TB Test Results: Understanding What They Mean

 Tuberculosis (TB) is a severe disease that primarily targets the lungs, but can also influence other body parts. Though less common in the U.S. these days, TB is still a public health threat — particularly for people who work in health care, international travelers and people living in high-risk environments.

If you searched TB test near me recently, it’s likely because you’re gearing up for school, a job or to travel. After you’ve had the test, interpreting the results is the next important step. This blog explains TB test results, their meaning, how to interpret them, and next steps.

What Is a TB Test?

There are two main types of tests for TB:

  • Tuberculin Skin Test (TST): Also called the Mantoux test, this test involves injecting a small amount of tuberculin fluid (a substance made from the TB bacteria) under the skin of your forearm. After 48 to 72 hours, a health care provider will evaluate the area for swelling.

  • Interferon-Gamma Release Assays (IGRAs): These are blood tests, like QuantiFERON-TB Gold, that show your immune system’s response to TB bacteria in a lab.

Both types of tests are used to see if you’ve been infected with the TB bacteria—but not necessarily if you have active TB disease.

How to Read TB Test Results

Skin Test Results

With a skin test, a small elevation may develop on your arm, where the tuberculin was injected. Your healthcare provider will only measure the induration (hardened area), not redness. How large the bump is, and your own risk factors, help dictate whether that is a positive or negative result.

  • 0–4 mm: Typically read as negative, unless you have HIV or other high-risk factors.

  • 5 mm or more: Positive for people with weakened immune systems or if they have had recent contact with a person who has TB or has a history of TB.

  • 10 mm or more: Positive in persons who are healthcare workers, recent immigrants, persons who use drugs or persons with another medical condition.

  • 15 mm or greater: Generally regarded as positive for individuals without any known risk factors.

Your provider will take your health history, symptoms, and potential exposure into account before offering a final diagnosis.

Blood Test Results

  • For example, for the IGRA QuantiFERON the results will be reported as:

  • Positive: You may have been infected with TB bacteria.

  • Negative: You probably do not have TB infection.

  • Indeterminate/Borderline: The test could not give a definite answer and may need a retest.

What Does It Mean to Have a Positive TB Test?

A positive test isn’t always a sign you have active TB disease. You may have latent TB infection, meaning the bacteria are in your body but you’re not sick and can’t transmit the disease. In fact, the majority of individuals who test positive for TB have latent TB.

If you do test positive, your provider will probably advise:

  • Chest X-ray to look for signs of active TB.

  • Confirming the diagnosis by further tests, such a sputum culture.

You Had Your TB Test, Now What?

If Negative:

You likely do not have TB. But if you were recently exposed, you might need to retest in 8–10 weeks to confirm the result.

If Positive:

Your doctor will decide whether it’s latent or active TB and recommend the right treatment. Latent TB is typically treated with antibiotics to keep it from developing as a disease later on.

If Inconclusive:

You might have to take the test several times or convert to a different kind (blood test instead of the skin one).

The Importance of Regular Testing for Tuberculosis

Routine testing is necessary for:

  • Healthcare workers

  • School employees

  • Nursing home staff

  • Immune compromised people

  • Immigrants from high-TB regions recently

If you fall within one of these classifications, it is a great idea to frequently search for a TB Test near me to keep ahead of a potential illness.

Finding a TB Test Near You

If your question is “What is a TB test? —confirm with your local urgent care, primary care provider or public health department. Many clinics provide both skin and blood TB testing and can help you determine which is right for you.

Whether you’re an at-risk person, fulfilling a job requirement or simply looking out for your health, testing is the first line of defence in managing your risk of TB.

Final Thoughts

Interpreting TB test results may appear confusing at first, but with assistance from your healthcare provider, you will be able to determine the next steps. Whether your outcome is negative, positive, or unclear, the outcome is to make sure you remain healthy and avoid the distribution of TB.

If you are overdue for testing, take action today.” Look up a TB test near me, and book your appointment with a trusted local provider.


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