在儿科中直接单剂量大量取消抗生素过敏的标签
Sheena Coyne1,2, Aideen Byrne1,3, Amber Gill1
1Children's Health Ireland (CHI), Dublin, Ireland.
概括
抗生素过敏脱标在儿童中是安全和有效的,即使没有事先的测试. 这种方法可以管理大量的患者,挑战儿科护理现有的风险评估工具.
科学领域:
- 儿科过敏和免疫学
- 临床药理学 临床药理学
- 公共卫生 公共卫生
背景情况:
- 没有证据的抗生素过敏标签影响全球人口的8-25%.
- 现有的风险分层工具是从成年人数据中得出的,并且缺乏对儿科使用的验证.
- 对于儿童大规模抗生素过敏脱标,需要简化协议.
研究的目的:
- 评估简化抗生素过敏脱标协议在儿科患者群体中的安全性和有效性.
- 评估当前风险分层工具对接受脱标儿童的适用性.
主要方法:
- 从疑似抗生素过敏的过敏等候名单中招募了儿科患者.
- 排除了严重反应 (SSLR,SCAR,过敏反应) 或非过敏症状的患者.
- 使用直接单次观察剂量,然后在大规模取消标签的诊所接受短时间的家庭抗生素疗程.
主要成果:
- 包括162名患者,平均年龄为7岁; 92.6%的挑战结果为负.
- 在高风险和低/中等风险组之间,积极挑战率没有显著差异.
- 目前的风险分层工具在这个儿科队列中适用性不佳.
结论:
- 儿童抗生素过敏脱标是一种低风险的程序,适用于没有先前过敏测试的大量诊所.
- 目前的风险分层方法对于儿科专用护理模式是不够的.
- 简化,验证的方法对于解决儿童抗生素过敏标签的公共卫生问题至关重要.
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