澳大利亚产妇群体中的β-乳酸过敏风险分层:过敏脱标的范围
Wirawan Jeong1, Shahad Saleh1, Sharon Heap2
1Pharmacy Department, The Royal Women's Hospital, Melbourne, Victoria, Australia.
概括
在孕妇患者中,β-乳酸过敏的文档往往不准确. 在怀孕期间对过敏的评估和取消标签可以优化抗生素的使用,并改善孕产妇和新生儿的健康结果.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 临床药理学 临床药理学
背景情况:
- 在孕妇中未经证实的β-乳过敏与增加的发病率和不必要的广泛抗生素使用有关.
- 澳大利亚孕妇对β-乳酸过敏的数据有限.
研究的目的:
- 为了记录患者报告的澳大利亚产妇患者的β-乳酸过敏.
- 评估这种群体中抗生素过敏脱标的适用性.
主要方法:
- 接受采访的孕产妇患者 (≥18岁) 有记录的β-乳酸过敏 (2021年3月至6月).
- 将记录的过敏与采访获得的病史进行了比较.
- 使用标准化工具评估过敏严重程度和取消标签的潜力.
主要成果:
- 145名患者报告了153例β-乳酸过敏,其中未指明的青素是最常见的.
- 在36%的患者中,需要修改文件.
- 56%的过敏是低风险的,适合取消标签.
结论:
- 在孕产妇患者中,β-乳酸过敏文档的不准确性很普遍.
- 为提供者提供有关过敏病史的加强教育至关重要.
- 怀孕过敏评估和取消标签可以优化抗生素的处方,并改善孕产妇/新生儿的结果.
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