Tuberculin (Intradermal Route)
Original Article: http://www.mayoclinic.com/health/drug-information/DR601395
US Brand Names
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Description
Tuberculin purified protein derivative (PPD) is used as a test to help diagnose tuberculous infection.
How the test is done: Tuberculin PPD is injected into the surface layers of the skin. If the test is positive, a reaction will be seen at and around the place of injection or puncture. If the test is given using an injection, this reaction is usually a hard, raised area with clear margins. If the test is given using the puncture devices, the reaction is usually a swollen area at the puncture site. Forty-eight to 72 hours after administration of the injection the size of the reaction is measured and recorded and the results of the test are studied.
Tuberculin PPD is to be used only by or under the supervision of a doctor.
Before Using
In deciding to use a diagnostic test, any risks of the test must be weighed against the good it will do. This is a decision you and your doctor will make. Also, other things may affect test results. For this test, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Although there is no specific information comparing use of tuberculin PPD in children with use in other age groups, this diagnostic test is not expected to cause different side effects or problems in children than it does in adults.
Geriatric
Reactions to tuberculin PPD in older patients may be more likely to develop slowly and may not reach the peak effect until after 72 hours.
Pregnancy
| Pregnancy Category | Explanation | |
|---|---|---|
| All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
Breastfeeding
Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this diagnostic test. Make sure you tell your doctor if you have any other medical problems, especially:
- Positive tuberculin reaction (previous)—The reaction to tuberculin PPD may be severe, possibly causing sores on the skin where the test is given.
Proper Use
Dosing
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Rare- Redness, blistering, peeling, or loosening of the skin
- Skin rash or itching
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common- Pain
- Redness at the site of injection
- Sores at and around the place of injection
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.


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