision is made only by the parents.

Summing up, it is worth noting that it is forbidden to conduct a test during an illness and even a slight runny nose, as this can cause a deterioration in the condition of the crumbs, as well as lead to an incorrect result.

But it is also forbidden to refuse the sample, since thanks to this method it is possible to detect the development of tuberculosis in a timely manner.

Who needs to test

As a rule, Mantoux is held for each child upon reaching the age of one. To know for sure if the baby is sick with a disease dangerous to health, this test is carried out annually. Thanks to this measure of protection, it will be possible to avoid the development of tuberculosis, as well as to be sure that its pathogen does not "live" in the child's body.

Doing a test is required for preschool and school age, since it is they who are more likely to “catch” a dangerous virus.

However, sometimes the procedure is prohibited. Contraindications to the test:

• possible allergic reactions to the drug introduced into the body (they can be detected after the child has been tested 2-3 times and allergic symptoms are noticed);
• the presence of skin diseases;
• during acute respiratory infections, acute respiratory viral infections and influenza in severe form.

If the disease, which is included in the list of contraindications, is present in the baby, the procedure should be postponed or not done at all, since today there are safer methods for detecting tuberculosis for the child's health.

Summing up, it can be noted that it is possible to conduct a test immediately after an illness, but it is not clear how the child's body will react to it. To avoid unpleasant consequences for health, it is better to postpone Mantoux until full recovery immunity, however, if the baby began to show signs of tuberculosis - in this case, you should not hesitate, otherwise this will lead to an aggravation of the course of the disease. This will greatly complicate the treatment of the disease, as well as negatively affect the general condition of the child.

It has specific nuances and manifestations. So, Mantoux: when is the test done, and how long after the illness?

Tuberculosis. Tuberculin

Tuberculosis is a deadly and widespread disease. infectious nature, the appearance of which leads to infection of the body with mycobacteria - Koch's sticks. In order to detect infection, doctors use a special test - a skin injection of tuberculin. According to the results of the body's immune response to it, the presence of a tuberculosis infection is judged. Tuberculin is a complex mixture of mycobacterium extracts.

Mantoux test: nuances

The sample is placed with a standard diluted preparation containing two tuberculin units. The injection causes local allergic reaction. The specificity of the result indicates whether there was an impact of a tubercle bacillus on the body. The sample is placed with inside forearms, and the results are taken on the third day.

Skin indurations are measured and documented:

• a sample less than 5 mm does not matter;
• 10 mm - possible infection through contact with patients open form or people at risk;
• 15 mm or the appearance of suppuration - high probability infections.

The tuberculin test detects the body's response to antigen input. Positive result indicates that there was contact with the pathogen, but this in no way means the presence of the disease.

When can you test?

For children who were vaccinated with BCG in the first days of life, upon reaching 12 months, a Mantoux test is administered annually. And for babies who are not vaccinated with the tuberculosis vaccine, the test is done twice a year. Quite often, parents have a question, how long after an illness can Mantu be done.

The answer is simple: acute and chronic diseases, as well as infectious and bodily diseases at the time of exacerbation, are a contraindication for the test. It can be done no earlier than a month after recovery or the disappearance of symptoms. Also, the test cannot be done when skin diseases, epilepsy and for 4 weeks after any vaccination.

And how long after Mantoux can I get vaccinated? Tuberculin test is not performed simultaneously with vaccination. This is done to avoid the appearance positive reactions false character. Vaccinations without restriction can be done after the evaluation of the test results. The introduction of weakened strains of live microorganisms, for example, against measles, mumps and rubella, requires an increase in the time interval between vaccination and tuberculin test up to 6 weeks.

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How long after Mantoux can I do DTP? Due to the fact that the body's immune response to a vaccination can affect the test, they are not carried out on the same day. You can be vaccinated on the day of checking the reaction to the Mantoux test or later.

What do you need to know about vaccination?

• treat the injection site with solutions for the purpose of disinfection;
• restrict air access - seal with a plaster;
• bandage;
• scratch and rub.

You can swim and wash your hands. An increase in the diameter of the seal in comparison with previous periods by 6 mm or more, as well as a change negative result measurements for a positive indicator is called the turn of the tuberculin test. In addition to the above limitations, diagnostics include:

• allergic conditions;
• announcement of quarantine for any disease.

There are the following approaches to reviewing the results of the Mantoux test:

• a negative result means that there is no infection and no reaction to the BCG vaccination;
• a positive result may be BCG vaccinations but also indicate infection.

Result tuberculin diagnostics with a seal of 12 mm or more for 4 years, as well as a consistent and lasting several years of increased sensitivity to the drug are considered signs of infection.

What can affect the results of the Mantoux test? Below is indicative list factors:

• violations during storage and transportation of the drug;
• poor-quality sample setting by medical personnel;
• inaccuracies in checking test results;
• availability in medical history diseases of a chronic nature;
• allergies and predisposition to them;
• hypersensitivity skin to tuberculin;
• allergic response of the skin to the action of other agents;
• the environment, as well as the ecological component;
• previous medication;
• menstrual phase in women.

Considering the current epidemiological situation in the territory of the former Soviet Union on the incidence of tuberculosis, parents should not refuse to conduct a Mantoux test. It should be remembered that this is a diagnostic test, which is indicative in nature and provides information for reflection and analysis. No one makes a diagnosis of tuberculosis by tuberculin test alone.

When prescribing Mantoux, parents must necessarily tell the pediatrician about the presence of ailments or exacerbation of diseases in the child, as well as cases of violation of the time interval between the vaccination and the planned test. Health to you!

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Is it possible to do Mantu after an illness or during it

Factors Confounding Results

Many people are against vaccinations, arguing that they only harm the health of the child. That through them toxins and infections enter the body, leading to serious illnesses. But in this case they are wrong. Mantoux is not a vaccine. If the task of vaccination, the creation of immunity to certain kind disease, the purpose of the test is to determine the reaction to tuberculin. By the nature of this reaction, it can be concluded that the presence or absence of Koch's sticks in the child's body.

In other words, the introduction of tuberculin in Mantoux is allergic test, and tuberculin itself is a strong allergen. Therefore, as Dr. Komarovsky said, if some medical workers offer your baby before the diagnosis and during it take antihistamines, then such workers have nothing to do with medicine. After all, when taking these drugs, the result will be distorted by their action, and the meaning of the diagnosis is lost.

Since Mantou is diagnostic breakdown based on the assessment of the presence of a tubercle bacillus through an allergic reaction of a child's body, and this reaction directly depends on the state of immunity, hence the restrictions on its implementation.

Parents should know that, for children suffering from various forms allergies, testing is not recommended.

This has two important reasons. First, when such a strong allergen as tuberculin enters the body of such a baby, it can cause violent attack allergies with all the ensuing consequences. And this is a severe runny nose, swelling of the mucous membranes, lacrimation, not to mention anaphylactic shock. Secondly, even if all this is not the case, the result of the test may still be unreliable, since the reaction to it is unpredictable in these cases. Therefore, it makes no sense to make a diagnosis in such a situation.

Even the presence of a common cold speaks of inflammatory process in the body and the fact that the immune system fights the disease, signaling this with the release of mucus in the form of snot. If there is still a cough, then in this case the result of Mantoux will be accurately distorted, so there is no point in conducting it.

Therefore, the doctor must necessarily examine the children to identify any diseases at the moment. To find out if the child was ill the day before, a survey of parents is conducted. Also, parents must give their consent to the introduction of the vaccine. Although Mantoux is not a vaccine, parental consent is also required for this case.

If the child attends children's institution and quarantine is declared there in connection with the epidemic of any disease, then vaccination is postponed for more late deadline. Quarantine is considered a factor that can distort diagnostic results. After how long it can be carried out, the doctor decides. Usually this period is at least two weeks.

Parents should be aware that another factor that can skew the Mantoux result is the BCG vaccination given after the baby was born. When a test result is questionable in such children, it is considered normal and counted as a negative result, indicating that the vaccine has created defensive reaction organism. If this is not observed, this indicates the need for repeated BCG.

Is it possible to do after illness and during

The illness of children is always a cause for concern for parents. Diseases are severe and not very. There are hidden ailments, the discovery of which sometimes occurs already after they have reached difficult stages. Tuberculosis is one of those problems. A person can become ill with tuberculosis or be a carrier of Koch's wand and not even be aware of it. Tuberculosis is transmitted through coughing, airborne droplets. You can have contact with a sick person and not even know that you are at risk. If among relatives there are patients with tuberculosis, then the danger becomes even greater.

As mentioned above, since the disease is a factor that distorts the result of the diagnosis, it makes no sense to do Mantoux if the baby is sick. Perhaps the test will not cause complications of the current disease, but there will be no sense from it either.

After how long it will be possible to visit a doctor and make a diagnosis - this is the main question that interests caring parents.

Dr. Komarovsky believes that if the baby has had an illness, then optimal time is one month. It is in a month that the child's body will be able to fully recover from the illness, and then you can calmly do all the necessary and prescribed procedures by the doctor.

Video "Mantoux test"

Dr. Komarovsky will tell you why it is necessary to conduct a Mantoux test and do experts in highly developed countries trust it?

How long after the illness can I put manta?

Comments

Our recovery days should be gone! But the mantou doesn't seem to be that serious.) They can do it earlier.

Welcome back.

Yeah. That Tuesday. I cried all night until Nurofen gave. (

And we were told that in three days you would come after the manto and we would supply you with the last DTP and polio. And we have snot flowed and coughing began. Maybe because they put it on an infected organism. Although it came to light with us after the manta was made. But I was crying, I think on manta. I wouldn't sob on snot like that. There was no pace!

I may be wrong, but in my opinion, before any kind of vaccination (is mantoux done before BCG, like?), The child should be healthy for 2 months.

but now I'm a summer resident with a sunstroke, I can make a mistake, it's better to consult a doctor, an important question.

In this matter, it’s better to overdo it, but the doctor is dissatisfied because she will have to work :)))) so you are healthy, you yourself came and put the manta, but you have to look at you, duuuuuuum, you can’t do plaaaaan.) ))) Don't worry, the truth is on your side! And if anything - go to another doctor, if you start being rude, also roll a complaint to all supervision and the head physician!

I know her for sure, but I would not have done it before 10 days, but 2 weeks is better) Welcome back!

Girls, on Monday they will not do mantoux - this is our first vaccination in life! Before that, there was a withdrawal. I read about the manta, and now a question arose: my son has red, rough cheeks for a month already.

girls! help with advice. Tomorrow they put Mantoux in the kindergarten. In the morning, the husband took his daughter to the garden. wrote a waiver. (She had a slight congestion in the morning! There was no runny nose! “On the verge”, but. The husband decided that it was impossible anyway, the body is not healthy. I am at this time.

and how to get rid of it. we are relevant. From the order of the Ministry of Health of the Russian Federation “ON IMPROVEMENT OF ANTI-TUBERCULOSIS MEASURES IN THE RUSSIAN FEDERATION’1 dated March 21, 2005 N 109 Appendix No. 4 to the Order of the Ministry of Health of Russia dated March 21.

On Monday we did the manta. It seems like a small spot, I hope this is normal. Tomorrow we will go to the hospital and measure the manta. Who knows how many mm the manta should be to be normal.

This material is provided by the Vaccination.Ru website - all about vaccines and vaccination (c) Vaccination.Ru All about the Mantoux test Mantoux test (Pirke test, tuberculin test, tuberculin diagnostics, tuberculin skin-test, PPD test) is a method for studying immunity tension.

To get a job, I go through a medical examination. Instead of fluorography, pregnant women need to put a manta. Will the vaccine affect my pregnancy?

Today they made a manta.

I did not give Andryushka any vaccinations. We had a small diathesis, and I was afraid to aggravate, and the pediatrician advised so. Now the immune system is more or less stronger, and I decided. Made Mantou first that Friday (1.

Takes my kids for test drives. foreign medicine. Either in Turkey they caught the rotovirus, then with an incomprehensible high temperature lay. This year, my one-year-old boy Petya experienced Tunisian medicine. From 10 days of rest.

Is it possible to give a child a mantoux reaction immediately after an illness (flu or common cold) or is it made absolutely healthy?

You really need to make honey. withdrawal for 2 weeks and protect the child from re-disease. As with any vaccination, the doctor must take the temperature of the child, general state, make an examination. And what she insists on doing now is that they don’t have a plan for the Mantoux reaction, they don’t care when the child recovered or else residual effects- the main tick is that the vaccination has been done. The premium for district ownership depends on the percentage of the plan.

And the result is no longer their problem, well, they will send to the phthisiatrician and disentangle the parents as you like.

the main thing is that the vaccination plan should be high, and also depending on what kind of mommy you will run into. Someone will come with the same situation, which does not understand anything about it (there may be different mothers) and will make Mantoux on the “advice” of such a doctor.

WE ALL BE HEALTHY!! ! LET'S not blindly trust such doctors! !

I write frankly what I have, although I myself worked in a children's clinic

i.e. they will be sent to a phthisiatrician or they will have to be put again so that it is better to recover

If I were you, I would probably wait.

Acute and chronic infectious diseases in the acute stage (Mantoux test is performed 1 month after the disappearance of all clinical symptoms or immediately after the quarantine is lifted) ;

Quarantine for childhood infections in the team (Mantoux test is placed 1 month after the disappearance of all clinical symptoms or immediately after quarantine is lifted).

the opinion that children who are weakened in the disease should not be vaccinated

(especially Mantoux)! After all, during this study, the baby under the skin

they introduce the killed "Koch's wand" - this is just the microorganism, the cat.

in weakened people causes a disease called. tuberculosis.

Probably a lot of competition for a place in the Kindergarten!

This vaccination is done only obsalyutno healthy child at least 3-4 weeks after the disappearance of absolutely all signs of acute respiratory viral infections.

Should a child do Mantoux after an illness?

Many parents are concerned about the question of whether Mantoux can be vaccinated after an illness. If a parent asks a similar question, then with a high degree of probability it can be assumed that he knows little about the Mantoux reaction. Finding out the details about the technique of the sample will relieve him of the need to be tormented by doubts, making the right decision in time.

What is the Mantoux test for?

The most important thing to remember is that the Mantoux test has nothing to do with vaccinations and vaccinations, it does not contribute to the development of immunity and protection against diseases.

The introduction of tuberculin into the child's body is considered a diagnostic measure. And in accordance with whether the body has experience of interaction with Mycobacterium tuberculosis (Koch's bacillus, tuberculosis bacillus), the reaction to such an injection will be different. When mycobacteria are already present in the body, the diagnostic response will be positive. In this case, there is an allergy to tuberculin.

So, we found out that the Mantoux test is an allergy test or diagnostic testing.

When a newborn is given BCG, they develop antibodies to Mycobacterium tuberculosis. With the formation of antibodies, the Mantoux test is positive. If the child has tuberculosis, the test will be positive.

For the first time, Mantoux is given to a child at the age of one. And after that it is done every year. If there is a negative result in a year, they perform a second time. In a situation of a negative answer, the question of secondary vaccination (BCG) is raised.

Depending on the age, the sample is placed in different hands. Usually if age is an even number, then in right hand, if odd - to the left.

The place of the test is the middle third of the surface of the forearm from the inside. The test is done subcutaneously.

Diaskin test is an identical diagnosis to a sample. The test does not respond to vaccination, but to Mycobacterium tuberculosis. In healthy people it is negative. The check may be in the form of an annual fluorography or x-ray of the lungs. They are appointed if the parents do not agree to the test.

And yet in our country it is customary to perform Mantoux.

Factors distorting the results of the Mantoux test

• recent vaccination;
• chronic and in acute form infectious diseases;
• allergies;
• bronchial asthma and rheumatism;
• menstruation;
• expiration date and quality of tuberculin;
• literacy of setting and decoding the results of the test;
• quarantine period in the children's team.

Please note: until recently, it was believed that it was impossible to wet a button. However, this is not quite true. It is not forbidden to wet the manta, and this will not affect the manifestation of the reaction and the decoding of the answer.

After intradermal injection of minimal doses of tuberculin (an antigen obtained from Mycobacterium tuberculosis) into the body, a reaction to the drug is observed for 72 hours at the site of its introduction.

According to the size of the papule (a dense raised skin tubercle that has arisen at the injection site), the presence or absence of Koch's sticks in the body is judged. The result is then:

• negative - there are no papules and redness, or it is not more than 1 mm;
• doubtful - papule and redness no more than 4 mm;
• positive - the diameter of the seal is from 5 to 16 mm (mycobacterium tuberculosis is present in the body, but they do not manifest themselves);
• hyperergic - more than 17 mm in children (over 21 mm - in adults) are the size of the papules, pustules and sores are noted.

Should I agree to Mantoux with a cold?

All children in kindergarten and school perform the Mantoux test - a study that allows you to evaluate the reaction of the child's body to the causative agent of tuberculosis. It happens that parents knowingly send to kindergarten baby with snot. And some do not know if it is possible to put Mantoux on such a child.

After such a test, a runny nose and other symptoms characteristic of a cold do not appear, so a runny nose and Mantoux have nothing in common. However, the situation is completely different if Mantoux is placed with a cold (at the time of snot in a child).

Whether or not to agree to a test for a child, all parents decide in individually. If parents believe that the result of the diagnosis may be distorted, then it is best to give the injection a little later. It is usually necessary to withstand an interval of up to one month for the child's immunity to return to normal.

Some doctors insist on a test even for those children who, for some reason, are exempted from preventive vaccinations. They substantiate their decision again by saying that the test is not a vaccination in full. That's why controversial issue should be discussed with the physician in advance if the parent does not agree with his opinion.

If the child coughs, then it is also better to conduct a test after a two-week period after recovery. Who needs the extra work?

Remember, the parent must not go to unjustified risk, agreeing to staging Mantoux for a baby with a cold.

Remember, if the body is weakened, then staging Mantoux will not make sense and will not be beneficial.

Lidia Mikhailovna Ivankova

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How long after an illness is it better not to put manta?

for mantoux, too, I try to withstand no less gap

The head of the clinic noted everything in the card that the commission had been passed, but we are waiting for a vaccination for the kindergarten. Then they delivered us on time, and after that she immediately discharged us to the kindergarten.

and this is due to the fact that a false positive reaction may appear.

go quietly to the garden

ill in adaptation and fly by and fly by with vaccinations and samples.

adolescents, and for persons with various somatic

diseases. However, past illnesses and previous

vaccinations can affect the sensitivity of the child's skin to

tuberculin, strengthening or weakening it. This makes it difficult for the next

interpretation of the dynamics of sensitivity to tuberculin and is

the basis for determining the list of contraindications.

Contraindications for tuberculin tests with 2 TU in

period of mass tuberculin diagnostics:

Skin diseases, acute and chronic infectious and

somatic diseases (including epilepsy) during the period

Allergic conditions, rheumatism in acute and subacute

phases, bronchial asthma, idiosyncrasies with severe skin

manifestations during an exacerbation.

In order to identify contraindications, the doctor (nurse)

before setting up tuberculin tests, conducts a study

medical documentation, as well as interviewing and examining those subjected to

sample of faces. It is not allowed to conduct a Mantoux test in those children's

collectives where there is a quarantine for childhood infections. sample

Mantoux is placed 1 month after the disappearance of clinical

symptoms or immediately after quarantine is lifted.

Preventive vaccinations can also affect

sensitivity to tuberculin. Based on this

tuberculin diagnosis should be planned before

preventive vaccinations against various infections (DTP, measles and

etc.). In cases where, for one reason or another, the Mantoux test

produced not before, but after various preventive

vaccinations, tuberculin diagnosis should be carried out not earlier than

than 1 month after vaccination. in order 109

With the first positive reaction (papule 5 mm or more), not associated with previous immunization against tuberculosis;

With a stable (4 years) persistent reaction with an infiltrate of 12 mm or more;

With an increase in sensitivity to tuberculin in tuberculin-positive children - an increase in infiltrate by 6 mm or more or an increase by less than 6 mm, but with the formation of an infiltrate of 12 mm or more;

With hyperreaction to tuberculin - an infiltrate of 17 mm or more or smaller, but of a vesiculo-necrotic nature.

If the doctor did not reveal any signs during the examination, the referral to a phthisiatrician is also illegal.

a) sick active form tuberculosis (during the first 3 years after treatment);

b) patients with an unspecified form of activity of the tuberculosis process;

c) children and adolescents first infected with mycobacterium tuberculosis, with hyperergic and increasing reactions to tuberculin;

d) children who had complications on the introduction of anti-tuberculosis vaccine.

1) my child is not sick with tuberculosis, and all types of anti-tuberculosis care are voluntary for him (Federal Law "On Preventing the Spread of Tuberculosis in the Russian Federation")

2) the child is sent to the phthisiatrician to complete the examination only after he has signs of possible disease(Decree of the Government of the Russian Federation of December 25, 2001 No. 892, clause 4.6 SanPin 3.1..3.1 "Prevention of infectious diseases. Prevention of tuberculosis", approved by the Decree of the Chief State Sanitary Doctor of April 22, 2003 No. 62)

3) the current legislation does not provide for any restrictions on the rights of children due to the refusal to perform a Mantoux test: additional examinations by specialists, additional tests and passing additional procedures. Departmental documents that are contrary to federal law are illegal and not subject to execution.

Very relevant. About 2 months ago, after an orvi, a week and a half later, they sent us to manta rays. Well, I think, once sent, then you can already. Crap. Well, here is the third child, but never encountered. Everything is always fine, I didn’t even think about it. (((

Welcome to the phthisiatrician. They also said: “with a fluorography of the parents, no older than one year ago. It turned out that it was valid only for six months. They turned around and left for home. We don’t need a certificate for a private mini-kindergarten, so we sent both a phthisiatrician and a therapist through the forest.

now our “competent” pediatrician looks askance at us and insistently continues to drive to the phthisiatrician .. Despite the fact that they voiced it themselves - the reaction is such a mb against the background recently past illness(what the hell, one wonders, they didn’t say this before?), If this Mantoux didn’t burn at all at all.

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Questions that concern many: should Mantoux be done immediately after an illness? And if not, after how long can it be put?

The result of the Mantoux test depends on the state of the human immune system. When a person is sick, his immunity is weakened, various infections lead to a weakening of the body's defenses, which may affect the results of the study, cause the development adverse reactions.

In order for the body's response to the introduction of the tuberculin test to be adequate, it is recommended to put it only in healthy children. So is it possible to do Mantoux after an illness? It is possible, but not immediately: since various infectious pathologies proceed in different ways, it is important that the test be carried out at a time when the patient has already fully recovered.

In most cases, tuberculin diagnosis is recommended for children if at least two weeks have passed since recovery. Peculiarities infectious process in some diseases give rise to the need to make a longer pause between recovery and trial.

How long does it take to put Mantoux?

To determine how long after recovery a Mantoux test can be done, you need to know the characteristics of the disease.

Photo 1. Infectious diseases are caused by viruses, bacteria and other pathogens that have entered the body.

Acute respiratory infection Most children and adults are tolerated without consequences for the body. The recovery period after SARS is about two weeks. To avoid the development of adverse reactions during diagnostics with tuberculin and to obtain reliable results of the study, it is recommended to do the Mantoux test no earlier than two weeks after the cure.

Pneumonia

The severity of pneumonia in different patients can vary. How much time it will take to restore the body, in each case, is determined by the attending physician based on both the results of the study and the therapy performed. It is usually recommended to wait at least one month after pneumonia before the Mantoux test.

Chicken pox ("chickenpox"), measles

The period of complete recovery of the child's body after suffering chickenpox is 3-4 weeks. It is not recommended to put Mantoux until at least three months have passed since the moment of recovery. There is no need to hurry with tuberculin diagnostics, but if it is detected false positive, must pass additional examination at the phthisiatrician.

Mononucleosis

This infection can seriously weaken the patient's body. Therefore, the recovery period is usually up to a year. After suffering mononucleosis, you should refuse any tests and vaccinations for at least 12 months.

In addition, sick children are limited to contact with strangers, because due to the decrease in the body's defenses during illness, the likelihood of developing various infectious diseases, including tuberculosis, immediately increases.

This need is associated with the peculiarities of the infectious process in mononucleosis. Unlike others inflammatory diseases, this pathology primarily affects the cells involved in creating the body's immunity. As a result, its activity decreases, and vulnerability to the effects of various pathogens increases. Intradermal administration of tuberculin in this case, most likely, will not cause any reaction from the patient's body.

What happens if you take a test before recovery

The Mantoux test is not a vaccine, but diagnostic procedure based on the evaluation of the immune system response to the introduction of tuberculin protein. Therefore, all side effects that may occur in a patient are due to an allergic reaction of the body. Here are some of the most common occurrences:

• increase in body temperature;
• fatigue, weakness, drowsiness;
• lack of appetite;
• various skin rashes, redness at the injection site of tuberculin;
• generalized allergic reactions up to anaphylactic shock.

The severity of undesirable manifestations depends on many factors. Therefore, it is impossible to predict whether they will appear. One can only guess which of the patients is more likely to develop an adverse reaction. A large part of this group is made up of people who have recently had an infectious disease.

An important feature side effects when conducting a Mantoux test, it is also the fact that an allergic reaction can occur both at the injection site and on any other part of the child's body. Often this is manifested by reddening of the skin, rashes, itching, urticaria. It is also possible the occurrence of a generalized reaction that requires emergency care.

What you do not want to think about when you are sick: false diagnostic results

In most cases, this is an increase in the size of redness or papule (small swelling of the skin with a clear border). In this case, the patient is suspected of having a tuberculosis infection, additional studies are prescribed.

There are also reverse situation when the reaction to an injection with tuberculin is mild or completely absent. Such indications of the Mantoux test may be associated with a reduced reactivity of the immune system. The absence of reddening of the skin refers to a negative result, which indicates the absence of tuberculosis infection.

But, if you know about the child's recent illness, it is better to re-examine as many times as necessary. After some time, when the body is fully restored, reliable results will be obtained. Recent infectious disease may mask signs early tuberculosis(fatigue, moodiness and other non-specific symptoms). On early stages it can be detected only by the results of tuberculin diagnostics, since lung tissue And The lymph nodes not changed.

Important! A false-negative Mantoux test is dangerous because the doctor, not knowing about the child's recent illness, may miss the onset of a tuberculosis infection.

Can a child do Mantoux immediately after an illness?

Despite the fact that the Mantoux test should be given to children annually, after an infectious disease, especially such as pneumonia, chickenpox or mononucleosis, you need to take a break. How long to wait depends on the disease. Temporary refusal of tuberculin diagnostics will not adversely affect the patient's health, but will help prevent the development of adverse reactions to the drug administration. It is not worth making a decision on the appropriateness of the Mantoux test on your own, best solution will report this to the attending physician.

Photo 2. At the appointment, the doctor, as a rule, asks about recent diseases before putting any vaccinations.

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Check out the video in which the Ukrainian pediatrician Yevgeny Olegovich Komarovsky simply and clearly understands why, when you are sick, you should not rush to get vaccinated.

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Online journal about tuberculosis, lung diseases, tests, diagnostics, medicines and other important information about it.

Judging by nutrition, you absolutely do not care about immunity and your body. You are very susceptible to diseases of the lungs and other organs! It's time to love yourself and start getting better. It is urgent to adjust your diet, to minimize fatty, floury, sweet and alcohol. Eat more vegetables and fruits, dairy products. Feed the body with the intake of vitamins, drink more water (precisely purified, mineral). Harden the body and reduce the amount of stress in life.

• What is the Mantoux test for?
• Factors distorting the results of the Mantoux test
• Should I agree to Mantoux with a cold?

Many parents are concerned about the question of whether it is possible to do after an illness. If a parent asks a similar question, then with a high degree of probability it can be assumed that he knows little about the Mantoux reaction. Finding out the details about the technique of the sample will relieve him of the need to be tormented by doubts, making the right decision in time.

What is the Mantoux test for?

The most important thing to remember is that the Mantoux test has nothing to do with vaccinations and vaccinations, it does not contribute to the development of immunity and protection against diseases.

The introduction of tuberculin into the child's body is considered a diagnostic measure. And in accordance with whether the body has experience of interaction with Mycobacterium tuberculosis (Koch's bacillus, tuberculosis bacillus), the reaction to such an injection will be different. When mycobacteria are already present in the body, the diagnostic response will be positive. In this case, there is an allergy to tuberculin.

So, we found out that the Mantoux test is an allergy test or diagnostic testing.

When a newborn is given BCG, they develop antibodies to Mycobacterium tuberculosis. With the formation of antibodies, the Mantoux test is positive. If the child has tuberculosis, the test will be positive.

For the first time, Mantoux is given to a child at the age of one. And after that it is done every year. If there is a negative result in a year, they perform a second time. In a situation of a negative answer, the question of secondary vaccination (BCG) is raised.

Depending on age, the sample is placed in different hands. Usually, if age is an even number, then to the right hand, if odd - to the left.

The place of the test is the middle third of the surface of the forearm from the inside. The test is done subcutaneously.

is the same diagnosis as the sample. The test does not respond to vaccination, but to Mycobacterium tuberculosis. In healthy people it is negative. The check may be in the form of an annual fluorography or x-ray of the lungs. They are appointed if the parents do not agree to the test.

And yet in our country it is customary to perform Mantoux.

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Factors distorting the results of the Mantoux test

• recent vaccination;
• chronic and acute infectious diseases;
• allergies;
• bronchial asthma and rheumatism;
• menstruation;
• expiration date and quality of tuberculin;
• literacy of setting and decoding the results of the test;
• quarantine period in the children's team.

Please note: until recently, it was believed that it was impossible to wet a button. However, this is not quite true. It is not forbidden to wet the manta, and this will not affect the manifestation of the reaction and the decoding of the answer.

After intradermal injection of minimal doses of tuberculin (an antigen obtained from Mycobacterium tuberculosis) into the body, a reaction to the drug is observed for 72 hours at the site of its introduction.

According to the size of the papule (a dense raised skin tubercle that has arisen at the injection site), the presence or absence of Koch's sticks in the body is judged. The result is then:

• negative - there are no papules and redness, or it is not more than 1 mm;
• doubtful - papule and redness no more than 4 mm;
• positive - the diameter of the seal is from 5 to 16 mm (mycobacterium tuberculosis is present in the body, but they do not manifest themselves);
• hyperergic - more than 17 mm in children (over 21 mm - in adults) are the size of the papules, pustules and sores are noted.

The Mantoux test is a familiar injection aimed at detecting the presence of Mycobacterium tuberculosis infection in the human body. It has specific nuances and manifestations. So, Mantoux: when is the test done, and how long after the illness?

Tuberculosis. Tuberculin

Tuberculosis is a deadly and widespread infectious disease, which is caused by infection of the body with mycobacteria - Koch's bacilli. In order to detect infection, doctors use a special test - a skin injection of tuberculin. According to the results of the body's immune response to it, the presence of a tuberculosis infection is judged. Tuberculin is a complex mixture of mycobacterium extracts.

Mantoux test: nuances

The sample is placed with a standard diluted preparation containing two tuberculin units. The injection causes a local allergic reaction. The specificity of the result indicates whether there was an impact of a tubercle bacillus on the body. The test is placed on the inside of the forearm, and the results are taken on the third day.

Skin indurations are measured and documented:

• a sample less than 5 mm does not matter;
• 10 mm - possible infection through contact with patients with an open form or people at risk;
• 15 mm or the appearance of suppuration - a high probability of infection.

The tuberculin test detects the body's response to antigen input. A positive result indicates that there was contact with the pathogen, but this in no way means the presence of the disease.

When can you test?

For children who were vaccinated with BCG in the first days of life, upon reaching 12 months, a Mantoux test is administered annually. And for babies who are not vaccinated with the tuberculosis vaccine, the test is done twice a year. Quite often, parents have a question, how long after an illness can Mantu be done.

The answer is simple: acute and chronic diseases, as well as infectious and bodily diseases at the time of exacerbation, are a contraindication for the test. It can be done no earlier than a month after recovery or the disappearance of symptoms. Also, the test should not be done for skin diseases, epilepsy and for 4 weeks after any vaccination.

And how long after Mantoux can I get vaccinated? Tuberculin test is not performed simultaneously with vaccination. This is done to avoid the appearance of positive reactions of a false nature. Vaccinations without restriction can be done after the evaluation of the test results. The introduction of weakened strains of live microorganisms, for example, against measles, mumps and rubella, requires an increase in the time interval between vaccination and tuberculin test up to 6 weeks.

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How long after Mantoux can I do DTP? Due to the fact that the body's immune response to a vaccination can affect the test, they are not carried out on the same day. You can be vaccinated on the day of checking the reaction to the Mantoux test or later.

What do you need to know about vaccination?

• treat the injection site with solutions for the purpose of disinfection;
• restrict air access - seal with a plaster;
• bandage;
• scratch and rub.

You can swim and wash your hands. An increase in the diameter of the seal in comparison with previous periods by 6 mm or more, as well as a change in the negative measurement result to a positive indicator, is called a tuberculin test bend. In addition to the above limitations, diagnostics include:

• allergic conditions;
• announcement of quarantine for any disease.

There are the following approaches to reviewing the results of the Mantoux test:

• a negative result means that there is no infection and no reaction to the BCG vaccination;
• a positive result may be due to BCG vaccination, but also indicate infection.

The result of tuberculin diagnosis with a compaction of 12 mm or more for 4 years, as well as a consistent and lasting several years of increased sensitivity to the drug, are considered signs of infection.

What can affect the results of the Mantoux test? The following is an indicative list of factors:

• violations during storage and transportation of the drug;
• poor-quality sample setting by medical personnel;
• inaccuracies in checking test results;
• the presence in the medical history of diseases of a chronic nature;
• allergies and predisposition to them;
• hypersensitivity of the skin to tuberculin;
• allergic response of the skin to the action of other agents;
• the environment, as well as the ecological component;
• previous medication;
• menstrual phase in women.

Given the current epidemiological situation in the territory of the former Soviet Union on the incidence of tuberculosis, parents should not refuse to conduct a Mantoux test. It should be remembered that this is a diagnostic test, which is indicative in nature and provides information for reflection and analysis. No one makes a diagnosis of tuberculosis by tuberculin test alone.