Perioperative allergy. A 3-year experience
Background: Perioperative hypersensitivity reactions constitute a global health problem, with an estimated incidence of 1 per 100,000 procedures and a mortality rate of 0.1 to 9 %. Main risk factors are a history of allergy to other drugs, atopy, associated psychiatric disorders and previous surgeri...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Colegio Mexicano de Inmunología Clínica y Alergia, A.C.
2018-10-01
|
| Series: | Revista Alergia México |
| Subjects: | |
| Online Access: | http://revistaalergia.mx/ojs/index.php/ram/article/view/513 |
| _version_ | 1827838965401518080 |
|---|---|
| author | Rodrigo Collado-Chagoya Rubén Cruz-Pantoja Javier Hernández-Romero Cristóbal León-Oviedo Rosa Isela Campos-Gutiérrez Andrea Velasco-Medina Guillermo Velázquez-Sámano |
| author_facet | Rodrigo Collado-Chagoya Rubén Cruz-Pantoja Javier Hernández-Romero Cristóbal León-Oviedo Rosa Isela Campos-Gutiérrez Andrea Velasco-Medina Guillermo Velázquez-Sámano |
| author_sort | Rodrigo Collado-Chagoya |
| collection | DOAJ |
| description | Background: Perioperative hypersensitivity reactions constitute a global health problem, with an estimated incidence of 1 per 100,000 procedures and a mortality rate of 0.1 to 9 %. Main risk factors are a history of allergy to other drugs, atopy, associated psychiatric disorders and previous surgeries.
Objectives: To determine the frequency of sensitization and the type of drugs involved in perioperative allergy in a tertiary care hospital, over a 3-year period.
Methods: Retrospective, cross-sectional, descriptive study of perioperative allergy, corroborated by skin tests for each drug and latex, of patients treated at the Allergy and Clinical Immunology Department of Hospital General de Mexico.
Results: Twenty-eight patients diagnosed with perioperative allergy were included. Main triggers were neuromuscular blocking agents (46.42 %), latex (28.52 %) and propofol (14.28 %). The main risk factor was a history of previous surgeries (89.28 %). Most perioperative allergic reactions were mild (71.42 %) and occurred within the postoperative period (60.71 %).
Conclusions: Initial diagnosis and Treatment should always be carried out by the anesthesiologist or surgeon, who should focus on the withdrawal of possible causative agents. |
| first_indexed | 2024-03-12T07:13:32Z |
| format | Article |
| id | doaj.art-b27c9da2e2b0474c81f93bf12d847868 |
| institution | Directory Open Access Journal |
| issn | 0002-5151 2448-9190 |
| language | English |
| last_indexed | 2024-03-12T07:13:32Z |
| publishDate | 2018-10-01 |
| publisher | Colegio Mexicano de Inmunología Clínica y Alergia, A.C. |
| record_format | Article |
| series | Revista Alergia México |
| spelling | doaj.art-b27c9da2e2b0474c81f93bf12d8478682023-09-02T22:57:15ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902018-10-0165437938810.29262/ram.v65i4.513380Perioperative allergy. A 3-year experienceRodrigo Collado-Chagoya0Rubén Cruz-Pantoja1Javier Hernández-Romero2Cristóbal León-Oviedo3Rosa Isela Campos-Gutiérrez4Andrea Velasco-Medina5Guillermo Velázquez-Sámano6Secretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoSecretaría de Salud, Hospital General de México, Servicio Alergia e Inmunología Clínica, Ciudad de MéxicoBackground: Perioperative hypersensitivity reactions constitute a global health problem, with an estimated incidence of 1 per 100,000 procedures and a mortality rate of 0.1 to 9 %. Main risk factors are a history of allergy to other drugs, atopy, associated psychiatric disorders and previous surgeries. Objectives: To determine the frequency of sensitization and the type of drugs involved in perioperative allergy in a tertiary care hospital, over a 3-year period. Methods: Retrospective, cross-sectional, descriptive study of perioperative allergy, corroborated by skin tests for each drug and latex, of patients treated at the Allergy and Clinical Immunology Department of Hospital General de Mexico. Results: Twenty-eight patients diagnosed with perioperative allergy were included. Main triggers were neuromuscular blocking agents (46.42 %), latex (28.52 %) and propofol (14.28 %). The main risk factor was a history of previous surgeries (89.28 %). Most perioperative allergic reactions were mild (71.42 %) and occurred within the postoperative period (60.71 %). Conclusions: Initial diagnosis and Treatment should always be carried out by the anesthesiologist or surgeon, who should focus on the withdrawal of possible causative agents.http://revistaalergia.mx/ojs/index.php/ram/article/view/513alergia perioperatoriaanafilaxiabloqueadores neuromuscularesanestésicos localeshipnóticoslátex |
| spellingShingle | Rodrigo Collado-Chagoya Rubén Cruz-Pantoja Javier Hernández-Romero Cristóbal León-Oviedo Rosa Isela Campos-Gutiérrez Andrea Velasco-Medina Guillermo Velázquez-Sámano Perioperative allergy. A 3-year experience Revista Alergia México alergia perioperatoria anafilaxia bloqueadores neuromusculares anestésicos locales hipnóticos látex |
| title | Perioperative allergy. A 3-year experience |
| title_full | Perioperative allergy. A 3-year experience |
| title_fullStr | Perioperative allergy. A 3-year experience |
| title_full_unstemmed | Perioperative allergy. A 3-year experience |
| title_short | Perioperative allergy. A 3-year experience |
| title_sort | perioperative allergy a 3 year experience |
| topic | alergia perioperatoria anafilaxia bloqueadores neuromusculares anestésicos locales hipnóticos látex |
| url | http://revistaalergia.mx/ojs/index.php/ram/article/view/513 |
| work_keys_str_mv | AT rodrigocolladochagoya perioperativeallergya3yearexperience AT rubencruzpantoja perioperativeallergya3yearexperience AT javierhernandezromero perioperativeallergya3yearexperience AT cristoballeonoviedo perioperativeallergya3yearexperience AT rosaiselacamposgutierrez perioperativeallergya3yearexperience AT andreavelascomedina perioperativeallergya3yearexperience AT guillermovelazquezsamano perioperativeallergya3yearexperience |