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Candida albicans (Monilia) skin testing
Indications:
- assessment of cell-mediated immunity
- cellular immune dysfunction
Contraindications:
Caution:
1) systemic reactions can occur
2) observe patients for 15-30 minutes for immediate systemic allergic reactions
Pregnancy category C.
Procedure:
1) 0.1 mL intradermally
- inject into flexor surface of forearm using a tuberculin syringe with a 26-27 gauge needle
2) examine reaction site in 24-48 hours
3) induration of > 5 mm in diameter is a positive reaction
Adverse effects:
1) not common (1-10%)
1) induration*, large persistent local reactions*, minor exacerbation of allergic symptoms*
2) necrosis
3) anaphylaxis
* treat with cold applications &/or use of antihistamines
Drug interactions:
- immunosuppressive agents may interfere with immune response to skin test
Related
Candida albicans
Candida albicans (Monilia) skin test (Candin)
candidiasis
General
skin testing
References
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Department of Veterans Affairs, VA National Formulary