Auf Betalaktamantibiotika bei anamnestischer „Penicillinallergie“ verzichten?
Christina Massoth,Khaschayar Saadat-Gilani,Manuel Wenk · AINS · 2023 · Heft 4 · S. 264 bis 266
Bibliografische Angaben
Zusammenfassung
Abstract Drug allergies are frequently reported by patients undergoing pre-anesthesia evaluation, potentially resulting in a suboptimal treatment with alternative substances. While about 10% of patients report to be allergic to penicillin, less than 1% have a true IgE-mediated allergy. Multiple factors contribute to this large prevalence, such as misinterpretations of common gastrointestinal side effects as “allergic”, a history of penicillin treatment for infectious mononucleosis resulting in skin rashes, uncritical acceptance of the diagnosis by medical staff or neglect of the fact that most patients will lose…