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EAACI/ENDA 立场文件:儿童和青少年非甾体抗炎药(NSAIDs)过敏反应的诊断和管理。

EAACI/ENDA Position Paper: Diagnosis and management of hypersensitivity reactions to non-steroidal anti-inflammatory drugs (NSAIDs) in children and adolescents.

机构信息

The Pediatric Allergy Clinic, Sheba Medical Center, Tel Hashomer and the Sackler Faculty of Medicine, Safra Children's Hospital, Tel Aviv University, Tel Aviv, Israel.

Allergy Service, Infanta Leonor University Hospital, Madrid, Spain.

出版信息

Pediatr Allergy Immunol. 2018 Aug;29(5):469-480. doi: 10.1111/pai.12915. Epub 2018 Jun 13.

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used in the pediatric population as antipyretics/analgesics and anti-inflammatory medications. Hypersensitivity (HS) reactions to NSAID in this age group, while similar to adults, have unique diagnostic and management issues. Although slowly accumulating, published data in this age group are still relatively rare and lacking a unifying consensus. This work is a summary of current knowledge and consensus recommendations utilizing both published data and expert opinion from the European Network of Drug Allergy (ENDA) and the Drug Hypersensitivity interest group in the European Academy of Allergy and Clinical Immunology (EAACI). This position paper summarizes diagnostic and management guidelines for children and adolescents with NSAIDs hypersensitivity.

摘要

非甾体抗炎药(NSAIDs)在儿科人群中常用作解热/镇痛药和抗炎药。该年龄段对 NSAID 的超敏反应(HS)与成人相似,但具有独特的诊断和管理问题。尽管积累的速度较慢,但该年龄段的已发表数据仍然相对较少,缺乏统一的共识。这项工作是对现有知识的总结和共识建议,利用了欧洲药物过敏网络(ENDA)和欧洲过敏与临床免疫学会(EAACI)药物过敏兴趣小组的已发表数据和专家意见。本立场文件总结了 NSAIDs 超敏反应患儿和青少年的诊断和管理指南。

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