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==BCG vaccine and the Mantoux test== The role of Mantoux testing in people who have been vaccinated is disputed. The US recommends that tuberculin skin testing is not contraindicated for BCG-vaccinated persons, and prior BCG vaccination should not influence the interpretation of the test. The UK recommends that [[interferon gamma release assay|interferon-Ξ³]] testing should be used to help interpret positive Mantoux tests of over 5 mm,<ref>{{Cite web|url=https://www.nice.org.uk/guidance/ng33/chapter/Recommendations#latent-tb|title = Recommendations | Tuberculosis | Guidance | NICE| date=13 January 2016 }}</ref> and repeated tuberculin skin testing must not be done in people who have had BCG vaccinations. In general, the US recommendation may result in a larger number of people being falsely diagnosed with latent tuberculosis, while the UK approach has an increased chance of missing patients with latent tuberculosis who should be treated.{{Citation needed|date=May 2011}} According to the US guidelines, [[latent tuberculosis]] infection diagnosis and treatment is considered for any BCG-vaccinated person whose skin test is 10 mm or greater, if any of these circumstances are present:{{cn|date=May 2024}} * Was in contact with another person with infectious TB * Was born or has lived in a high TB prevalence country * Is continually exposed to populations where TB prevalence is high
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