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Aminoglycoside Allergic Reactions
Aminoglycosides are antimicrobial agents that are primarily used for infections caused by Gram-negative pathogens. The purpose of this article is to review the allergic reactions reported in the published literature to aminoglycoside antibiotics. A thorough PubMed search was conducted and excluded n...
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Published in: | Pharmacy 2019-08, Vol.7 (3), p.124 |
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description | Aminoglycosides are antimicrobial agents that are primarily used for infections caused by Gram-negative pathogens. The purpose of this article is to review the allergic reactions reported in the published literature to aminoglycoside antibiotics. A thorough PubMed search was conducted and excluded non-allergic adverse reactions to aminoglycosides. Allergic reactions to aminoglycosides occur infrequently, but can include cutaneous reactions as well as systemic reactions, including anaphylaxis. Of the evaluated aminoglycosides, gentamicin had the most reported allergic reactions, including the most reports of anaphylaxis, followed by tobramycin, and then amikacin. Most reports of allergic reactions occurred in patients who had a prior exposure to some dosage form of an aminoglycoside. Cross-reactivity among aminoglycosides is common and occurs due to the similarities in their chemical structures. Desensitization protocols to tobramycin have been described in the literature. |
doi_str_mv | 10.3390/pharmacy7030124 |
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The purpose of this article is to review the allergic reactions reported in the published literature to aminoglycoside antibiotics. A thorough PubMed search was conducted and excluded non-allergic adverse reactions to aminoglycosides. Allergic reactions to aminoglycosides occur infrequently, but can include cutaneous reactions as well as systemic reactions, including anaphylaxis. Of the evaluated aminoglycosides, gentamicin had the most reported allergic reactions, including the most reports of anaphylaxis, followed by tobramycin, and then amikacin. Most reports of allergic reactions occurred in patients who had a prior exposure to some dosage form of an aminoglycoside. Cross-reactivity among aminoglycosides is common and occurs due to the similarities in their chemical structures. Desensitization protocols to tobramycin have been described in the literature.</description><identifier>ISSN: 2226-4787</identifier><identifier>EISSN: 2226-4787</identifier><identifier>DOI: 10.3390/pharmacy7030124</identifier><identifier>PMID: 31470509</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Allergies ; allergy ; amikacin ; aminoglycosides ; Anaphylaxis ; Antibiotics ; Cystic fibrosis ; Dermatitis ; Drug dosages ; Drug therapy ; Enzymes ; gentamicin ; hypersensitivity ; Infections ; Patients ; Pharmaceutical sciences ; Pharmacy ; Review ; tobramycin</subject><ispartof>Pharmacy, 2019-08, Vol.7 (3), p.124</ispartof><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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Desensitization protocols to tobramycin have been described in the literature.</description><subject>Allergies</subject><subject>allergy</subject><subject>amikacin</subject><subject>aminoglycosides</subject><subject>Anaphylaxis</subject><subject>Antibiotics</subject><subject>Cystic fibrosis</subject><subject>Dermatitis</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Enzymes</subject><subject>gentamicin</subject><subject>hypersensitivity</subject><subject>Infections</subject><subject>Patients</subject><subject>Pharmaceutical sciences</subject><subject>Pharmacy</subject><subject>Review</subject><subject>tobramycin</subject><issn>2226-4787</issn><issn>2226-4787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkctrVDEUh4MottSu3UnFjZux5-SdjTAUH4WCILoO5-bmTjPcezMmd4T5741OLW2zyevLl5P8GHuN8EEIB5e7WyoThYMBAcjlM3bKOdcraax5_mB8ws5r3UJrDoVV6iU7ESgNKHCn7O16SnPejIeQa-rjxXocY9mkcPE9UlhSnusr9mKgscbzu_6M_fz86cfV19XNty_XV-ubVZBollU3GOCONEjoQPUQNREOaAMfKAAE0cWuR2m5BWxF9DbqTg7GoJVqIHDijF0fvX2mrd-VNFE5-EzJ_1vIZeOpLCmM0SvUylGM2lgpndJOx3Z7aBNEcr1oro9H127fTbEPcV4KjY-kj3fmdOs3-bdvRqcQmuD9naDkX_tYFz-lGuI40hzzvnrOrUAw4HRD3z1Bt3lf5vZVngvk3EhUslGXRyqUXGuJw30xCP5vmv5Jmu3Em4dvuOf_Zyf-ALW3mhk</recordid><startdate>20190829</startdate><enddate>20190829</enddate><creator>Childs-Kean, Lindsey M</creator><creator>Shaeer, Kristy M</creator><creator>Varghese Gupta, Sheeba</creator><creator>Cho, Jonathan C</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5985-7979</orcidid></search><sort><creationdate>20190829</creationdate><title>Aminoglycoside Allergic Reactions</title><author>Childs-Kean, Lindsey M ; Shaeer, Kristy M ; Varghese Gupta, Sheeba ; Cho, Jonathan C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-bf7029a6040b05d0e6aa1f18c2fac00c3bebd1482801855d8e6b4f771845fa093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Allergies</topic><topic>allergy</topic><topic>amikacin</topic><topic>aminoglycosides</topic><topic>Anaphylaxis</topic><topic>Antibiotics</topic><topic>Cystic fibrosis</topic><topic>Dermatitis</topic><topic>Drug dosages</topic><topic>Drug therapy</topic><topic>Enzymes</topic><topic>gentamicin</topic><topic>hypersensitivity</topic><topic>Infections</topic><topic>Patients</topic><topic>Pharmaceutical sciences</topic><topic>Pharmacy</topic><topic>Review</topic><topic>tobramycin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Childs-Kean, Lindsey M</creatorcontrib><creatorcontrib>Shaeer, Kristy M</creatorcontrib><creatorcontrib>Varghese Gupta, Sheeba</creatorcontrib><creatorcontrib>Cho, Jonathan C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Proquest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Pharmacy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Childs-Kean, Lindsey M</au><au>Shaeer, Kristy M</au><au>Varghese Gupta, Sheeba</au><au>Cho, Jonathan C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aminoglycoside Allergic Reactions</atitle><jtitle>Pharmacy</jtitle><addtitle>Pharmacy (Basel)</addtitle><date>2019-08-29</date><risdate>2019</risdate><volume>7</volume><issue>3</issue><spage>124</spage><pages>124-</pages><issn>2226-4787</issn><eissn>2226-4787</eissn><abstract>Aminoglycosides are antimicrobial agents that are primarily used for infections caused by Gram-negative pathogens. 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subjects | Allergies allergy amikacin aminoglycosides Anaphylaxis Antibiotics Cystic fibrosis Dermatitis Drug dosages Drug therapy Enzymes gentamicin hypersensitivity Infections Patients Pharmaceutical sciences Pharmacy Review tobramycin |
title | Aminoglycoside Allergic Reactions |
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