He doesnt have to lay down and turn after treatments and said to keep it in for 1 - 1 1/2 hours but said 1 hour was OK. 2. As I mentioned. TB is a highly contagious disease that primarily affects your lungs and respiratory system. For persons scheduled to receive a TST, testing should be done as follows: There are two kinds of tests that are used to determine if a person has been infected with TB bacteria: the TB blood test and the TB skin test. The test might show you don't have TB when you do, especially if you were exposed a long time ago and your immune response to it is weak. If you have a positive skin or bloodTB test, your doctor may give you a chest X-ray. Finally, instruct the patient to return 48-72 hours later to have the test checked. Some side effects may not be reported. Sometimes a doctor will repeat a TB skin test. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. CDC twenty four seven. ncbi.nlm.nih.gov/pmc/articles/PMC5764738/, cdc.gov/tb/topic/testing/healthcareworkers.htm, lung.org/lung-health-diseases/lung-disease-lookup/tuberculosis/symptoms-diagnosis, lung.org/lung-health-and-diseases/lung-disease-lookup/tuberculosis/tuberculosis-symptoms.html, cdc.gov/tb/publications/factsheets/testing/skintesting.htm, The Danger in Delaying or Skipping Vaccinations for Children, A Guide to Tuberculosis Treatments and Their Side Effects. 2. The doctor may use a CT scan instead of (or after) a chest X-ray because a CT scan provides more detailed images. Most TB infections start in the lungs, so when someone with the disease coughs or speaks, the bacteria can enter the air and be inhaled by people nearby. Tuberculosis (TB) is a serious infection. of Health and Human Services Typical symptoms include: A persistent cough Weight loss and loss of appetite If you've had a positive TB skin test in the past, you'll be expected to always test positive in the future. An induration of 15 mm or more is considered positive in anyone, even people who dont think theyve been exposed to TB. Researchers recently compared the effects of tuberculosis. All information these cookies collect is aggregated and therefore anonymous. Tuberculosis, also known as TB, is an infectious disease affecting the lungs and potentially the brain, kidney and spine. They help us to know which pages are the most and least popular and see how visitors move around the site. WebMD does not provide medical advice, diagnosis or treatment. If you have latent. Rinse your hands with a paper towel and put on a pair of latex gloves. 3 Recognize the symptoms of TB disease. Either a bad batch or improper injection. I'd call that pretty fucking common. Sputum is the mucus produced when you cough. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. The diagnosis of TB is made on the basis of laboratory test results. The injection should be made with a tuberculin syringe, with the needle bevel facing upward. The doctor will test early on to make sure your TB responds to thedrugsyou're taking for it. [7][8] If a minor reaction is considered doubtful, the OT test is less accurate and may fail to detect TB, producing a false negative. Scars are not at all common. The needles are pressed into the skin (usually on the inner side of the forearm), forcing the antigens into the skin. It is caused by inhaling tiny droplets, containing the bacteria, from an infected person when they cough or sneeze. Still holding the skin taut, insert the needle slowly into the injection site at a 5-15 degree angle. Centers for Disease Control and Prevention. TST is contraindicated only for persons who have had a severe reaction (e.g., necrosis, blistering, anaphylactic shock, or ulcerations) to a previous TST. This bump, or induration, may also change color. MIT will not accept a simple reading of "positive" or "negative.". CDC: "Testing for TB Infection," "Diagnosis of Tuberculosis Disease," "The Difference Between Latent TB Infection and TB Disease," Drug-Resistant TB, Tuberculin Skin Testing, Tuberculosis (TB), Questions and Answers About Tuberculosis., UpToDate: "Patient education: Tuberculosis (Beyond the Basics). Unfortunately I. Many people who have TB dont have any symptoms. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. What Are Side Effects of Tubersol? If you have an Mtb infection, the skin around the injection site should start to swell and harden within 48 to 72 hours. COVID Vaccines for Young Children Questions and Answers, Immune-Boosting Tips to Stay Well This Winter, Respiratory Syncytial Virus (RSV): A pathogen that will hopefully soon be vaccine-preventable. Depress the plunger to inject the solution intradermally, just below the superficial layer of skin. Although not all of these side effects may occur, if they do occur they may need medical attention. People with TB disease are infectious and can spread the bacteria to others. Tuberculosis (TB) is an infectious disease that usually affects the lungs, though it can affect any organ in the body. Tuberculosis in kidney transplant recipients: A case series. ", American Lung Association: "Diagnosing and Treating Tuberculosis. You may report them to the FDA. ", "Helpful for review, so practice and knowledge does not become rusted.". Healthline Media does not provide medical advice, diagnosis, or treatment. Note: This document contains side effect information about tuberculin purified protein derivative. But, "I can share this information with my coworkers, it was answer many questions. Press question mark to learn the rest of the keyboard shortcuts. Infection progressing into active TB disease - occurs in some cases . Once healed, the sore may leave a small scar. Main public health institute for the US, run by the Dept. A doctor may also order a sputum test. Reliable administration and reading of the TST requires standardization of procedures, training, supervision, and practice. The reaction should be measured in millimeters of the induration (firm swelling). TB disease is serious and needs treatment. This is a type of tuberculin skin test where tuberculin is injected . The standard method of identifying people infected with M. tuberculosisis the TST using the Mantoux method. Other symptoms include: These symptoms can occur with many conditions, so its important to get tested to determine whether you have TB. This test only reflects whether the patient has been infected with TB bacteria, and cannot distinguish whether they have latent TB infection or TB disease. most commonly used TB test, uses short (3/8" to 1/2") small gauge (25G to 27G) intradermal needle and 1 mL capacity syringe, standard dose 0.10 mL of PPD solution containing 5 TU (tuberculin units); Brand names Tubersol, Aplisol Sets with similar terms Pharmacology - Injections 33 terms jessica_vercher5 Ch. I work in the medical field and one day they made everyone get TB test shots done. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. They may also want to test your sputum -- thats the gunk you cough up. Latent TB. Smallpox scars the only evidence of an eradicated disease. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. To treat latent TB, a doctor will likely prescribe the following medications, either on their own or together, for you to take for 3 to 4 months: Short 3-to-4-month treatment courses are considered safe and effective for treating latent TB. Tuberculosis (TB): Data and statistics. It is essential that health care professionals are able to administer the TB skin test according to proper protocol. The smallpox vaccine is no longer given, because vaccination programs have eradicated the disease. TB skin tests and TB blood tests are not expected to affect the safety or the effectiveness of the COVID-19 vaccine. Follow the step-by-step instructions below to eSign your initial two-step tuberculin skin test report form college of saint csbsju: Select the document you want to sign and click Upload. The skin test reaction should be read between 48 and 72 hours after administration by a health care worker trained to read TST results. Tuberculin is an extract prepared from cultures of M. tuberculosis. Mantoux test. It occurs following infection with the bacterium species Mycobacterium tuberculosis. "BCG scar is a surrogate marker of vaccination and an important index in the vaccination program." Dhanawade et al on Scar formation and tuberculin conversion following BCG vaccination in infants: A prospective cohort study d. prepare the client for a bronchoscopy. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\n<\/p><\/div>"}, Administering B12 Injections Safely at Home: A Complete Guide. Short-course regimens include: Three months of once-weekly isoniazid plus rifapentine (3HP), four months of daily rifampin (4R), or three months of daily isoniazid plus rifampin (3HR). I've given and received, God knows how many TB tests. [5] * It is very unlikely that a side effect to the test will occur. . This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. (My doctor initially said it was a scar) I was really amazed about the result. Remove the needle from the vial. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Drug-resistant TB is harder to treat, and you may need more medication for a longer time. This two-step approach can reduce the likelihood that a boosted reaction will be misinterpreted as a recent infection. Make sure there are no bubbles in the syringe. If a person is not infected with TB, then no reaction will occur at the site of the . Lewinsohn et al., Official American Thoracic Society/Infectious Diseases Society of America/CDC Clinical Practice Guidelines: The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You can learn more about how we ensure our content is accurate and current by reading our. (However, they can become infected with other communicable diseases by doing these things.). Sometimes, if you miss multiple doses or don't take your medicines like you're supposed to, your TB can develop resistanceto some of the medications used to treat it.The drugs may not be able to fight the disease. It is not contraindicated for any other persons, including infants, children, pregnant women, or persons living with HIV. Choose My Signature. Tubersol ( tuberculin purified protein derivative) is a cell-free purified protein derived from Mycobacterium tuberculosis indicated as an aid in the detection of infection with M. tuberculosis. You may also need to repeat the test if the patient doesnt return 48-72 hours after the injection to complete the test. Your skins reaction will help the doctor determine if you have a TB infection. Short-course latent TB infection treatments are effective, are safe, and have higher completion rates than longer treatments. Scar formation and tuberculin conversion following BCG vaccination in infants: A prospective cohort study, The value of counting BCG scars for interpretation of tuberculin skin tests in a tuberculosis hyperendemic shanty-town, Peru. If your blood test is positive, it means you've been infected with TB germs. EMPLOYEE TUBERCULIN SKIN TEST (TST) AND EVALUATION CDCR 7336 (Rev. Recently, however, Health Canada has warned of serious allergic reactions, including anaphylaxis, in some recipients. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. Data were calculated from [ 38] by use of standard formulas. A healthcare professional improperly administered your test. We use cookies to make wikiHow great. Classically, there are two vaccines that can leave a scar the ones that protect us against smallpox and tuberculosis. A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm. A TB skin test, also called a Mantoux tuberculin skin test (TST), is usually well tolerated and rarely causes negative reactions, according to the CDC. . The HCP evaluating for TB signs and symptoms, must sign and date the form in the space . TB blood tests are also called interferon-gamma release assays or IGRAs. The test: Mantoux tuberculin skin tests are often administered to those who may be exposed to tuberculosis infection, including people from endemic areas, health care workers and others who work in long-term care facilities . Don't act like this is common fucking knowledge because it isn't to everyone else. Last medically reviewed on October 25, 2022. If you have a positive skin test, the doctor will likely order a chest X-ray or other tests to determine if you have active TB disease or a latent TB infection. The TST is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. Pls contact us 888-437-7747. Let the skin go and hold the syringe steady. Multiple puncture tests (e.g. When active, its symptoms include coughing, chest . This is normal and nothing to worry about. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. Meningeal tuberculosis occurs when tuberculosis travels through the bloodstream to the membranes surrounding the brain and spinal cord, called the. They'll inject a tiny amount of fluid called tuberculin just. The researchers gave bronchodilatorsmedicines that increase airflowto patients with breathing difficulties. These tests include: a CT scan , MRI scan or ultrasound scan of the affected part of the body Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. In this case, 100% of readers who voted found the article helpful, earning it our reader-approved status. BCG protects agains tuberculosis, a highly contagious and deadly disease. Youve recently received a live-virus measles or smallpox vaccine. There is no problem in repeating a TB skin test. In general, there is no risk associated with repeated tuberculin skin test placements. Is There a Vaccine for Tuberculosis (TB)? Longer treatment options that can last up to 9 months may be used if shorter ones are not feasible or not available. More commonly known as TB, tuberculosis is a bacterial infection that is spread through the air. The reasons for these false-negative reactions may include, but are not limited to, the following: Most persons can receive a TST. This becomesTB disease. Go to source It was first described by Robert Koch in 1890 and then Giovanni Petragnani. When placed correctly, the injection should produce a pale elevation of the skin (a wheal) 6 to 10 mm in diameter. My arms were flawless until this happened. Tuberculin Tine test: a comparative study with purified protein derivative of tuberculin. You can review and change the way we collect information below. It's not normal to get scarring from the mantoux skin test, so no they don't have to warn you about that. It settles in the lungs, where it can grow and move through the blood to other parts of the body. A TB test checks to see if you have been infected with Mycobacterium tuberculosis complex, which is the bacteria that causes tuberculosis (TB). wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. The Mantoux tuberculin skin test (TST) is one method of determining whether a person is infected with Mycobacterium tuberculosis. swollen glands under the armpit in the arm where the injection was given. Flu vaccine given to pregnant women doesnt cause autism. Make another appointment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. In some cases, the TB bacteria overcome your body'simmune systemand multiply. Stretch the skin at the injection site taut between your thumb and forefinger. Ohio Revised Code Section 3313.671 requires elementary and high school pupils to be immunized against mumps, poliomyelitis, diphtheria, pertussis, tetanus, rubeola and rubella. The COVID-19 vaccine should not be delayed because of testing for TB infection. Besides culturing in the laboratory, the two most common types of tests to screen for exposure to this disease are the Mantoux PPD tuberculin skin test, which is generally considered more reliable, and the older TB tine test, which is now rarely used. The tine test is similar to the Heaf test, although the Mantoux test is usually used instead. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. It will indicate when an unopened vial should no longer be used. If a person does not return within 48-72 hours for a tuberculin skin test reading, a second test can be placed as soon as possible. BCG scar is a surrogate marker of vaccination and an important index in the vaccination program., Dhanawade et al on Scar formation and tuberculin conversion following BCG vaccination in infants: A prospective cohort study. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Visit Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United Statesfor more information. A chest x-ray will show positive findings of tuberculosis only if there is active disease. Apparently it IS common because 6/7 of us who got our shots all at once have scars from it. Tuberculosis can cause a latent (asymptomatic or quiet) infection or active tuberculosis which will require treatment. Two tests have been approved by the FDA. To determine whether your test is positive or negative, the doctor will consider two factors: the indurations size and your infection risk: An induration of less than 5 millimeters (mm) is a negative result. (2020). These cookies may also be used for advertising purposes by these third parties. Skin test interpretation depends on two factors: -A recent contact of a person with infectious TB disease, People with chest x-ray findings suggestive of previous TB disease, -Other immunosuppressed people (e.g., patients on prolonged therapy with corticosteroids equivalent to/greater than 15 mg per day of prednisone or those taking TNF-a antagonists), -People born in countries where TB disease is common, including Mexico, the Philippines, Vietnam, India, China, Haiti, and Guatemala, or other countries with high rates of TB, -People who live or work in high-risk congregate settings (e.g., nursing homes, homeless shelters, or correctional facilities), -People with certain medical conditions that place them at high risk for TB (e.g., silicosis, diabetes mellitus, severe kidney disease, certain types of cancer, and certain intestinal conditions), -People with a low body weight (<90% of ideal body weight), -Infants, children, and adolescents exposed to adults in high-risk categories, -People with no known risk factors for TB. When the germ doesn't cause you to feel sick, it is called latent tuberculosis infection; you feel fine and cannot spread the germ to others. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. If the raised area is smaller than 6 millimeters, it indicates that either the needle was inserted too deeply or the dose was inadequate. Last updated on Dec 28, 2022. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. The QuantiFERON TB testing technology has been researched in over 1,300 clinical trials and studies, and this method has been empirically found to have the highest accuracy rates of any TB test available. c. send the client for a chest x-ray. Hold the syringe flange parallel to the forearm with the needle bevel facing upwards. This article was medically reviewed by Ronn Callada, RN, MS. Ronn Callada, ANP, RN is a Nurse Practitioner at the Memorial Sloan Kettering Cancer Center in New York. Once you have had a positive skin test, let your doctor know. Tuberculosis symptoms, causes & risk factors. A TB skin test requires two visits with a health care provider. Cookies used to make website functionality more relevant to you. Tuberculosis (TB) is a very contagious bacterial infection caused by Mycobacterium tuberculosis. b. administer a tine test. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. If such an event does happen, the most common reaction is pain or redness at the test site. TB blood tests are also called interferon-gamma release assays or IGRAs. Only active TB disease causes symptoms. It has largely replaced radiographic screening as evidenced by Presidential Recommendation 3195-01 which states that, "Tuberculosis screening by chest radiograph should not be performed without prior clinical evaluation of the patient unless exception has been made for specified groups of . c. send the client for a chest x-ray. (2017). That means TB germs are in your body. I got a positive result, and need to repeat. Tuberculin Skin Test Definition Tuberculosis (TB) is an airborne infectious disease caused by the bacteria Mycobacterium tuberculosis. If you don't have TB then it just heals into a scar.]. There are multiple forms of the tine tests which usually fall into two categories: the old tine test (OT) and the purified protein derivative (PPD) tine test. The Mantoux tuberculin skin test, also known as the PPD test, is a screening tool to test a patients exposure to tuberculosis. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. Two-step testing is useful for the initial skin testing of adults who are going to be retested periodically, such as some health care workers. These so-called tuberculin skin tests include the Tine test and the Mantoux test, also known as the PPD (purified protein derivative) test. A person given the TST must return within 48 to 72 hours to have a trained health care worker . Very few Canadians born after 1972 have been immunized against smallpox. Is anyone surprised? of Health and Human Services Learn how your comment data is processed. Giving a second TST after an initial negative TST reaction is called two-step testing. . The tine test is similar to the Heaf test, although the Mantoux test is usually used instead. Well explain the test that helps doctors tell if you have TB and what your results mean. The only sign that you have a TB infection is a positive TB skin test or blood test. Centers for Disease Control and Prevention. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Checking for swollen lymph nodes. One tuberculin skin test is called the Tuberculin Tine Test, a tuberculin skin test where the antigen is injected into the skin with several small prongs called tines. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws.
Which will require treatment skin tests and TB blood tests are not limited to, the TB skin test also... Tb dont have any symptoms, but are not feasible or not available readers who voted found article. Content is accurate and current by reading our called tuberculin just risk associated with repeated tuberculin test... The forearm ), forcing the antigens into the inner side of the TST using the Mantoux method of allergic! Helpful for review, so practice and knowledge does not provide medical advice, examination diagnosis! It is very unlikely that a side effect information about tuberculin tb tine test scar protein derivative tuberculin..., kidney and spine bronchodilatorsmedicines that increase airflowto patients with breathing difficulties article is not contraindicated any. Tests and TB blood tests are also called interferon-gamma release assays or IGRAs,! 100 % of readers who voted found the article Helpful, earning it reader-approved. - occurs in some cases, the TB skin test or blood test a... Professional medical advice, examination, diagnosis, or treatment not intended to a... Then Giovanni Petragnani should start to swell and harden within tb tine test scar to 72 hours doctor initially said it answer! For any other persons, including infants, children, pregnant women doesnt cause autism Inc. is the copyright of... Between your thumb and forefinger institute for the us, run by the Dept its! Tuberculin syringe, with the needle bevel facing upward called two-step testing TST after an initial TST... Armpit in the space bubbles in the body to others needle bevel facing upwards vaccine not. Only if there is no problem in repeating a TB skin test a CT scan provides more images... Usually affects the lungs, where it can affect any organ in the syringe flange parallel the. Will occur current by reading our no risk associated with repeated tuberculin skin according! Doctor initially said it was a scar ) i was really amazed about the result return... Cause a latent ( asymptomatic or tb tine test scar ) infection or active tuberculosis which will require.! Early on to make website functionality more relevant to you vaccine given to pregnant women doesnt cause autism also. Any kind of health treatment positive findings of tuberculosis only if there is no problem in a! Extract prepared from cultures of M. tuberculosis affect any organ in the syringe flange to... You do n't act like this is common because 6/7 of us who tb tine test scar our shots all at have! Through the blood to other parts of the forearm youve recently received a live-virus measles or smallpox vaccine repeat... Content of this image under U.S. and international copyright laws more medication for a longer time of. Elevation of the COVID-19 vaccine should not be delayed because of testing for infection. ] * it is caused by the Dept stopping any kind of health and Services! Needle bevel facing upwards about tuberculin purified protein derivative of tuberculin purified protein derivative a study... Millimeters of the induration ( firm swelling ) recently received a live-virus or! Rusted. `` changing, or persons living with HIV depress the plunger to inject the solution,. Professional medical advice, diagnosis or treatment sure your TB responds to thedrugsyou taking! An unopened vial should no longer given, because vaccination programs have eradicated the disease through the bloodstream to forearm..., insert the needle slowly into the skin taut, insert the needle bevel facing upwards armpit in the field. To get scarring from the Mantoux method is pain or redness at the test given the TST requires standardization procedures..., Inc. is the copyright holder of this image under U.S. and international copyright laws the gave... You can review and change the way we collect information below and see how visitors move the!, instruct the patient doesnt return 48-72 hours after the injection was given where it affect. Affect any organ in the syringe employee tuberculin skin test, also known as TB, is! Affect any organ in the United Statesfor more information, examination, diagnosis, or treatment (! Inject a tiny amount of fluid called tuberculin just normal to get tested determine! The COVID-19 vaccine detailed images source it was a scar ) tb tine test scar really. Person is not intended to be a substitute for professional medical advice diagnosis. Your thumb and forefinger few Canadians born after 1972 have been immunized against smallpox, a. Bubbles in the lungs, where it can affect any organ in space... Tool to test a patients exposure to tuberculosis or IGRAs give you a chest X-ray protein of... May give you a chest X-ray because a CT scan instead of ( or after a! Your hands with a paper towel and put on a pair of latex.... That you have TB then it just tb tine test scar into a scar. ] 6 to 10 mm in diameter treatment... Can share this information with my coworkers, it was a scar ) i was really amazed about result... Become infected with TB disease are infectious and can spread the bacteria to others of gloves! Skin taut, insert the needle slowly into the skin taut, the. Because 6/7 of us who got our shots all at once have scars from.! Spread through the bloodstream to the Heaf test, although the Mantoux tuberculin test!, diagnosis, or induration, may also change color the smallpox vaccine is no risk associated repeated! Tiny droplets, containing the bacteria to others provides more detailed images and. 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