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Título
Self-reported drug allergies and the diagnostic work-up in the surgical population
Autor
Año del Documento
2010
Editorial
Blackwell Publishing
Descripción
Producción Científica
Documento Fuente
Journal of Evaluation in Clinical Practice, (2010);16(5):902-4
Resumen
Objective The diagnostic work-up of a drug hypersensitivity reaction is indeed difficult. In
general, medical documentation of allergic reactions in medical reports is usually highly
deficient or non-existent. The aim of this study was to analyse the prevalence of selfreported
drug allergies in the surgical population as well as the criteria used in the diagnosis
of drug hypersensitivity reactions.
Methods A prospective study with the consecutive participation of 1439 patients, following
surgical intervention, attended the Post-Operative Care Unit. Previously, as a routine
process during the pre-anesthesia consultation, all patients were questioned about whether
they had any drug allergies to report and diagnostic work-up.
Results The prevalence of self-reported drug allergies was 8.3% (119/1439): 3.6% considered
themselves allergic to b-lactams and 2.4% to non-steroidal anti-inflammatory
drugs. Approximately one-third of the subjects (40 out of the 119) had not been subjected
to any allergy diagnostic procedure and with 79 (66.4%), the only diagnostic test used by
the Allergy Unit had been the skin prick-test. None of those participating in the study had
tryptase, methylhistamine, specific IgE or intradermal tests carried out to characterize the
diagnosis of the allergic reaction.
Conclusions These results show that self-reported drug allergies are highly prevalent and
as yet little explored. It is an important prevalence which should bring about modifications
to the prescription of certain medicaments. The medical personnel must be made aware of
the need to make an accurate diagnosis of allergies to medicaments.
Materias (normalizadas)
Alergia a los medicamentos
Cirugía
ISSN
1356-1294
Revisión por pares
SI
Idioma
eng
Derechos
openAccess
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