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[迟发型药物过敏诊断的新方法——划痕-薄膜试验]

[New method of diagnosis of drug hypersensitivity of the delayed type--the scarificaiton-film test].

作者信息

Borodin Iu P, Dokhnenko A M, Ageeva M G, Zidel'shteĭn S I

出版信息

Antibiotiki. 1976 May;21(5):456-9.

PMID:139846
Abstract

An original method for diagnosis of drug allergy, i.e. a scarification-film test (SFT) in 2 variants has been worked out for the first itme on the basis of examination of 241 persons and is recommended for use. 10 mm parallel scarifications with intervals of 3-4 mm between them were made on the epidermis of the antibrachial flexor and the following agents were applied to them: 1) a film-forming aerosol composition with medicines (tetracycline)--the 1st variant of SFT. (2) powder or solutions of medicines (antibiotics, sulfanylamides, vitamins, etc.) covered with a film-forming ocmposition without any medicine--the 2nd variant of SFT, 3) film-forming aerosol composition without any medicine-control of both variants out of 46 patients with professional dermatosis and in 10 (7.8 per cent) out of 127 practically healthy persons with latent sensitization (workers of pharmaceutical factories) being in contact with tetracycline. Hypersensitivity of the delay type to benzylpenicillin, streptomycin, sulfanylamides and other medicines was found in 54 79.4 per cent) out of 68 patients with drug allergy of professional and non-professional etiology. The method was shown to be highly sensitive, handy, simple and safe, which provided its recommendation for the use in wide clinical practice for diagnosis of drug allergy of the retarded type which developed because of drug use or professional contact.

摘要

已首次基于对241人的检查,研发出一种诊断药物过敏的原创方法,即划痕-薄膜试验(SFT)的两种变体,并推荐使用。在肱前屈侧表皮上进行10毫米的平行划痕,划痕之间间隔3-4毫米,然后在上面涂抹以下制剂:1)含药物(四环素)的成膜气雾剂组合物——SFT的第一种变体。(2)用不含任何药物的成膜组合物覆盖的药物(抗生素、磺胺类药物、维生素等)粉末或溶液——SFT的第二种变体,3)不含任何药物的成膜气雾剂组合物——两种变体的对照。在46名职业性皮肤病患者中以及在127名与四环素接触的潜伏性致敏(制药厂工人)的实际健康人员中有10名(7.8%)出现了对苄青霉素、链霉素、磺胺类药物和其他药物的迟发型超敏反应。在68名职业性和非职业性病因药物过敏患者中,有54名(79.4%)发现对苄青霉素、链霉素、磺胺类药物和其他药物的迟发型超敏反应。该方法具有高度敏感性、便捷、简单且安全,因此推荐在广泛的临床实践中用于诊断因用药或职业接触而引发的迟发型药物过敏。

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