Skin Test preformed by Blood Collectors in LCC's.

Q FEVER SKIN TESTING
1. Dilute 0.1 mL of Vaccine in 30 mL of sodium chloride (injection grade) and use within 6 hours
2. Disinfect forearm with methylated spirits & inject 0.1 mL of diluted vaccine intradermally into volar surface of forearm
3. Read at 7 days
4. Any induration (oedema) at the site is a positive reaction and vaccination should not be given.

Skin testing is essential prior to vaccinaiton with Q Fever.

Always send a SST sample for QFAB when performing a QFSkin- as both results are required to inform Clinician.

PREVACCINATION TESTING
Before vaccinating against Q Fever Screen patietn with both:
Q Fever Serology
  and
Q Fever Skin Testing

If either are postive DO NOT VACCINATE because of risk of severe hypersensitivity reaction.

Q FEVER (COXIELLA) SEROLOGY
Patients with Positive Serology (CF 1 in 2.5, EIA positive or IFA >=10)should not be vaccinated.