Don't we overestimate drug allergies in children?

• Authors: Daniela Podlecka , Joanna Jerzyńska , Agnieszka Brzozowska

Abstracts

EN

Objectives On average about 10% of parents report hypersensitivity to at least 1 drug in their children. After diagnosis process a few of these reactions are being confirmed as drug hypersensitivity reactions. The aim of the study was to assess the real-life prevalence of drug hypersensitivity in children based on drug provocation tests. Material and Methods The authors included 113 children, aged 4–18 years, referred to Pediatrics and Allergy Clinic in Łódź, Poland, due to incidence of adverse reaction during treatment. Medical history regarding allergies to drugs was taken in accordance to the form developed by the United States Food and Drug Administration Adverse Event Reporting System. Skin prick tests, intradermal test and drug provocation test were performed in all patients. Results In all 113 patients suspected of drug allergy, after all diagnostic procedures, the authors proved IgE-mediated allergy to β-lactams, nonsteroid anti-inflammatory drugs, local anesthetics in 19 patients (16.8%). Previous history of allergy was a risk factor for drug allergy in studied patients (p = 0.001). The most frequent symptoms of allergy were urticaria and erythematous papular rash. Conclusions Drug allergy is a difficult problem in the practice of a doctor and is difficult to diagnose, especially in the pediatric population. It seems that too often isolated symptoms reported during infection or disease are taken as a symptom of drug allergy, and not as a symptom resulting from the course of the disease.

Keywords

EN

hypersensitivity; drug allergy; children; local anesthetics; nonsteroidal anti-inflammatory drugs; β-lactam antibiotics

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2023
• Volume: 36
• Issue: 5
• Pages: 632-642

Dates

published

2023

Contributors

author

Daniela Podlecka

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Department of Pediatrics and Allergy)

author

Joanna Jerzyńska

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Department of Pediatrics and Allergy)

author

Agnieszka Brzozowska

• Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Department of Pediatrics and Allergy)

Identifiers

DOI

10.13075/ijomeh.1896.02227

Biblioteka Nauki

21375381