Hello, may I invite comment from the brain trust?

 

A local long-term care facility contacted our office about 5 straight positive TSTs in a row, given for pre-employment testing.   All were given out of the same bottle of Aplisol, PAR Pharmaceuticals lot #  802078.  Two of the 5 tested were U.S. born with no other risk factors and 3 were from high-TB burden countries.  Of the 3, one was the 2^nd step of the 2-step testing, with the first TST having been negative and given from a different vial but same lot.  This person had recently traveled to the home country. 

Has anyone reported or experienced a higher rate of TST positivity with Aplisol recently?

How would you recommend they proceed?

 

Thanks!

Debbie Staley, RN, MPH
TB Nurse Consultant

Division of Tuberculosis and Newcomer Health
Virginia Department of Health
109 Governor Street, Room 324
Richmond, VA 23219

Phone 804-864-7972
Fax 804-371-0248

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