Drug allergy: diagnosis and management of drug allergy in adults, children and young people; a look at NICE guidance
| Autor: | Elizabeth Starkey, H A S Sadreddini |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Drug Pediatrics medicine.medical_specialty Adolescent Best practice media_common.quotation_subject Drug allergy Alternative medicine Nice Drug Hypersensitivity Young Adult 03 medical and health sciences 0302 clinical medicine Excellence 030225 pediatrics medicine Humans Child computer.programming_language media_common business.industry Guideline medicine.disease United Kingdom 030228 respiratory system Family medicine Practice Guidelines as Topic Pediatrics Perinatology and Child Health business computer Adverse drug reaction |
| Zdroj: | Archives of disease in childhood - Education & practice edition. 101:239-242 |
| ISSN: | 1743-0593 1743-0585 |
| DOI: | 10.1136/archdischild-2015-308222 |
| Popis: | When any patient uses a medicine, it has the ability to cause a noxious and unintended response known as an ‘adverse drug reaction’ (ADR). A drug allergy is defined as an ADR with specific clinical features compatible with an immunological mechanism that re-occurs on re-exposure to that offending drug. Sometimes, it can be a challenge to decide from the clinical history alone as to whether a drug reaction is allergic or not without the need for further investigations. In September 2014, the National Institute for Health and Care Excellence (NICE) published a guideline entitled ‘Drug allergy: diagnosis and management of drug allergy in adults, children and young people’.1 This was developed due to variation in provision of care for people with a suspected drug allergy and to optimise best practice advice on the diagnosis, documentation and communication of drug allergy. Our focus here will be on the recommendations for children and young people. The British Society for Allergy and Clinical Immunology (BSACI) guidelines for the management of drug allergy were published in 20082 with an update which can be found in box 1. The European Association of Allergy and Clinical Immunology (EAACI) also published an international consensus of drug allergy in February 2014.3 Both of these look at the management of drug allergy within the secondary-care and tertiary-care setting, including details on specialist investigations, in contrast to the NICE guideline, which is aimed at all health professionals who review and manage children including in primary care. Differences between these guidelines are demonstrated in table 1. View this table: Table 1 Comparison of guidelines Box 1 ### Resources |
| Databáze: | OpenAIRE |
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