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儿童青霉素过敏调查

[Investigation for penicillin allergy among children].

作者信息

Birkebaek N H, Voldsgaard P

机构信息

Odense Sygehus, paediatrisk afdeling.

出版信息

Ugeskr Laeger. 1992 Feb 3;154(6):331-3.

PMID:1539362
Abstract

During the period 1986-1991, 109 children were tested for penicillin allergy in the paediatric departments of Odense and Roskilde Hospitals. Determinations of specific IgE to penicillin (SIgEP) were performed on all of the children. Prick tests for penicillin were undertaken in the children i Odense only. All of the children who reacted negatively to SIgEP and the prick test were provoked by oral penicillin. Two children were SIgEP positive. One of these children was subsequently treated with penicillin without reaction. All of the prick tests were negative. One child reacted with an urticarial rash five hours after oral provocation. It is recommended that investigation for allergy to penicillin in children should be restricted to meticulous history taking and oral provocation with penicillin with equipment for treatment of anaphylaxis in readiness.

摘要

在1986年至1991年期间,欧登塞和罗斯基勒医院的儿科部门对109名儿童进行了青霉素过敏测试。对所有儿童进行了青霉素特异性IgE(SIgEP)测定。仅在欧登塞的儿童中进行了青霉素点刺试验。所有对SIgEP和点刺试验反应阴性的儿童都接受了口服青霉素激发试验。两名儿童SIgEP呈阳性。其中一名儿童随后接受青霉素治疗,未出现反应。所有点刺试验均为阴性。一名儿童在口服激发试验后5小时出现荨麻疹皮疹。建议对儿童青霉素过敏的调查应限于详细的病史询问以及在准备好过敏反应治疗设备的情况下进行口服青霉素激发试验。

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