How do you approach a positive Quantiferon/PPD test result in a patient for whom testing is sent without a clinical indication and who does not have a risk factor for TB exposure nor TB reactivation?

Topics: Infectious Disease • Tuberculosis

Do you routinely offer latent TB treatment in these cases?

Answer from: at Academic Institution

If a test for TB infection such as a Quantiferon or PPD is done without TB exposure risk factor or clincial indication and is positive, a chest X-ray and good history for symptom assessment and exam should be done. I will assess to see if there is an increased risk of developing TB such as an immuno...

Comments

at Memorial Medical Center
How about if there was recent true exposure and kn...

at University of Rochester School of Medicine and Dentistry
If there is recent exposure, and seroconversion. y...

at Hartford HealthCare Medical Group
Agree

at Pacific Inpatient Medical Group
How can you call it a false positive when inadvert...

at John's Hopkins
I have better results with using Tspot but agree w...

Answer from: at Community Practice

If conversion happens or risk factors are present then treat.

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