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Naslov:The use of drug provocation testing in the investigation of suspected immediate perioperative allergic reactions : current status
Avtorji:ID Garvey, Lene Heise (Avtor)
ID Ebo, Didier G. (Avtor)
ID Krøigaard, Mogens (Avtor)
ID Savic, Sinisa (Avtor)
ID Clarke, Russel C. (Avtor)
ID Cooke, Peter J. (Avtor)
ID Dewachter, Pascale (Avtor)
ID Garcez, Tomaz (Avtor)
ID Guttormsen, Anne Berit (Avtor)
ID Hopkins, Philip M. (Avtor)
ID Kopač, Peter, Klinika Golnik, Medicinska fakulteta UL (Avtor)
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://bjanaesthesia.org/article/S0007-0912(19)30220-X/fulltext
 
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek:Suspected perioperative allergic reactions are often severe. To avoid potentially life-threatening re-exposure to the culprit drug, establishing a firm diagnosis and identifying the culprit is crucial. Drug provocation tests are considered the gold standard in drug allergy investigation but have not been recommended in the investigation of perioperative allergy, mainly because of the pharmacological effects of drugs such as induction agents and neuromuscular blocking agents. Some specialised centres have reported benefits of provocation testing in perioperative allergy investigation, but the literature on the subject is limited. Here we provide a status update on the use of drug provocation testing in perioperative allergy, including its use in specific drug groups. This review is based on a literature search and experiences of the authors comprising anaesthesiologists and allergists with experience in perioperative allergy investigation. In addition, 19 participating centres in the International Suspected Perioperative Allergic Reaction Group were surveyed on the use of provocation testing in perioperative allergy investigation. A response was received from 13 centres in eight European countries, New Zealand, and the USA. Also, 21 centres from the Australian and New Zealand Anaesthetic Allergy Group were surveyed. Two centres performed provocation routinely and seven centres performed no provocations at all. Nearly half of the centres reported performing provocations with induction agents and neuromuscular blocking agents. Drug provocation testing is being used in perioperative allergy investigation in specialised centres, but collaborations between relevant specialties and multicentre studies are necessary to determine indications and establish common testing protocols.
Ključne besede:allergy and immunology, drug hypersensitivity, anesthesia, drug-related side effects and adverse reactions, anaphylaxis, perioperative period, allergic reactions, hypersensitivity reaction, perioperative anaphylaxis, allergy testing, challenge testing, drug provocation test
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Kraj izida:Velika Britanija
Založnik:Elsevier
Leto izida:2019
Št. strani:str. e126-e134
Številčenje:Vol. 123, iss. 1
PID:20.500.12556/DiRROS-12543 Novo okno
UDK:616-097
ISSN pri članku:1471-6771
DOI:10.1016/j.bja.2019.03.018 Novo okno
COBISS.SI-ID:2048510321 Novo okno
Avtorske pravice:© 2019 British Journal of Anaesthesia
Opomba:Soavtor iz Slovenije: Peter Kopac; Nasl. z nasl. zaslona; Opis vira z dne 5. 6. 2019;
Datum objave v DiRROS:09.10.2020
Število ogledov:2026
Število prenosov:804
Metapodatki:XML DC-XML DC-RDF
:
GARVEY, Lene Heise, EBO, Didier G., KRØIGAARD, Mogens, SAVIC, Sinisa, CLARKE, Russel C., COOKE, Peter J., DEWACHTER, Pascale, GARCEZ, Tomaz, GUTTORMSEN, Anne Berit, HOPKINS, Philip M. in KOPAČ, Peter, 2019, The use of drug provocation testing in the investigation of suspected immediate perioperative allergic reactions : current status. British journal of anaesthesia [na spletu]. 2019. Vol. 123, no. 1, p. e126–e134. [Dostopano 25 april 2025]. DOI 10.1016/j.bja.2019.03.018. Pridobljeno s: https://bjanaesthesia.org/article/S0007-0912(19)30220-X/fulltext
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Gradivo je del revije

Naslov:British journal of anaesthesia
Skrajšan naslov:Br. j. anaesth.
Založnik:Oxford University Press.
ISSN:1471-6771
COBISS.SI-ID:515369241 Novo okno

Licence

Licenca:Drugo
Opis:Elsevier user licence
Začetek licenciranja:23.04.2019

Sekundarni jezik

Jezik:Ni določen
Ključne besede:alergija in imunologija, preobčutljivost za zdravila, anestezija, stranski in škodljivi učinki zdravil, anafilaksija, perioperativno obdobje, alergijske reakcije, preobčutljivostna reakcija, perioperativna anafilaksija, alergijsko testiranje, provokacijsko testiranje, provokacijski testiranje z zdravili


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