Alergia a beta-lactámicos

Betalactams allergy is the first cause of drug allergy in the world. In Chile cutaneous test are performed without considering international standardizations. This review focuses in betalactam allergy diagnosis and its management. Betalactams allergic reactions can be classified according to their t...

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Autores principales: Guzmán M,M. Antonieta, Salinas L,Jessica, Toche P,Paola, Afani S,Alejandro
Lenguaje:Spanish / Castilian
Publicado: Sociedad Chilena de Infectología 2004
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182004000400002
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spelling oai:scielo:S0716-101820040004000022005-04-14Alergia a beta-lactámicosGuzmán M,M. AntonietaSalinas L,JessicaToche P,PaolaAfani S,Alejandro Betalactámicos Alergia Test cutáneo Test de provocación Diagnóstico Manejo Betalactams allergy is the first cause of drug allergy in the world. In Chile cutaneous test are performed without considering international standardizations. This review focuses in betalactam allergy diagnosis and its management. Betalactams allergic reactions can be classified according to their temporal profile, into immediate, accelerated or late reactions which coincides with symptoms and pathogenic mechanisms. Most of immediate and accelerated reactions are mediated by specific IgE, with symptoms of immediate hypersensitivity. Toxicodermies and maculo-papular exanthemas are expression of late reaction, late hypersensitivity is probably the main mechanism in the pathogenesis of these reactions. Allergens which cause immediate hypersensitivity reactions to betalactams can be major determinants (75% of the cases), minor determinants or the side chains of the suspected drugs. The study of allergic patients includes specific IgE, skin and challenge tests. The objectives of his evaluation are to detect crossed reactivities or uni-sensibilizations, and to authorize or forbid the utilization of a specific drug or its alternatives.info:eu-repo/semantics/openAccessSociedad Chilena de InfectologíaRevista chilena de infectología v.21 n.4 20042004-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182004000400002es10.4067/S0716-10182004000400002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Betalactámicos
Alergia
Test cutáneo
Test de provocación
Diagnóstico
Manejo
spellingShingle Betalactámicos
Alergia
Test cutáneo
Test de provocación
Diagnóstico
Manejo
Guzmán M,M. Antonieta
Salinas L,Jessica
Toche P,Paola
Afani S,Alejandro
Alergia a beta-lactámicos
description Betalactams allergy is the first cause of drug allergy in the world. In Chile cutaneous test are performed without considering international standardizations. This review focuses in betalactam allergy diagnosis and its management. Betalactams allergic reactions can be classified according to their temporal profile, into immediate, accelerated or late reactions which coincides with symptoms and pathogenic mechanisms. Most of immediate and accelerated reactions are mediated by specific IgE, with symptoms of immediate hypersensitivity. Toxicodermies and maculo-papular exanthemas are expression of late reaction, late hypersensitivity is probably the main mechanism in the pathogenesis of these reactions. Allergens which cause immediate hypersensitivity reactions to betalactams can be major determinants (75% of the cases), minor determinants or the side chains of the suspected drugs. The study of allergic patients includes specific IgE, skin and challenge tests. The objectives of his evaluation are to detect crossed reactivities or uni-sensibilizations, and to authorize or forbid the utilization of a specific drug or its alternatives.
author Guzmán M,M. Antonieta
Salinas L,Jessica
Toche P,Paola
Afani S,Alejandro
author_facet Guzmán M,M. Antonieta
Salinas L,Jessica
Toche P,Paola
Afani S,Alejandro
author_sort Guzmán M,M. Antonieta
title Alergia a beta-lactámicos
title_short Alergia a beta-lactámicos
title_full Alergia a beta-lactámicos
title_fullStr Alergia a beta-lactámicos
title_full_unstemmed Alergia a beta-lactámicos
title_sort alergia a beta-lactámicos
publisher Sociedad Chilena de Infectología
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182004000400002
work_keys_str_mv AT guzmanmmantonieta alergiaabetalactamicos
AT salinasljessica alergiaabetalactamicos
AT tocheppaola alergiaabetalactamicos
AT afanisalejandro alergiaabetalactamicos
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