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Is it safe to use carbapenems in patients with a history of allergy to penicillin?
Author(s) -
Manica Sodhi,
Sandra S. Axtell,
Joyce M. Callahan,
Raja Shekar
Publication year - 2004
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkh454
Subject(s) - penicillin , penicillin allergy , medicine , antibiotics , allergy , cephalosporin , microbiology and biotechnology , intensive care medicine , biology , immunology
The purpose of this retrospective study was to ascertain the clinical safety of administering carbapenems, namely imipenem/cilastatin and meropenem, in patients with a history of penicillin allergy compared with administering carbapenems in patients with no reported penicillin allergy. Carbapenems are similar in chemical structure to the penicillins and therefore are associated with a risk for allergic cross-hypersensitivity. Carbapenems are commonly avoided in patients with a reported penicillin allergy on the basis of a potential cross-hypersensitivity with penicillin, however, very few studies have been conducted describing the incidence of cross-hypersensitivity between penicillin and carbapenems.

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