Recommendations after vaccination on the website of the CHILDHOOD Plus clinic

Carrying out the Mantoux tuberculin test is necessary to detect tuberculosis at the initial stage and assess the degree of formation of anti-tuberculosis immunity in children. Specific immune protection is established during BCG vaccination in the maternity hospital, then maintained through revaccinations (at 7 and 14 years of age). A tuberculin test is carried out annually: both in childhood and adolescence. After the diagnostic procedure, certain recommendations must be followed. In this regard, the relevant question is whether after Mantoux you can walk with your baby on the street or not.

Before the procedure, the child undergoes a mandatory examination by a pediatrician. There are certain contraindications to performing a tuberculin test. These include:

increased body temperature;
chronic diseases in the acute stage;
indigestion;
a runny nose or cough.

Before an injection, antihistamines are taken only under the supervision of a doctor. Their use is indicated for increased susceptibility to allergic reactions.

In accordance with the specifics of conducting research on children, the results of the study are assessed after three days. In this case, the specialist examines the papule (the formed lump at the injection site) and measures its diameter using a transparent ruler.

Mantoux may show a negative result. In this case, a small papule forms at the puncture site. Its size is no more than 1 mm.

We can talk about a positive result when the diameter of the papule varies from 0.5 to 1.6 cm. There is redness at the injection site.

The result of the tests can be considered doubtful if the papule has unclear outlines. Its size can reach 0.4 cm. In some cases, slight redness appears on the child’s hand.

The result of the Mantoux test is assessed as hyperergic if:

the diameter of the papule reaches 1.7 cm;
severe swelling occurs;
Pus accumulates at the injection site and ulcers form.

This may indicate either a severe allergic reaction or infection. Consultation with a phthisiatrician is required.

After what time can you get other vaccinations?

The Mantoux test is not a vaccine, therefore it is not included in the National Vaccination Calendar.
Despite this, when carrying it out it is important to take into account the vaccination plan

Expert recommendations:

1.5 months before the introduction of tuberculin, vaccinations using live bacteria cannot be done;
4 weeks in advance - you cannot do inactivated vaccinations;
No vaccinations should be given on the day of the Mantoux test.

Otherwise, after Mantoux, you can do other vaccinations 3-4 days after the injection, if the Mantoux results are negative. If the doctor reveals a positive result, any further vaccinations can be carried out no earlier than six months later.

What to pay attention to

Tuberculin contained in the Mantoux preparation is a fairly strong allergen, especially for newborns. After administration of the drug, allergic reactions may develop, and chronic diseases, if any, may worsen. There is reason to believe that immunity is slightly weakened after the test. In very young children, one or two years old, the immune system is in the process of formation, so it is not worth subjecting it to additional shocks. However, Mantoux is an important diagnostic method for detecting tuberculosis, one of the most dangerous diseases of our time.

Many parents believe that it is impossible to walk with their child on the street after Mantoux, as they believe that in this case it is easy to catch an infection. This approach is fundamentally wrong.

You can walk with Mantoux, and you should do it. Dr. Evgeny Komarovsky, for example, even insists on this, since a lack of fresh air can have a more adverse effect on the child’s body than walking after the test

When deciding on a walk outside, you need to pay attention only to how the baby feels

If you notice that your baby is not feeling well, he is lethargic, capricious, and his temperature is rising, then, of course, you should refuse walks. If these symptoms are present on both the first and second days after diagnosis, you should consult a doctor. Only he will be able to determine what factors influenced the child’s well-being, how to help him, and whether he is allowed to go for a walk.

Complications after a mantoux reaction are quite rare; the child could simply catch an infection. In this case, there is also no absolute ban on walking. A little fresh air won't hurt.

Are walks allowed during the post-injection period?

Walking in nature
If a child has been given the Mantoux vaccine, can he then take walks in the fresh air? Of course, this is a controversial question and cannot be answered unequivocally. In any case, when bacteria are introduced into the body that can provoke the development of tuberculosis, a slight change in general well-being may occur. This means that care must be taken in the post-injection period to avoid progression of an existing chronic disease or the development of other infectious pathologies.

Due to the fact that after such a vaccination the body’s immune system is somewhat weakened, it becomes more susceptible to many infections that are transmitted by airborne droplets. It is for this reason that many parents believe that it is better to limit walking outside after leaving the hospital.

But the opinion of experts is somewhat different on this matter. Doctors do not advise giving up walking completely, because being in a confined space can cause more harm than fresh air. If the vaccination was carried out correctly and the administered medicine was of high quality, experts do not impose any special restrictions in the post-injection period.

In some cases, a headache may occur after administration of the vaccine, as well as general malaise or an increase in general temperature. Walking with your child in such cases is not recommended. When such unpleasant symptoms disappear (and this occurs the very next day), you can take walks in the fresh air.

Factors that may affect Mantoux

The procedure for administering tuberculin is quite simple. The nurse or doctor injects a small amount of special microbacterial extracts into the forearm area. After this, the child experiences a characteristic allergic reaction of the body at the injection site. Exactly three days later, the Mantoux test will increase slightly and turn red. It is better not to wet it or comb it again. Otherwise, the results may be incorrect.

This test has a huge number of positive differences. It is available to all children up to a certain age. The desired result can be obtained within three days after the administration of tuberculin. If all aspects and rules are followed, such a test is very accurate.

A positive result diagnoses a deviation of the body’s condition from the norm. In this case, the child must undergo the vaccination procedure. If the necessary vaccination has already been done at the age of 7 years, then the Mantoux test will mainly demonstrate the body’s reaction to dead tuberculosis bacteria. Don't worry too much if the diameter of the button is more than 0.5.

Pirquet's test is the predecessor of Mantoux. It was made by applying characteristic notches to the skin. Children developed small wounds on their forearm, which very often became infected after contact with dirty water. It was from that time that a superstition arose that you should not wet your hand for a long period of time.

There are a number of other factors that can damage the target area of skin. Do not place a bandage at the injection site, or intensively comb or rub the target area with alcohol. Do not cover the red spot with a band-aid. Many children experience a specific allergic reaction after applying iodine, moisturizer, shower gel or soap. In this case, Mantu can be wetted with ordinary water.

The size of the spot can also be influenced by internal aspects of the body. Vaccinations affect the immune system. Mantu can be done after a certain period of time after vaccination (approximate period - 1 month). It is also not recommended to do a test during the treatment process for skin diseases and allergies. The child must be completely healthy and not complain of a cold.

What is not allowed and what is possible after Mantoux

Every parent wants to understand what real prohibitions and restrictions exist after tuberculin diagnostics (Mantoux), and what are myths. For example, the well-known idea that Manta cannot be wetted is partly a myth. It is not advisable to steam or soak the puncture site, but this can be caused not only by water.

So, what else should you not do:

comb the Mantu with your nails or irritate it with hard fabrics (tight clothes), rub it with a towel or washcloth when washing (you need to blot it lightly with a paper towel or dry cloth);
use chemicals (soap, gels), especially new ones, when washing;
swim in rivers and pools (risk of infection or exposure to chlorine);
treat the “button” with brilliant green, iodine, hydrogen peroxide, any ointments and creams, and other liquids;
cover with a bandage or wrap with a bandage and cloth;
consume foods that have a general or individual risk of intolerance. That is, those to which the child was once allergic (he is now) or products to which the individual reaction is still unknown (have not tried). For all children, risky foods include chocolate, strawberries, nuts, and citrus fruits. The same recommendations apply to drinks;
give any vaccinations on the day of tuberculin diagnosis and for two months after (unless there are individual indications from the pediatrician). But a repeat BCG vaccine can be given on the fourth day, that is, immediately after assessing the Mantoux result, if such a need is identified. At the same time, O.E. Komarovsky allows vaccination according to plan, even if it occurs at an undesirable time (immediately after Mantoux) or if the child’s condition is not the best (mild runny nose, cough);
For older children, go to classes and be physically active in the first 72 hours after the injection.

The question of the combination of Mantoux and vaccinations arises especially acutely at an early age, since from the moment of birth active vaccination begins (at one year - against measles, at one and a half years - against mumps, at two years - whooping cough, tetanus and diphtheria, polio), and later for revaccination is necessary. The individual history of the medical record must be taken into account and studied without fail!

Is it possible to walk after Mantoux? Will it cause harm?

Mantoux is an annual diagnostic procedure carried out in children and adolescents for the timely and early detection of tuberculosis or a risk group. Children are active, sociable, and love to go for walks.

In this connection, parents have a pressing question about whether it is possible to go for a walk after Mantoux. It is important to understand this issue, since the health of the child is priceless.

And although Mantoux is not a vaccine as such, it is nevertheless an intervention in the normal functioning of the body and immunity.

What is not allowed and what is possible after Mantoux

So, what else should you not do:

comb the Mantu with your nails or irritate it with hard fabrics (tight clothes), rub it with a towel or washcloth when washing (you need to blot it lightly with a paper towel or dry cloth);
use chemicals (soap, gels), especially new ones, when washing;
swim in rivers and pools (risk of infection or exposure to chlorine);
treat the “button” with brilliant green, iodine, hydrogen peroxide, any ointments and creams, and other liquids;
cover with a bandage or wrap with a bandage and cloth;
consume foods that have a general or individual risk of intolerance. That is, those to which the child was once allergic (he is now) or products to which the individual reaction is still unknown (have not tried). For all children, risky foods include chocolate, strawberries, nuts, and citrus fruits. The same recommendations apply to drinks;
give any vaccinations on the day of tuberculin diagnosis and for two months after (unless there are individual indications from the pediatrician). But a repeat BCG vaccine can be given on the fourth day, that is, immediately after assessing the Mantoux result, if such a need is identified. At the same time, O.E. Komarovsky allows vaccination according to plan, even if it occurs at an undesirable time (immediately after Mantoux) or if the child’s condition is not the best (mild runny nose, cough);
For older children, go to classes and be physically active in the first 72 hours after the injection.

There are no other restrictions; you are allowed to stick to your usual lifestyle. Thus, the answer to the question whether the whole family can go for a walk after the Mantoux vaccination is done is positive! Can! However, it is important to adhere to an individual approach, that is, to take into account all the features of the test, its result and the condition of the child. Oleg Evgenievich notes that a minor anomaly (slight and short-term increase in temperature, drowsiness) occurs with any vaccine or injection. There is no need to be afraid of this!

When is the Mantoux result evaluated?

After setting Mantoux, after three days of appropriate care, the results are analyzed.

Inspection of the papule (puncture site and tubercle (seal) near it) and interpretation of the result can only be carried out by a specialist using a transparent soft ruler.

Several final options are possible:

Negative result (absent or barely noticeable papule without redness, up to 0.1 cm in size).
Positive (papule diameter from 0.5 to 1.6 cm with induration and redness).
Doubtful (vague outline, size up to 0.4 cm, sometimes only slight redness).
Hyperergic (diameter from 1.7 cm, severe redness and swelling or the presence of ulcers, pus).

Sometimes false positive and false negative results occur. It can be triggered by violation of the technique of the procedure, rules of care, the presence of illness and chronic infections (for example, HIV) during the diagnosis period. In the first five years of life (especially the first two years), the result may be distorted due to BCG done in the maternity hospital.

Illness at the time of the injection, at least two weeks before it and during the three days of diagnosis can distort the result. That is why some parents are of the opinion that it is better to avoid partying. At least in those 72 hours that are needed for the outcome to manifest itself.

Is it possible to walk with a one-year-old child after Mantoux vaccination?

You can and even need to go for a walk at any time during the diagnosis (before and after) and at any age. Until one year old, the baby is not yet very mobile; he is mostly in a stroller (sleigh) and does not move much independently. Its contact with the environment is minimal. Therefore, getting some fresh air can only be beneficial. However, if Mantoux gave unexpected complications, then it is better to wait and play it safe.

Possible doubtful consequences include:

increased body temperature, chills;
runny nose, cough, other cold symptoms;
positive or excessive Mantoux result;
local defects and allergic manifestations at the injection site.

If the diagnostic result is abnormal or there are obvious manifestations of intolerance or severe deterioration in health, you should contact a pediatrician or TB specialist.

Is it possible to walk with a 2 year old child after Mantoux vaccination?

At two years old, the child becomes much more active: he tries everything, touches everything, runs around. And most infections are transmitted by airborne droplets. The combination of these factors causes parents to worry. Often, after performing Mantoux, children get sick.

This is often, but erroneously, attributed to the substance administered itself. But in fact, a cold after Mantoux occurs, as always, when a virus enters the body.

Another issue is that the immune system, responding to a tuberculin challenge, may become more susceptible to infections.

Under certain conditions, it is not recommended to stay outside for a long time:

Weakness, lethargy, drowsiness, tearfulness, deterioration in general health.
Abnormal bowel movements, nausea or vomiting.
Change in skin color.
Headache or dizziness.
Temperature increase.

In case of these complications, you need to adhere to bed rest and consult a doctor. He will tell you exactly whether additional measures need to be taken.

If there are no obvious reasons for concern, but you don’t want to take another risk, then it is recommended to follow a number of recommendations when walking with a child aged 2 years and older:

dress the baby according to the weather and cover the Mantu (a sleeve made of breathable fabric with an elastic band);
do not allow Mantoux to rub with clothes, take into account the mobility of children;
in winter, take into account the risk of “steaming” the Mantoux or moistening it with snow;
in spring and autumn there is an increased risk of dirt and rain;
in the first 24 hours, monitor the well-being of your son (daughter) and avoid street activity;
minimize the risk of injuries, abrasions, contact with infections, that is, choose deserted places with an abundance of alleys and paths;
talk with your child about the specifics of caring for the injection, explain its purpose and risks (if this was not done in the medical office). That is, not just prohibit combing, but explain that this can provoke an erroneous result. Because of which you will have to repeat the procedure or undergo other tests;
if your child is very small, then monitor his behavior yourself;
take an interest in the condition of the offspring and, if necessary, respond quickly.

Recommendations regarding clothing and activity apply to all children, regardless of diagnosis. Parents should always remember about factors that can distort the diagnostic result, and not just about the health of the child.

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But don’t forget to also monitor your body and undergo regular medical examinations and you won’t be afraid of any disease! We also recommend that you read the article on identifying tuberculosis in the early stages.
It is impossible to say with certainty that you have tuberculosis, but there is such a possibility; if it is not Koch bacilli, then there is clearly something wrong with your health. We recommend that you undergo a medical examination immediately. We also recommend that you read the article on identifying tuberculosis in the early stages.
The likelihood that you are affected by Koch bacilli is very high, but it is not possible to make a diagnosis remotely. You should immediately contact a qualified specialist and undergo a medical examination! We also strongly recommend that you read the article on identifying tuberculosis in the early stages.

Source: https://pulmonologi.ru/tuberkulez/gulyat-posle-mantu.html

Is it possible to play sports after Mantoux vaccination?

It is not necessary to completely abandon physical activity, but its intensity should be kept to a minimum. Increased stress causes sweating, which can affect the results.

Activities such as short, slow jogging, squats, or cycling won't hurt. But if training requires a lot of effort, it is better to postpone it.

You will have to give up swimming in the pool. Water with chlorine can lead to infection, which, in turn, will distort the result.

Football, basketball, wrestling, boxing, gymnastics - such sports require a lot of physical effort. You'll have to wait a while with them. If a child misses a workout, nothing bad will happen, and the Mantoux result will remain reliable.

Rules of conduct after the Mantoux test

After the Mantoux test, the child’s lifestyle does not change significantly. However, there are some rules, following which, you can increase the accuracy of the research result.

Before the procedure, the nurse advises and tells parents what the child should not do after Mantoux. Let's try to answer the most frequently asked questions from parents:

Is it possible to wet the injection site? Experts cannot come to a common conclusion whether it is possible to wet the injection site. Some of them believe that this rule came from the last century, when tuberculosis was diagnosed using the Pirquet test. A harmless concentration of tuberculin and a control drop of the reagent were applied to the skin. Next, this place was scratched with a special tool.
Two days later, the result was checked; for this purpose, specialists measured the emerging papule. Accordingly, it was strictly forbidden to wet the damaged area with the reagent, so as not to wash off the substance and not to introduce an infection into the scratch. The tradition of not getting the sample site wet for several days has survived to this day. Other experts express the opinion that baths and showers will not affect the results of the study. In addition, children must undergo daily hygiene procedures. But swimming in open water is undesirable, as this can lead to wound infection or skin irritation.
Tuberculin with Mantoux is injected to such a depth that water does not have the opportunity to affect the injected drug, and the risk of infection of the sample site is minimal. In addition, clotted blood clogs the wound in a short time and serves as a barrier to adverse effects. However, many doctors insist that it is better not to get the injection site wet, so as not to jeopardize the reliability of the sample. If water does get into the injection site, you need to blot it with a towel or other absorbent material and tell the specialist who will measure the papule about what happened.
What happens if you scratch and rub Mantu? If it is permissible to wet the injection site, then it is impossible to subject it to any physical impact. It is prohibited to comb Manta with your hands, a towel, a washcloth or other objects, as an infection can penetrate into the wound, which will cause a false positive result and inflammation. You should not rub the wound. To prevent damage to the wound, it is not recommended to wear rough, tight or synthetic clothing. Children wear cotton blouses that have long and loose sleeves. Older children should wear a T-shirt or tank top.
Can the sample be processed by any means? The skin at the injection site should not be treated with anything before checking the papule. Each child's body is individual and disinfectants can lead to an allergic reaction, which will lead to incorrect test results.
Is it possible to tape or bandage the Mantoux site? When oxygen access is blocked under the patch or dressing material, fat, sweat and moisture accumulate, which contributes to the proliferation of microorganisms and the appearance of an inflammatory process. This provokes a hyperergic reaction to the test.
Is it possible to walk with my child after the injection? Walking with a child is allowed, but:
You can't wrap your baby up. If the child becomes hot, he will sweat, and the Mantoux test may become wet;

you need to make sure that during the game rain and snow do not fall on the injection site, and that the injection site is not damaged;

hypothermia is also undesirable, since the child’s body, weakened by the administration of the vaccine, is more susceptible to cold reactions.

Is it possible to play sports? If the question arises whether it is possible to play sports after the Mantoux test, the answer is positive. However, a child involved in sports must remember that during training, no physical impact should be applied to the injection site, sweat should not get on it, and it should not be rubbed.

It must be remembered that a child may mistake it for a pimple and try to squeeze out the Mantoux test, which should not be allowed under any circumstances. The fact that the sample will be spoiled is not the worst thing. Uneven distribution of the reagent over the skin may occur, causing inflammation, irritation and suppuration. Compliance with these simple rules will ensure the accuracy of the Mantoux test and save the child from negative consequences.

Recommendations for parents

If there is no cause for concern and the pediatrician gave a positive answer to the question of whether it is possible to walk with the child after Mantoux, this means that you can safely go outside. But it would be useful to take into account the following recommendations:

dress according to the weather, but try to cover Mantoux with your sleeve (without elastic bands or cuffs to prevent rubbing of the injection site);
on the first day after the test, try to avoid excessive activity and minimize the risk of injuries, abrasions and cuts on the street;
choose park alleys and paths for walks in the fresh air, mainly with a small number of people;
have a conversation with the child about avoiding scratching the “button”, as this may provoke a false result.

Is it possible to go for a walk?

There is a strict prohibition on conducting a tuberculin test if the child is suffering from acute respiratory infections or infectious diseases. And after recovery, at least a month must pass before Mantoux can be done.

Therefore, parents are concerned about the weakened breakdown of the child’s body’s immunity. It seems that the danger of instantly catching a virus while walking is increasing significantly. And an infected organism will give a distorted reaction to Mantoux.

In fact, tuberculin does not create a burden on the immune system, but only reveals whether the child has resistance to tuberculosis or not. Fresh air is essential for children's health every day. And playing with peers also cannot be a limitation for everyone.

But if your baby is prone to frequent colds and gets sick “from one sneeze,” organize walks in uncrowded places during these three days, avoid public transport and indoors.

Sometimes parents are not afraid to go for a walk with their child, but they cover the “button” with a band-aid, thinking that they are protecting the vaccination site:

From accidental ingress of water;
From scratching and rubbing;
From damage in active games.

Under no circumstances should you do this, because the hand under the bandage will sweat. The grafting site becomes moist and begins to itch. And in this case, it will be difficult to protect the hand from scratching and damage by the child.

Summer walk

In hot summers, there is also a chance that during active games the child will sweat and the papule will become moist.

Parents need to understand that water is undesirable not in itself, but in connection with the subsequent wiping of it with a towel and rubbing of the hand. And this will already entail such dangerous itching and scratching. Therefore, there is nothing easier in the summer than stocking up on soft paper napkins in case your hands get wet.

The same applies to the danger of unexpected summer precipitation. If you were unable to shelter from the rain in a timely manner, do not panic, and under no circumstances rub your hands; carefully blot the area with the “button” with gentle napkins!

How to walk properly in winter?

In the cold season, a large amount of clothing on a child creates all the undesirable effects at once: getting wet from sweat and rubbing from close contact with rough clothing, which provokes itching and further scratching of the “button.”

In this case, in order not to deprive the baby of air after vaccination, the parent only needs to take care of 2 things:

Dress the child so that natural, soft and absorbent fabric comes into contact with the skin of the hands: flannel, for example.
Make sure that the child does not play with the snow these days and does not get his hands wet.

Walking a one-year-old baby

A child’s immunity at 1 year of age is not yet fully formed, so the likelihood of negative reactions to vaccination is high. It could be snot with cough, or allergies. If they are, you need to urgently go to see a pediatrician.

A child who tolerates the vaccination calmly can go for a walk after the mantu. After all, at this age he can walk in a stroller and not have contact with other children.

But if you are very afraid, walk until the doctor’s verdict on the balcony.

Only in rare cases, when parents are sure that they cannot ensure compliance with prohibitions on the street, should they stay at home.

All pediatricians in the world agree that no parental fears are worth depriving a little person of fresh air.

What should not be done after the reaction?

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The Mantoux reaction is carried out very often - once a year, so you definitely need to know what rules of behavior must be followed after it is carried out and before checking the result. Mantoux is checked 72 - 76 hours after installation.

Many parents do not know when and on what day they can bathe their child after tuberculin testing. There is a very common myth among them that after carrying out the Mantoux reaction, children should not be bathed. In fact, you can wet the vaccination site. Tuberculin is injected into the deep layers of the skin, into which water cannot penetrate during water procedures.

Is it possible to go to the pool or bathhouse after Mantoux?

You can wash your child, just like after DTP, but you must follow a number of recommendations:

You should not wash your hand with a washcloth, as this may cause increased redness in the injection area;
You should not use new cosmetics while bathing, so as not to provoke allergies;
There is no need to rub the area of tuberculin injection with a towel after water procedures.

You can swim at home, but it is not advisable to take children to the pool or sauna in the first few days after the study. The water in them undergoes chemical treatment, in response to which children often develop allergies when going to the pool. For the same reason, you should not swim in the sea or river. The question of how many days is not allowed can be answered unequivocally - before assessing the results of the study.

Is it possible to play sports after Mantoux?

It is worth limiting physical activity, since increased sweating may lead to an increased reaction to contamination of the injection site. It is recommended to exercise less in the first couple of days after the test. For example, if a boy went to boxing and a girl did gymnastics, then it is better to skip one training session so as not to affect the result of the study.

It is necessary to explain to the child that the injection site cannot be scratched, no matter how strong the itching sensation he experiences. Parents should monitor their children's behavior as children always try to do things that they are not allowed to do.

You need to pay attention to how long the trace of Mantoux lasts and, if necessary, inform your doctor about it

Is it possible to touch the injection site?

There are also a number of other rules regarding what should not be done after Mantoux with the injection site:

Do not apply baby cream to the skin;
Do not smear the injection site with brilliant green, iodine or hydrogen peroxide;
It is forbidden to cover the papule with a plaster or apply a bandage;
Do not apply warming ointments to this area.

What can't you eat?

In the period after Mantoux, monitor the baby’s nutrition. You cannot give him foods that he has never tried before. Avoid foods that may cause an allergic reaction from your diet:

Chocolate;
Citrus;
Nuts;
Some types of apples;
Strawberry.

Many mothers are worried about whether they can go for a walk after Mantoux. There is only one limitation regarding this: you should not let your child get the injection site dirty. That is, children should not play in the sandbox or dig in the ground. In other cases, you can walk with your child on the street; this is not prohibited.

The most important thing that parents need to remember is that other vaccinations after Mantoux, for example DTP, can be done no earlier than 2 months later.

If a pathological reaction is detected during the Mantoux test, parents should not do anything on their own. The child is referred for examination to assess whether the occurrence of skin reactions is a sign of tuberculosis. Perhaps their appearance is associated with individual reactions of the body.

Thousands of prohibitions when conducting a test

There are a large number of questions about what can and cannot be done after Mantoux.

Let's look at the most common ones:

Is it possible to wet the injection site?
Is it possible to scratch a papule?
Is it possible to eat sweets before assessing the results?
Do I need to follow a special diet?
Is it possible to walk outside after Mantoux?

Every child knows that getting wet and scratching is not advisable, as the pediatrician talks about this during vaccination. Although, if water accidentally gets on the papule, there will be nothing terrible about it. The main thing is not to rub the tuberculin injection site, since any mechanical impact negatively affects the condition of the papule.

There are no dietary restrictions and you do not need to adhere to special diets. The child’s diet remains normal and familiar.

And another common question: is it possible to walk after Mantoux? The question is usually caused by parents’ worries about the state of the child’s immune system. But fresh air cannot have a negative effect. Therefore, it’s not just possible to walk, but necessary, enjoying the fresh air and lifting your spirits with active games. And it doesn’t matter at all what the weather is like outside – hot or slightly frosty. You need to go for a walk at any time of the year, especially since the tuberculin test does not put a strain on the immune system, but only helps determine the presence of immunity to the disease.

How to walk properly

In order not to cause harm to the body that has undergone vaccination, a number of recommendations should be followed. You can walk with Mantoux at any time of the year, taking into account the peculiarities of the environment and weather conditions.

You need to choose suitable clothes in which the child will not be cold, but not too hot.

It is important to carefully monitor changes in the condition of your daughter or son. At the first sign of deterioration, you should return home

In summer

In warmer months, you should wear light clothing. If the child is small, the sleeve should be long: this minimizes the likelihood of injury and abrasions.

For older adults, this measure is not mandatory: it is enough to tell them about the rules for caring for the injection site and explain why it is important

If it's raining, the street is too dirty, extra attention will be required

in winter

When walking, it is necessary to take into account the risk of overheating of the injection site and snow falling on this area of the skin. To minimize this likelihood, you should wear clothes with elastic on the sleeves. There is no need to dress too warmly: the heat exchange of children is different from that of adults, they freeze less. Too long walks are not recommended: it is better if the vaccinated person returns home after 15-20 minutes.

To minimize the likelihood of developing complications after Mantoux, you can avoid winter activity for 2-3 days. Physical activity and active games will cause the child to sweat and snow to get under his clothes, which can negatively affect the test results.

Is it possible to walk outside after Mantoux?

There is no clear answer to this question. When performing the Mantoux test, tuberculin is injected subcutaneously - a substance obtained by extraction from artificially grown and subsequently killed tuberculosis mycobacteria, their metabolic products, and nutrient habitat. When this substance enters the body, an infection with real Koch bacilli is simulated. T-lymphocytes that are already familiar with the infection are activated. The nature of the processes occurring is inflammatory-allergic, since tuberculin is also an allergen (therefore Mantoux is sometimes called an allergy test).

All the processes described weaken the immune system for some time. As a result, the child becomes susceptible to bacterial and viral infections. For three days, it is better to take care: avoid visiting crowded places, do not get hypothermic, do not overheat. On the other hand, you cannot be in a confined space all the time. You need to breathe fresh air.

Is a child allowed to walk after the Mantoux test?

Carrying out the Mantoux tuberculin test is necessary to detect tuberculosis at the initial stage and assess the degree of formation of anti-tuberculosis immunity in children.

Specific immune protection is established during BCG vaccination in the maternity hospital, then maintained through revaccinations (at 7 and 14 years of age). A tuberculin test is carried out annually: both in childhood and adolescence.

After the diagnostic procedure, certain recommendations must be followed. In this regard, the relevant question is whether after Mantoux you can walk with your baby on the street or not.

Before the procedure, the child undergoes a mandatory examination by a pediatrician. There are certain contraindications to performing a tuberculin test. These include:

increased body temperature;
chronic diseases in the acute stage;
indigestion;
a runny nose or cough.

Before an injection, antihistamines are taken only under the supervision of a doctor. Their use is indicated for increased susceptibility to allergic reactions.

Mantoux may show a negative result. In this case, a small papule forms at the puncture site. Its size is no more than 1 mm.

We can talk about a positive result when the diameter of the papule varies from 0.5 to 1.6 cm. There is redness at the injection site.

The result of the tests can be considered doubtful if the papule has unclear outlines. Its size can reach 0.4 cm. In some cases, slight redness appears on the child’s hand.

The result of the Mantoux test is assessed as hyperergic if:

the diameter of the papule reaches 1.7 cm;
severe swelling occurs;
Pus accumulates at the injection site and ulcers form.

This may indicate either a severe allergic reaction or infection. Consultation with a phthisiatrician is required.

Is it possible to walk outside after Mantoux?

When this substance enters the body, an infection with real Koch bacilli is simulated. T-lymphocytes that are already familiar with the infection are activated.

Summer walk

If tuberculin diagnostics were carried out in the summer, it is recommended to take soft paper napkins for a walk. When participating in active games, the child may sweat, which will lead to moistening of the papule.

Soft paper wipes will help avoid itching and further scratching of the injection site. You can gently blot the papule with napkins if it suddenly starts raining outside.

Is it possible to walk after Mantoux in winter? How to do it right?

It is recommended to limit your walking time in winter. The child must be dressed according to the weather. In this case, soft tissue should be in contact with the injection site, which absorbs moisture well. Such materials include flannel. Parents need to ensure that the baby does not wet the injection site with snow.

In winter, it is recommended to walk in the forest or park. The walking location should be away from industrial facilities and busy roads. After the procedure, crowded places should be avoided. Otherwise, the risk of contracting an infection increases.

After a tuberculin test, the patient’s contact with peers should be limited. Therefore, it is not advisable to walk near playgrounds. If a child attends kindergarten, if his health worsens, he should be left at home.

Walking a one-year-old baby

In most cases there are no obstacles to walking after Mantoux a year. A one-year-old child’s contact with the environment is minimal. When walking, the baby is mostly in a sled or stroller. At this age, the child moves little independently.

Is it possible to go for a walk after Mantoux vaccination if there are complications? Walking is contraindicated if the following signs of illness are present:

the occurrence of chills;
heat;
cough or runny nose;
suspicion of a hyperergic reaction;
rashes at the injection site.

If the above symptoms appear or a sharp deterioration in the child’s well-being, it is recommended to consult a doctor: a phthisiatrician or a pediatrician.

Is it possible to walk after Mantoux at 2 years old? When walking with a two-year-old child, you must be careful. After the introduction of tuberculin, the baby's susceptibility to infections increases, most of which are transmitted by airborne droplets.

Is it possible to walk with a two-year-old child after Mantoux if he is not feeling well? Staying in the fresh air is contraindicated if the following symptoms occur:

drowsiness;
weakness;
pallor;
headache;
the occurrence of dizziness;
elevated body temperature.

If these complications occur, you must remain in bed and immediately consult a pediatrician.

If there are no obvious reasons for concern when walking with a two-year-old child, you should follow the recommendations listed below. This will allow you to protect yourself from bacteria after tuberculin administration.

It is recommended to cover the site of the papule with an elasticated sleeve made of breathable fabric.
It is necessary to prevent snow from getting into the injection site.
Minimize the risk of abrasions or injury.
If a child feels weak after vaccination, it is recommended to limit the time spent in the fresh air as much as possible.

Side effects after the reaction

After the Mantoux reaction, 1-2 days later the child may experience a number of side symptoms:

Fever;
Loss of appetite;
Headache;
General weakness, apathy;
The appearance of skin manifestations (slight redness).

The appearance of these symptoms is usually associated with the child’s body’s reaction to the introduction of an aggressive allergen - tuberculin. In response to this, the immune system is activated, which leads to such consequences. If the child is healthy, they are usually mild and disappear quickly even before the test result is assessed.

After administration of the drug, as with DPT, there usually remains an injection mark on the skin. Of course, there may be no traces left, but in most cases the injection site is still noticeable. If the needle was inserted incorrectly or the child’s skin is very sensitive, a hematoma may later form at this site - a small bruise after Mantoux in the child. The occurrence of a hematoma is due to the fact that the tissues are injured by the syringe needle.

Bruises at the injection site are not a pathological symptom. However, sometimes the doctor may mistake it for a positive reaction, so if a bruise appears in the injection area, it is better to repeat the test.

Is it possible to walk with a one-year-old child after Mantoux vaccination?

Possible doubtful consequences include:

increased body temperature, chills;
runny nose, cough, other cold symptoms;
positive or excessive Mantoux result;
local defects and allergic manifestations at the injection site.

These symptoms indicate that the immune system has a hard time coming into contact with tuberculin. At such an early age, the body’s defense system is just beginning to form, and if the tuberculin test turned out to be an already stressful situation, then it is not recommended to complicate it. If the diagnostic result is abnormal or there are obvious manifestations of intolerance or severe deterioration in health, you should contact a pediatrician or TB specialist.

Temperature after vaccination

Usually the child’s well-being after the injection remains unchanged, that is, good. In this case, there is no need to even doubt whether it is possible to walk after Mantoux in a year or two. However, in some cases, an increase in body temperature is observed. As a rule, this happens during a hyperergic reaction.

Most often, the temperature rises on the second or third day after the test, which is accompanied by large papules (over 16 mm) and itching. Such a reaction may indicate a positive result or a nonspecific allergy. In any case, consultation with a phthisiatrician is mandatory.

Why is the vaccine important?

Carrying out the Mantoux reaction
With the birth of a baby, not only long-awaited joy arises in the family, but also new problems, one of which can be called vaccinations against various diseases. This question is always raised, because there are both supporters of vaccinations and opponents who believe that they only bring harm to the body. The Mantoux test is no less controversial.

This helps determine whether Mycobacterium tuberculosis is present in the child’s body. The latter can bring quite a lot of discomfort to a person, even death, if the disease was detected at an advanced stage. Unfortunately, it is currently impossible to completely prevent such a pathology, but every person can eliminate the possibility of developing complications. To do this, it is enough to consult a doctor at the first warning symptoms.

The causative agent of such a chronic bacterial disease is Mycobacterium tuberculosis or, in other words, Koch’s bacillus, the name of which comes from the famous discoverer, Robert Koch. In the 20th century, they began to practice administering a vaccine - an intradermal test, which was used to monitor the body’s reaction to the administered drug:

if there has been contact of a person (child or adult) with a patient with tuberculosis, the injection site of the needle will turn red or another allergic reaction will occur, for example, hardening of the skin;
if a person has not had contact with infected people, there will be no pathological Mantoux reaction at the site of vaccine administration.

So, the main features of conducting research on children and adults can be called:

the ability to diagnose tuberculosis even if there are no obvious symptoms;
the ability to identify people infected by a sick person;
determining the need for revaccination.

The first “vaccination” is given to a child a year, after which revaccination is carried out until the age of 14, without taking into account the reaction to previous administrations of the drug. The result can be influenced by a person’s age, as well as the individual characteristics of the body. A live but weakened vaccine is administered to children in the very first week of life, that is, while still in the maternity hospital. All subsequent administrations of the drug only control its stability.

Why do they make Mantoux?

On the third day after the baby is born, approximately before discharge from the maternity hospital, with the consent of the parents, the child is vaccinated with BCG against tuberculosis. This vaccine contains a weak mycobacterium (Koch bacillus) that has lost its virulence and grown under specific conditions. In more than 90% of cases, the vaccine is able to prevent the development of complex forms of tuberculosis or alleviate the course of this disease. Half a century ago, this vaccination was done without the consent of mom and dad.

But if BCG is a method of preventing tuberculosis, then Mantoux is performed to diagnose this disease. The interval between vaccination and detection of a reaction should be at least 1 year. During this time, specific immunity to the disease is developed. If a child or adult has had contact with a sick person, a red spot (papule) will form at the site where the needle was inserted. Depending on its density and size, the doctor can judge the likelihood of contracting tuberculosis. If necessary, additional diagnostic studies are carried out.

Many mothers are interested in whether it is possible to go for a walk after Mantoux. On the one hand, the test is not a vaccination, which means that there is no additional load on the immune system. But, nevertheless, cases when a child falls ill after an injection also occur.

When is the Mantoux result evaluated?

After setting Mantoux, after three days of appropriate care, the results are analyzed.

Inspection of the papule (puncture site and tubercle (seal) near it) and interpretation of the result can only be carried out by a specialist using a transparent soft ruler.

Why you can't scratch

After the injection of tuberculin, severe itching may occur, causing a desire to scratch the skin. Doing this is strictly prohibited.

The first reason is the distortion of the results due to the enlargement of the papule, the site of redness. The second reason is that scratching can introduce infection into the wound, which can cause inflammation at the injection site.

After the test, it is important to carefully monitor the child and try to explain to him that Mantu should not be scratched. If necessary, you can bandage your hand with a bandage, tying it loosely so that there is free space for air circulation between the injection site and the material.

If a child scratches the injection site severely, it is recommended to visit a doctor who will examine the patient and, if necessary, prescribe a new procedure.

Other restrictions after the Mantoux test

Do not get the injection site wet

So, as has already been found out, after Mantoux vaccination you can go for a walk. Are there any other restrictions that should be followed after the drug is administered? As a rule, the doctor must notify parents about these before vaccination. Restrictions include:

Water getting into the area where the drug was administered. There are many opinions on this issue and not all of them are negative. Some experts believe that getting water on the skin can wash away the substance and introduce infection into the scratch. The opinion of others is that hygiene procedures do not in any way affect the diagnostic result. But, nevertheless, swimming in an open body of water is prohibited so as not to introduce an infection.
Scratching the wound formed after the needle was inserted. This is considered an absolute contraindication. This includes combing with your hand and other objects. This could be a washcloth or towel. As a result, infection penetrates into the wound and a false result occurs.
Treating the needle insertion site with any medications. Due to the fact that each child’s body has its own characteristics, a disinfectant or other product may cause an allergic reaction or an incorrect diagnostic result.
Covering the needle insertion site with a plaster or bandaging it. In such cases, the access of oxygen to the skin is blocked, and this is a direct path to the proliferation of pathogenic microorganisms and the development of inflammation, which causes false research results.
Engaging in sports activities, namely, placing physical stress on the arm. This includes prohibiting sweat from getting into the injection site, as well as rubbing (whether from clothing or exercise equipment).

Many children perceive a Mantoux mark as a pimple and begin squeezing it out and scratching it. Parents should not allow this, because this can cause uneven distribution of the reagent over the inner layers of the skin, thereby causing an inflammatory process with suppuration. By following these simple recommendations, you can increase your chances of getting correct test results and preventing complications.

Is it allowed to go for a walk after Mantoux vaccination?

Such a concept as “Mantoux vaccination” is not entirely correct, because it is only a test that is not intended to create immunity to a certain disease, like a vaccine, but to determine whether a person has such immunity. As such, no dangerous consequences arise after the administration of the drug, which makes the sample completely safe for every organism. Some mothers are worried about the question: is it possible to go for a walk after mantu? Let's take a closer look.

Why is the vaccine important?

Carrying out the Mantoux reaction

With the birth of a baby, not only long-awaited joy arises in the family, but also new problems, one of which can be called vaccinations against various diseases. This question is always raised, because there are both supporters of vaccinations and opponents who believe that they only bring harm to the body. The Mantoux test is no less controversial.

This helps determine whether mycobacterium tuberculosis is present in the child’s body. The latter can bring quite a lot of discomfort to a person, even death, if the disease was detected at an advanced stage.

Unfortunately, it is currently impossible to completely prevent such a pathology, but every person can eliminate the possibility of developing complications. To do this, it is enough to consult a doctor at the first warning symptoms.

if there has been contact of a person (child or adult) with a patient with tuberculosis, the injection site of the needle will turn red or another allergic reaction will occur, for example, hardening of the skin;
if a person has not had contact with infected people, there will be no pathological Mantoux reaction at the site of vaccine administration.

So, the main features of conducting research on children and adults can be called:

the ability to diagnose tuberculosis even if there are no obvious symptoms;
the ability to identify people infected by a sick person;
determining the need for revaccination.

The first “vaccination” is given to a child a year, after which revaccination is carried out until the age of 14, without taking into account the reaction to previous administrations of the drug.

The result can be influenced by a person’s age, as well as the individual characteristics of the body. A live but weakened vaccine is administered to children in the very first week of life, that is, while still in the maternity hospital.

All subsequent administrations of the drug only control its stability.

Are walks allowed during the post-injection period?

Walk in nature

If a child has been given the Mantoux vaccine, can he then take walks in the fresh air? Of course, this is a controversial question and cannot be answered unequivocally.

In any case, when bacteria are introduced into the body that can provoke the development of tuberculosis, a slight change in general well-being may occur.

This means that care must be taken in the post-injection period to avoid progression of an existing chronic disease or the development of other infectious pathologies.

Due to the fact that after such a vaccination the body’s immune system is somewhat weakened, it becomes more susceptible to many infections that are transmitted by airborne droplets. It is for this reason that many parents believe that it is better to limit walking outside after leaving the hospital.

But the opinion of experts is somewhat different on this matter. Doctors do not advise giving up walking completely, because being in a confined space can cause more harm than fresh air.

If the vaccination was carried out correctly and the administered medicine was of high quality, experts do not impose any special restrictions in the post-injection period.

In some cases, a headache may occur after administration of the vaccine, as well as general malaise or an increase in general temperature.

Walking with your child in such cases is not recommended. When such unpleasant symptoms disappear (and this occurs the very next day), you can take walks in the fresh air.

Other restrictions after the Mantoux test

Do not get the injection site wet

Water getting into the area where the drug was administered. There are many opinions on this issue and not all of them are negative. Some experts believe that getting water on the skin can wash away the substance and introduce infection into the scratch. The opinion of others is that hygiene procedures do not in any way affect the diagnostic result. But, nevertheless, swimming in an open body of water is prohibited so as not to introduce an infection.
Scratching the wound formed after the needle was inserted. This is considered an absolute contraindication. This includes combing with your hand and other objects. This could be a washcloth or towel. As a result, infection penetrates into the wound and a false result occurs.
Treating the needle insertion site with any medications. Due to the fact that each child’s body has its own characteristics, a disinfectant or other product may cause an allergic reaction or an incorrect diagnostic result.
Covering the needle insertion site with a plaster or bandaging it. In such cases, the access of oxygen to the skin is blocked, and this is a direct path to the proliferation of pathogenic microorganisms and the development of inflammation, which causes false research results.
Engaging in sports activities, namely, placing physical stress on the arm. This includes prohibiting sweat from getting into the injection site, as well as rubbing (whether from clothing or exercise equipment).

Many children perceive a Mantoux mark as a pimple and begin squeezing it out and scratching it.

Parents should not allow this, because this can cause uneven distribution of the reagent over the inner layers of the skin, thereby causing an inflammatory process with suppuration.

By following these simple recommendations, you can increase your chances of getting correct test results and preventing complications.

Source: https://zdorovie-legkie.ru/progulka-posle-mantu/