We inform you that starting from the school year, Diaskintest will be used as a method for detecting tuberculosis in students. The Mantoux reaction will not be performed at school. Diaskintest is a new method for diagnosing tuberculosis and tuberculosis conditions, which is based on determining the reaction of the body of the person being examined to special substances that are found only in microbes that cause tuberculosis. Sechenov and has currently undergone clinical studies that have shown its high effectiveness.

What is Mantoux - all the answers about the tuberculin test

Natalya Dolgomirova talks about whether children need this analysis and what results they should worry about. This is what the mark from the injection of tuberculin may look like. The Mantoux test is the most common way to determine whether a child has Mycobacterium tuberculosis in his body.

This test is regularly given to modern children, and in the past it was done to their parents and even grandparents. But debates about whether this diagnostic method is harmful, whether an enlarged papule can be a reason for treatment, and whether those who have not been tested have the right to be prohibited from coming to school and kindergarten still do not subside.

To answer these and other questions. To do this, he is injected intradermally with the drug tuberculin, and after three days the reaction to it is assessed. To do this, the doctor examines the place where the injection was given and measures the size of the papule and swelling. It definitely shouldn’t be dense, high or more than 17 millimeters in diameter. It should not look like an ulcer or sore. The smaller size of the papule can also be alarming.

For example, an alarming bell may be a sharp increase in the size of a papule compared to the value of the previous year, a gradual annual increase in the papule to 12 millimeters or more, and the persistence of a reaction with a papule larger than 12 millimeters for several years. They do not always cause the disease, but they increase the risk of developing it. Therefore, it is very important to understand who is at risk and who is not.

The Mantoux test is used in children under 7 years of age, as it determines not only infection, but also the extinction of anti-tuberculosis immunity after BCG vaccination. For children aged 8 to 17 years, a test with a tuberculosis recombinant allergen is used - Diaskintest. It can also be used in some cases in preschool children.

Children vaccinated against tuberculosis undergo immunodiagnosis once a year. For unvaccinated people - twice a year. Children need immunodiagnosis at least once a year. Photo: Timofey Kalmakov.

But its dosage is extremely small and does not cause harm to the body, since phenol is produced in the human body independently in much higher doses. For example, the dose of phenol produced by the intestinal microflora per day is several times higher than that found in the preparation for the Mantoux test.

It is important that the size of the papule does not increase from year to year. The test result should then become negative. A specific allergic reaction to tuberculin components is impossible. In children prone to allergies, the result may be more pronounced. In this case, the phthisiatrician recommends an alternative diagnostic method. The temperature should not be normal. If it is, this is a reason to carefully examine the child. The doctor and parents must be convinced that the child entering the educational institution is healthy and not dangerous to other children.

Therefore, without a certificate from a TB doctor confirming the absence of this disease, children who have not undergone intradermal tests cannot attend kindergartens and schools. A certificate can only be obtained after immunodiagnosis. The doctor and parents decide together which method to use. Infection with Mycobacterium tuberculosis is not a reason to refuse a child to attend kindergarten. Photo: Victor Mikhalev. For example, diaskintest and x-ray or computed tomography. But, I repeat, in order for the child to continue going to the children's group, the parents need to bring him to a phthisiatrician, examine him and get a certificate of absence of tuberculosis.

For the doctor to issue such a conclusion, additional examination may be required. If tuberculosis is detected, the child is not allowed into the children's group. First, he receives treatment in a hospital, and then, when he is no longer dangerous to others, he recovers in a children's sanatorium or at home.

Drugs that are designed to fight Mycobacterium tuberculosis can prevent the development of the disease. The TB doctor decides which medicine to use in each specific case. Also, preventive drugs are prescribed to those who are not sick, but have had contact with a patient with tuberculosis. Some are contraindicated for existing liver problems, while others can be prescribed only after consultation with an ophthalmologist.

After prescribing any medicine to combat Mycobacterium tuberculosis, the child’s health condition is monitored. If negative reactions occur, change the drug or dosage. In parallel with medications against Mycobacterium tuberculosis, drugs are used to support the liver and other organs. The treatment regimen is determined individually for each child.

If all precautions are followed, the benefits of treatment usually outweigh the possible side effects. All news. The minimal increase in cases in recent times and the nuances of the new decree. The situation with coronavirus in the Kama region as of May 10 - briefly. Perm residents decorated their windows with inscriptions and portraits for Victory Day - photo selection from our readers. Health Interview. Everything you wanted to know about Mantoux: an interview with Natalya Dolgomirova, head of the children’s assistance department of the Ministry of Health of the Kama region, about whether children need this test and what results they should worry about.

This is what a mark from the injection of tuberculin may look like. The Mantoux test is the most common way to determine whether there is Mycobacterium tuberculosis in a child’s body. Many people believe that it causes damage to the liver. Author Maria Plotnikova. Share Share. Perm children tuberculosis health mantoux.

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Tuberculin test

Primary consultation with a general practitioner. Consultation with a general practitioner, repeated. Consultation with a general practitioner, Ph. Consultation with a general practitioner, Dr. Duplex scanning of the main arteries and veins. Ultrasound control during invasive interventions. Determination of the level of free fluid in the abdominal or pleural cavity.

Ultrasound diagnostics of cerebral vessels. Ultrasound of 1 zone, without additional studies, determination of the level of free fluid, residual urine, etc. Ultrasound Dopplerography of the arteries or veins of 1 limb. Ultrasound diagnostics during pregnancy. Diagnostic esophagogastroduodenoscopy. Endoscopic ligation of esophageal varices without anesthesia. Endoscopic control or prevention of gastrointestinal bleeding.

Endoscopic mucosal resection. Diagnostic bronchoscopy. Tracheal endoprosthetics. Sanitation bronchoscopy. Removal of a foreign body from the trachea, bronchus or lung. Endoscopic assistance under WG control.

Colonic diagnostic endoscopy. Endoscopic stenting of the esophagus, stomach, duodenum, colon. Endoscopic polypectomy. Retrograde cystography. Scintigraphy of skeletal bones. X-ray of one area without contrast. X-ray of one area with contrast. X-ray control during invasive operations without contrast. X-ray control during invasive operations with contrast.

Aortography of the thoracic region. Aortography of the arch and brachiocephalic arteries. Abdominal aortography. Video monitoring of electroencephalogram 24 hours. Video monitoring of electroencephalogram for up to 4 hours. Electroencephalography EEG. Registration of somatosensory evoked potentials of the cerebral cortex. Registration of evoked potentials of the cerebral cortex visual. Registration of evoked potentials of the cerebral cortex cognitive.

Registration of evoked potentials of the cerebral cortex auditory. Electromyography with needle electrodes of one muscle. Electroneuromyography stimulation of one nerve sensory fiber. Electroneuromyography stimulation of one nerve motor fiber. Electroneuromyography stimulation of one nerve F-response. Electroneuromyography stimulation of one nerve H-response. Needle electroneuromyography.

MSCT of the brain with intravenous bolus contrast. MSCT examination of the bones of the facial skull. MSCT of the abdominal cavity and retroperitoneal space with intravenous bolus contrast. MSCT of the coronary arteries with contrast. MSCT of the chest, abdominal cavity and retroperitoneal space with contrast.

MSCT of the chest, pelvis, abdominal cavity and retroperitoneal space with contrast. MSCT of the chest with intravenous bolus contrast. MSCT of the pelvic organs with intravenous bolus contrast. MSCT of the urinary system with intravenous bolus contrast. MSCT of the kidneys and adrenal glands with intravenous bolus contrast.

MSCT of soft tissues with intravenous bolus contrast. MSCT examination of one part of the spine. MSCT of the pelvic bones. MSCT of one joint. MSCT of the temporomandibular joints. MSCT of the brain. MSCT of the kidneys and adrenal glands. MSCT angiography of the abdominal aorta. MSCT angiography of vessels of the lower extremities.

Assessment of space-occupying formations of the chest, abdominal cavity, retroperitoneal space, pelvis without taking into account the cost of the contrast agent. CT topometry of the brain. Digital mammography. MSCT of the abdominal cavity and retroperitoneal space. MSCT of the chest organs. MSCT of the pelvic organs.

MSCT of the chest with virtual bronchoscopy. MSCT of soft tissues of one anatomical area. MSCT of a limb segment without description of the joints of the shoulder, forearm, thigh, lower leg. MSCT virtual colonoscopy.

Extended magnetic resonance imaging of the whole body. Issuing a conclusion on a CT examination to another medical organization. Dosimetric planning. Conformal radiation therapy session.

Comparison of MSCT images over time. Providing research data on film or disk in duplicate. Second opinion service. Expert Consultation e. Provide bolus contrast, dynamic contrast, contrast perfusion, or single-site angiography during CT or CT angiography.

Angiography of the renal arteries. Magnetic resonance imaging of the brain with non-contrast angiography of the arteries and veins of the brain. Magnetic resonance imaging of the hip joints. Magnetic resonance imaging of the abdominal cavity, retroperitoneal space. Magnetic resonance imaging of the temporomandibular joints. Magnetic resonance imaging of three parts of the spine. Magnetic resonance imaging of the ankle joint.

Magnetic resonance imaging of the brain. Magnetic resonance imaging of the brain and pituitary gland. Expert consultation, d. Magnetic resonance imaging of the brain with contrast.

Magnetic resonance imaging of the thoracic spine. Magnetic resonance imaging of the hand. Magnetic resonance imaging of the knee joint. Magnetic resonance imaging of the sacroiliac joints. Magnetic resonance imaging of the elbow joint.

How often is Mantoux given to children? Vaccination schedule for children in Russia

Who among us, parents, has not been angry at the Mantoux test! This is not a vaccination, but a diagnostic test. But in this case, tuberculin is injected intradermally - particles of the membranes of the causative agent of the disease. At the injection site, a compact papule or button is formed - special cells that have already become acquainted with Mycobacterium tuberculosis gather there. If there are too many of them, the button will grow larger than normal, and the doctor will suspect a primary infection. Negative - there is no papule, there is only a reaction to the injection mm and possible redness with a diameter of about 5 mm.

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Forgot your password? Question for doctors or nurses. Author: Squaw, August 12 Published: August 12 Comrades, explain the brakes and sclerosis “on the fingers”. And remind me whether it is possible to do the Mantoux test on the same day along with the ADS revaccination with polio. If not, what interval is needed? All this, of course, will be told to me by the pediatrician, but I want to plan our visits to the city in advance. Published: August 24 Published: September 8

All adults remember how at school they were injected with some substance into their hands, after which they could not wash themselves for three days.

On what day is Mantoux tested on a child?

Natalya Dolgomirova talks about whether children need this analysis and what results they should worry about. This is what the mark from the injection of tuberculin may look like. The Mantoux test is the most common way to determine whether a child has Mycobacterium tuberculosis in his body. This test is regularly given to modern children, and in the past it was done to their parents and even grandparents. But debates about whether this diagnostic method is harmful, whether an enlarged papule can be a reason for treatment, and whether those who have not been tested have the right to be prohibited from coming to school and kindergarten still do not subside.

Mantoux test, Pirquet test, tuberculin test, tuberculin diagnostics - a method for studying the intensity of immunity to the causative agent of tuberculosis by assessing the skin reaction to a special mycobacterial preparation, tuberculin. In this sense, tuberculin copes with its task perfectly - it is for this reason that the drug was never subjected to radical processing and for more than years, to this day, has been one of the main means of diagnosing tuberculosis.

The Mantoux test is an intradermal or cutaneous test that is performed to identify the specific response of the immune system to the introduction of tuberculin. Thus, it is not intended to develop immunity to the disease in the baby, like other vaccinations, but to identify immunity to tuberculosis. The tuberculin test, the second name for the Mantoux reaction, is a very important diagnostic procedure for every child. The reaction to the test is checked by a doctor several days after the procedure. Many parents, worried about the health of their baby, want to know the preliminary result even before being examined by a doctor. In this article we will tell you on what day Mantu is checked and how to do it yourself.

Doctor Komarovsky about the Mantoux test

And when someone clearly explains to mothers that what was injected into their offspring’s arm at school, kindergarten or in the treatment room is not a vaccine, but a test, a test, then a lot of questions arise. The famous children's doctor Evgeny Komarovsky tells what Mantoux is and why such an injection is given.

The tuberculin test is a diagnostic method, a test for the presence in the body of the microbe that causes tuberculosis - the tuberculosis bacillus. For these purposes, the child is injected subcutaneously with a special drug, which is based on the microenvironment of the pathogen - tuberculin. Then specialists evaluate the body's response to the injected substance. The fact is that people suffering from tuberculosis, infected, and those who are healthy react diametrically opposite to tuberculin.

This reaction is similar to the manifestations of allergies: if a person has a microbe that causes tuberculosis, tuberculin causes a certain inadequate allergic immune response, but if the child does not have the causative agent, nothing happens. Dr. Komarovsky will tell children in more detail and thoroughly all questions on the topic of mantoux in the next video.

Today, the Mantoux test is considered an effective diagnostic method throughout the world. Alternative ways to find out whether a child has tuberculosis also exist, but they are few.

In Russia, the drug is registered and certified completely officially. Its diagnostic effect is based on the isolation of certain specific antigen proteins that are sensitive only to the aggressive pathogen of tuberculosis. From this point of view, the new test is more advanced. If it is negative, there is no disease; if it is positive, there is a disease.

The vaccination, aimed at ensuring that the child develops anti-tuberculosis immunity, is done in the maternity hospital. It's called BCG. However, despite vaccination, a child can become infected with tuberculosis, although the vaccine significantly reduces this likelihood.

This is due to a gradual decrease in antibodies to the tuberculosis bacillus. If the baby has not developed immunity at all after the first vaccination, he is given a second one - before school, at the age of 7 years. In our environment there is always someone who is a carrier of the tuberculosis bacillus; we encounter such people in transport, in a store, on the street, because the policy of the Russian state does not provide for the strict isolation of people with such a diagnosis from society.

The Mantoux test should be performed once a year, starting from the moment the child turns 1 year old. According to the existing rules, samples must be taken in different hands.

If this year the child was treated on the left, then in a year it should be done on the right. The place for tuberculin injection is always the same - the inner surface of the forearm, its middle third.

If you see that the test was made in the other third of the forearm, you can’t count on the correct result. As before vaccination, before the Mantoux test, about a month in advance, you should make sure that the baby is feeling well. He must be healthy, he must not have any acute diseases or allergies. If the child has a fever, it is better to postpone the test date to a later date. All of these are strict contraindications.

After any regular calendar vaccination, the Mantoux test should be performed no earlier than a month later. Also, more than 30 days must pass after the illness. If you properly prepare for a diagnostic test, the results are less likely to be false or erroneous. You can often hear the opinion that after a Mantoux test a child should not be bathed for 3-4 days. Evgeny Komarovsky claims that this is not so, and washing is not at all contraindicated; it is possible to wet the tuberculin injection site.

A qualified medical professional should evaluate the body's response to tuberculin. However, mothers usually cannot wait to figure out the intricacies of diagnosis on their own. Their desire is quite understandable and understandable, says Evgeny Komarovsky. Especially for moms and dads, he explains what the Mantoux reaction can tell. Accounting is carried out 72 hours after the test. Therefore, the most convenient day for diagnostics is Friday; in most Russian clinics this day is chosen so that the doctor has the opportunity to evaluate the result exactly 72 hours later on Monday.

The site of tuberculin injection changes during this time. Sometimes redness and hyperemia are observed. There is often some swelling, an increase in size, and thickening at the injection site. It is called a papule. The health care worker does not measure the redness, but the enlarged papule; for this purpose, they must use a transparent ruler. Sometimes parents are faced with a situation where a test that was previously always negative turns positive and there was no BCG vaccination.

If it occurs, this may mean that the child has become infected with a tuberculosis bacillus. The child will be scheduled for a consultation with a TB doctor, an x-ray of the lungs will be required and additional tests will be performed, after which the child will be prescribed treatment.

Infection with a dangerous disease can also be suspected if the Mantoux test, after a positive result after vaccination with BCG, gradually decreased every year, and then suddenly increased sharply from 5 mm to 9 mm. Such changes in the size of the papules are also grounds for additional examination and treatment if necessary.

If over the years the Mantoux test remains pronounced more than 12 mm in transverse measurement, this may also indicate the development of pulmonary tuberculosis. Recently, a lot of unprofessional and unreliable information has appeared about the dangers of the Mantoux test. Therefore, the number of parents who refuse to have their children tested has increased significantly. Evgeny Komarovsky claims that the administration of tuberculin in no way poses any danger to the child.

Phenol as a preservative is indeed contained in the drug, which is administered intradermally, but its amount is very small, approximately the same as contained in ml. By the way, phenol is a natural substance for the human body; it, as a breakdown product of certain compounds, is excreted in the urine.

In order for a child to be exposed to the toxic effects of tuberculin, he needs to administer about a thousand doses per day! Very often, parents have a question about whether they should give their child antihistamines before the test.

Evgeny Komarovsky argues that this cannot be done. Since the main purpose of the Mantoux test is to see if there is an allergic reaction to tuberculin, antihistamines may interfere with this.

Dear Parents! Don’t forget that we live in Russia and we have many foreign citizens who have not been vaccinated with anything at all! And let's remember, before everyone was vaccinated according to age, and our parents, not having the Internet where you can find propaganda against vaccination, thought about us - their children, and we had fewer infections than now! I am also a mother, and I love my children very much, so I want them to be healthy and therefore I give all the vaccinations and the Mantoux test, and for children over 7 years old - the Diaskin test.

And, if you are normal parents, then don’t refuse, do it. The life and health of your children are in your hands! After reading the article, I was once again convinced that the vaccine was administered to the child incorrectly; the so-called “button” was not formed, thereby showing an incorrect result. But Diaskintest was administered by a qualified medical professional. Dear mothers, be very careful when you trust your children with honey.

Whether or not to do this procedure for a child is a purely personal matter for the parents and NO ONE has the right to force them to do it! Some people write here, they say they are obliged - no one has the right to oblige you to do something with your child without your consent!

And as a child, I had a positive reaction before going to school. They sent me to a phthisiatrician, where, after consulting, they decided that everything was fine and sent me home. Now I am 27 years old, a year and a half of treatment for tuberculosis, then an operation, after which the surgeon said that my process is very old and now everything has resulted again with complications. He said that you were ill as a child. This is such a “surprise”. My mistake is that, not working, I absolutely did not think about annual fluorography and did not pay attention to the symptoms until I felt very bad.

Every year I had a red enlarged papule mm. Each time the doctor threatened to send me to a phthisiatrician. As a child, I was very afraid of this. Now I’m 30 years old; I’ve never had tuberculosis, my lungs are fine. I just want to say: moms, don't be scared by the slightly increased results, just pay close attention to the baby as a whole!

At the moment, in Italy, according to relatives, there is a vaccination calendar, according to which you are obliged to get all vaccinations on time, otherwise the patient will be fined.

In some European countries, Mantoux was abandoned due to the lack of tuberculosis patients as such. But here in Russia, the morbidity statistics are only growing, so no one has the right to refuse Mantoux. All sorts of bots are roaming social networks, agitating people against vaccinations and Mantoux.

There is no evidence or statistics that vaccinations are harmful, there are only paid “experts” shouting about the dangers of vaccinations, but you ask these “experts” if they were vaccinated in their childhood, of course, yes!

And they are still alive. The human body excretes phenol in urine and the presence of phenol in vaccines will not affect your health in any way. Those mothers who refuse vaccinations and Mantoux put their children and others at risk. Having a Koch wand, a person can live happily ever after, walk around and infect others!

The child is 7 years old. Mantoux was negative twice. This year they took diascrine and it was also negative. The nurse says everything is fine and there is no need to do BCG. Is this true or not? We made Mantu for our daughters. On the third day, the doctor looked and said everything was fine, but on the fourth day Mantu turned red, the spot spread and turned red.

Please tell me what to do. We get Mantoux every six months, and it’s 9 mm or so.

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