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Allergic reactions due to concomitant administration of multiple drugs in intravenous fluid in emergency departments in Turkey

Authors

Mehmet Erdem Çakmak
mehmeterdemcakmak@gmail.com
Clinic of Allergy and Clinical Immunology, Başakşehir Çam ve Sakura City Hospital, Istanbul, Turkey.
Saltuk Buğra Kaya
Clinic of Allergy and Clinical Immunology, Erzurum Training and Research Hospital, Erzurum, Turkey.
Özge Can Bostan
Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University School of Medicine, Ankara, Turkey.
Ebru Damadoğlu
Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University School of Medicine, Ankara, Turkey.
Gül Karakaya
Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University School of Medicine, Ankara, Turkey.
Ali Fuat Kalyoncu
Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University School of Medicine, Ankara, Turkey.

The present study aimed to evaluate patients who were referred to adult allergy clinic due to allergic reactions after concomitant multiple intravenous-drug administrations in Emergency Department (ED). Between January 2017 and January 2019, patients admitted to our allergy clinic with hypersensitivity reactions to intravenous drugs administered in ED were included retrospectively. Fifty-seven patients who developed allergic reactions after intravenous drug administration in EDs were evaluated. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) were the most common cause of allergic reactions (n = 40, 70.2%). Skin Prick Tests (SPT) were positive in 6 (10.5%) patients. Drug Provocation Tests (DPT) were positive in 10 (17.5%) patients. No significant correlation was found between the total number of drugs in the intravenous fluid and the degree of allergic reaction (r = -0.145, p = 0.282). There was no statistically significant difference between the degree of allergic reaction and history of atopic disease (p = 0.579). In conclusion, concomitant administration of multiple drugs in intravenous fluids may increase the risk of allergic reactions.

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How to Cite

Çakmak, M. E., Kaya, S. B., Can Bostan, Özge, Damadoğlu, E., Karakaya, G., & Kalyoncu, A. F. (2021). Allergic reactions due to concomitant administration of multiple drugs in intravenous fluid in emergency departments in Turkey. Emergency Care Journal, 17(3). https://doi.org/10.4081/ecj.2021.9848

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