James L. Kuhlen, MD, Carlos A. Camargo, MD, DrPH, Diana S

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Presentation transcript:

Antibiotics Are the Most Commonly Identified Cause of Perioperative Hypersensitivity Reactions James L. Kuhlen, MD, Carlos A. Camargo, MD, DrPH, Diana S. Balekian, MD, MPH, Kimberly G. Blumenthal, MD, Autumn Guyer, MD, Theresa Morris, RN, MS, Aidan Long, MD, Aleena Banerji, MD The Journal of Allergy and Clinical Immunology: In Practice Volume 4, Issue 4, Pages 697-704 (July 2016) DOI: 10.1016/j.jaip.2016.02.008 Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 1 Recommendations for future anesthesia following evaluation. Recommendations were provided for subsequent procedures using the results of comprehensive allergy evaluation including skin testing to all available agents received immediately before the HSR and listed in the anesthetic record. The Journal of Allergy and Clinical Immunology: In Practice 2016 4, 697-704DOI: (10.1016/j.jaip.2016.02.008) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Figure 2 Outcomes after comprehensive evaluation. Of the 30 patients consecutively referred to our center, 4 were excluded (1 patient <18 years old, 1 patient lived outside the United States, 2 patients declined participation), 26 patients were enrolled, and 25 patients completed our comprehensive evaluation. Of these 25 patients, 8 underwent subsequent anesthesia and 1 was lost to follow-up. All 5 patients with a positive skin test tolerated the subsequent anesthesia. One of 3 patients that had negative skin testing had a mild reaction with subsequent anesthesia. The Journal of Allergy and Clinical Immunology: In Practice 2016 4, 697-704DOI: (10.1016/j.jaip.2016.02.008) Copyright © 2016 American Academy of Allergy, Asthma & Immunology Terms and Conditions