Is it possible to wet Diaskintest and eat sweets after vaccination?

WHY DO YOU NEED DIASKIN?

Many people confuse Diaskintest with a vaccine. But this is not true at all. There is no point in refusing the test, since up to 95% of adults today are infected with Koch's bacillus. That is, they are carriers of tuberculosis bacteria. This carriage is called the latent form of the disease - when a person is not sick, but the disease can develop under certain conditions. This option is observed in 1% of patients. Moreover, the infectious process can be asymptomatic for a long time. Without testing, it is impossible to identify it only by external signs. And the earlier the tuberculosis process is detected, the higher the patient’s chances of recovery.

Contraindications for Diaskintest

Despite the safety of the vaccine composition used to test for tuberculosis, we should not forget that Diaskintest is, first of all, an allergen. Therefore, it is strictly contraindicated for dermatological problems, people with hypersensitivity, and patients with epilepsy.

The vaccine should not be administered if the patient has infectious diseases that occur in acute or chronic form. Injection is prohibited for persons with hepatitis or inflammatory processes of the respiratory system.

Relative contraindications not listed in the instructions include women during pregnancy and lactation, in the presence of somatic pathologies, and during quarantine. It is prohibited to carry out Diaskintest if a Mantoux or BCG test has previously been done.

The procedure will not cause a tuberculosis infection, but the results will be incorrect. At least 1 month should pass between diagnostic measures.

FREQUENCY OF SAMPLE PERFORMANCE

According to the recommendation of the Russian Ministry of Health, Diaskintest must be performed once a year at the age of 8-17 years. When deciding how often you can test, take into account some nuances:

• The test can be done no earlier than a month after any vaccination.
• A month must pass after recovery from any infectious disease.
• If the previous test result was negative, the next test can be done after 2 months.

A control test for people registered at an anti-tuberculosis dispensary is carried out every 3-6 months.

If a child has a positive Mantoux test, he can perform Diaskintest from the age of 1 year.

What not to eat during Diaskintest

It is not necessary to change the child’s diet after the procedure. The daily diet should include all the usual foods, with the exception of those that can cause allergies. Before checking the Diaskintest results, you should not eat spicy or smoked foods that are not included in the child’s usual menu.

Results are checked 72 hours after the test.

At this time, you can eat sweets and other foods, but in moderation. If a child has diathesis or allergies, eating sweets in large quantities after the test is not recommended. Also, after vaccination, you should not eat any foods that were not previously included in the child’s diet.

It is necessary to limit the consumption of exotic fruits, honey, chocolate, citrus fruits and nuts. They can provoke an undesirable reaction in the child’s body. Sometimes the patient may be prescribed a special diet if the child has food allergies.

What can you eat

For healthy children there are no dietary restrictions. You can eat ready-made meals and products that are included in the child’s standard menu. The basis of a balanced diet should be seasonal vegetables and fruits, meat and dairy products, and fish.

Alcohol is not prohibited. Alcohol-based medications are allowed. However, it should be noted that drinking alcohol may cause cross-reactions.

COMPOSITION OF THE PREPARATION

The drug contains:

• Proteins of tuberculosis bacteria CFP10 ESAT6, prepared in a special way.
• Phenol as a preservative.
• Polysorbate as a stabilizer.
• Phosphoric acid sodium, potassium.
• Sodium chloride.
• Water.

Diaskintest is a Russian drug. You can get tested at various institutions. Most often, the test is performed in kindergartens, schools, clinics, or in anti-tuberculosis institutes, centers, and dispensaries. For adults, examination is prescribed if there is contact with patients or in cases where a person is registered at a dispensary.

HOW RESULTS ARE EVALUATED

The reaction is checked 3-4 days after the test. The result can be positive, negative or false positive (doubtful). A negative result is the norm for children and adults. If there is no reaction at all, there should be no papules or redness.

The first reaction can be observed 6 hours after administration of the drug. The test result is the response of a person’s immune system. Inflammation and redness may be observed on the first day after testing. The response may increase over 72 hours, with maximum results observed on the third day in adults and children. Then the reaction fades away.

POSITIVE RESULT

The presence of a papule of any size indicates that the patient is infected with tuberculosis bacteria. In adults, the size of the inflammatory papule is not critical. However, for ease of assessment, a general classification of swelling sizes is used:

• Less than 5 mm – weak.
• No more than 9 mm – moderate.
• Over 10 mm – strong.

The more pronounced the reaction, the more pathogen is present in the human body. The patient must go to the dispensary for treatment and registration.

In children, the presence of a papule also requires immediate consultation with a doctor. Additional studies will be needed to assess the form of the disease - active or latent. Special treatment is also used.

Dietary recommendations for children

Parents should monitor the nutrition of children from birth; they are the ones who instill in the child the correct principles and eating habits. If mommy gives the baby a bag of chips instead of an apple, then why be surprised if, as he grows up, he doesn’t want to eat healthy cottage cheese, for example, or porridge.

During diaskintest, you can eat the food that the child is accustomed to, if specifically according to the recommendations, then you can give the following:

• The diet should be balanced and varied.
• Fresh fruits and vegetables should be on the table regularly, even more so in winter. But possible allergens should be given with caution.
• If the child is accustomed to sweets, then you should not completely exclude them, but it is better to give healthy ones, for example, marshmallows, marshmallows, marmalade. A great alternative to dried fruits.
• Do not introduce your child to carbonated drinks; it is better to buy juice or prepare it yourself from fresh fruit. Coca-Cola and Pepsi-Cola should be banned.
• Eliminate crackers and chips from your diet. These harmful products do not give anything but diseases of the gastrointestinal tract.
• A child should eat only healthy food; he should not be taught fast food or processed foods from childhood.
• From childhood, you need to accustom your baby to dairy products. A growing body needs calcium for the proper formation of the musculoskeletal system.

From childhood, a child learns from his family and from his parents what proper nutrition is. If it’s customary to sit in front of the TV in the evenings with a huge bag of chips, then what’s so surprising if your child then does the same.

There is no need to be afraid of undergoing a diaskintest; it will allow you to identify the disease at the very beginning of its development, which will certainly affect the success of treatment.

SIDE EFFECTS, COMPLICATIONS

Diaskintest is harmless for patients of any age, so there is no fear of a reaction in children and adults. Any side effects can be observed only in rare cases in the form of symptoms indicating general intoxication. These include headache and weakness, general malaise, and increased temperature. This is a normal reaction. Small bruises at the injection site are also not a cause for concern.

A hyperergic reaction of the body to the administration of the drug may also occur - the formation of a large papule with a diameter of more than 15 mm. The same reaction includes severe inflammation and irritation of the tissue around the papule.

BEHAVIOR AFTER THE TEST

After placing Diaskintest, you can wet your hand, take a shower or bath. It is strictly not recommended to scratch the injection site, cover this area with a plaster, or wrap it with a bandage. Also, do not lubricate the injection site with creams, detergents and other cosmetics. There are no dietary restrictions.

Diaskintest has high sensitivity - about 80%, and accuracy reaches almost 100%. But, like any medical test method, this sample can make mistakes.

Diaskintest is many times more accurate than Mantoux, since it does not show positive reactions in people with acquired anti-tuberculosis immunity. That is why this test is considered the most reliable and safe. With its help, you can find out whether the patient is sick at the moment, and analyze whether the person will get sick in 1-2 years.

Is it possible to wet your hand after Diaskintest?

Before you worry in advance about how dangerous it is for water to get on your sample, you need to consider the issue holistically. So, there are conditions in which Diaskintest is not necessary at all, since there are contraindications. There are few such restrictions, and therefore the study is prescribed even to young children, elderly people, pregnant and lactating women.

List of contraindications.

1. If a person has a cold or “caught” a virus, then you need to wait until he recovers and all tests become normal. Only in a month will he be able to undergo Diaskintest. The characteristic symptoms of a respiratory disease should alert you: runny nose, sore throat, hyperthermia and the like. If a child has a cough and the cause has not been identified, it is better to refrain from the test. It is absolutely safe, but if the patient’s body is weakened by the disease, short-term side effects may occur in the form of dizziness, headache, and nausea.
2. Chronic pathologies in the acute stage. It is recommended to wait for remission to schedule a study.
3. Neurological diseases, including epilepsy.
4. Dermatological problems, including inflammatory ones.
5. If the patient has allergies, you should consult a doctor, since Diaskintest itself causes an allergic reaction. A few days before the test and some time after it, you will need to take antiallergic medications.
6. Recent vaccination. The process of producing antibodies takes an average of a month. At this time, the body is exposed to antigenic load, and the reaction to the administered DST may be more pronounced.

The stereotypical opinion that such samples cannot be wetted has taken root since the times when the Pirquet test was done to recognize the immune response to a drug. During the procedure, a cut (scratch) was made on the patient's hand, and then a drop of tuberculin solution was applied to it. Indeed, the area of ​​such invasive manipulation could not be wet under any circumstances, since the allergen would be washed out of the scratch and the results could be distorted.

It is difficult to abandon stereotypes that have existed for several decades, and this opinion still exists “among the people.” Even the manufacturer of Diakintest, which does not give specific reactions, indicates that it is undesirable to get it wet. According to the technology of administration, Diaskintest, like the Mantoux test, is intradermal, so the ban makes no sense. But in reality, everything is not so simple, and getting the sample site wet can still affect the diagnostic results.

How many days can you not wet Diaskintest?

To obtain an adequate and accurate assessment of the Diaskintest for tuberculosis, before checking the results, it is advisable to protect the injection site from moisture for three days (72 hours). During this period, the following rules should be followed.

1. You should not wash with the supplied Diaskintest, and if such a need arises, it is better to cover the injection site with polyethylene, thereby limiting the ingress of water onto the wound. Water, even at first glance clean, still contains various microorganisms that can cause intense skin reactions, as a result of which the test result will be false.

2. You should not rub or scratch the injection site, or smear it with healing agents.
3. You should not go to the bathhouse, visit the sauna or steam room and rub your hand with a washcloth.
4. Detergents cause irritation, so the sample site must be protected from their contact.

You can’t wash, steam or swim immediately after Diaskintest, but after three days, when everything has healed, you can safely make up for lost time.