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Epidemiology of perioperative anaphylaxis.

Identifieur interne : 001992 ( PubMed/Corpus ); précédent : 001991; suivant : 001993

Epidemiology of perioperative anaphylaxis.

Auteurs : Paul Michel Mertes ; Gerald W. Volcheck ; Lene H. Garvey ; Tonomori Takazawa ; Peter R. Platt ; Anne B. Guttormsen ; Charles Tacquard

Source :

RBID : pubmed:27181074

English descriptors

Abstract

Anaphylactic reactions may be either of immune (allergy, usually IgE-mediated, sometimes IgG-mediated) or non-immune origin. The incidence of anaphylactic reactions during anaesthesia varies between countries ranging from 1/1250 to 1/18,600 per procedure. In France, the estimated incidence of allergic reactions is 100.6 [76.2-125.3]/million procedure with a high female predominance (male: 55.4 [42.0-69.0], female: 154.9 [117.2-193.1]). The proportion of IgE-mediated allergic reactions seems to be relatively similar between countries, ranging from 50 to 60%. Substantial geographical variability regarding the different drugs or substances involved is reported. Reactions involving neuromuscular blocking agents are a major cause in several countries but are less frequently reported in the United States or Denmark. Reactions involving antibiotics, dyes or chlorhexidine are reported with a high and sometimes increasing frequency in most series. Reactions to latex are rapidly decreasing as a result of primary and secondary prevention policy. Regional differences are a strong incentive for repeated epidemiological surveys in different countries.

DOI: 10.1016/j.lpm.2016.02.024
PubMed: 27181074

Links to Exploration step

pubmed:27181074

Le document en format XML

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