phuluong2k
Forum Fanatic
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In kaplan pediatrics, they say that Those who have received BCG & test positive on PPD should be treated with 9 months of INH prophylaxis.
I think if one receceived BCG vaccine, the positive PPD test is normal so there is no need for INH . Am i wrong ?
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| mdwannabe
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yes..u are wrong. the problem is that with BCG u never know is pt got infection or not, the test is positive. Therefore, treat anyone +PPD that is: recent converter (less than 2 yrs), anyone with immune deffic, anyove < 35 yoa.
In US these are the reccomendations and BCG status has no bearing on it.
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| nightflight1945
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BCG can make PPD positive but less than 10 mm so when it becomes more than 10mm in immunocompetent individual you should start 9 months of INH
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| intern_doc
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Agree w/MDwanabe...good point
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