在门诊环境中对抗生素过敏的评估,使用标准化问卷
Sarah M Yi1, Mary Barsanti-Sekhar2, Amy W Wozniak3
1Stritch School of Medicine, Maywood, IL, USA.
Journal of pharmacy practice
|January 19, 2024
概括
许多患者被错误地标记为抗生素过敏. 这项研究发现,很大一部分抗生素过敏标签与真正的免疫中介反应不相符,这表明许多患者可以安全地去除标签.
科学领域:
- 临床医学 临床医学
- 药理学 药理学是指药理学的学科.
- 免疫学 免疫学 免疫学
背景情况:
- 抗生素过敏标签在患者记录中经常是不准确的.
- 错误的标签可能导致避免必要的抗生素,影响治疗结果.
- 免疫介导反应与药物不良反应不同.
研究的目的:
- 确定记录过敏的患者中非免疫媒介抗生素反应的流行率.
- 评估标准化问卷在识别真实抗生素过敏时的有用性.
- 为抗生素取消标签的倡议提供信息.
主要方法:
- 对98名已成年门诊患者进行了标准化问卷调查,这些患者有记录的抗生素过敏症.
- 研究了159个抗生素过敏标签,以检查免疫媒介反应史.
- 评估了问卷答复,以区分免疫媒介过敏和不良药物反应.
主要成果:
- 18.37%的受试者有抗生素过敏标签,没有免疫中介反应的病史.
- 在所有记录的过敏标签中,22.0%不太可能是免疫介导的.
- 麦克罗利德,尼托福兰因和阿莫西西林/克拉夫兰酸盐显示高非免疫中介反应率.
结论:
- 一个标准化的问卷可以有效地识别在门诊环境中不太可能是免疫介导的抗生素反应.
- 准确识别低风险抗生素过敏标签对于成功的取消标签至关重要.
- 改进抗生素过敏评估可以提高适当的抗生素处方实践.
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