Risk factors for drug hypersensitivity reactions in children.

Children Drug allergy Hypersensitivity reactions Risk factors Severe cutaneous adverse reaction

Journal

Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759

Informations de publication

Date de publication:
15 Jul 2024
Historique:
received: 04 04 2024
accepted: 25 06 2024
medline: 16 7 2024
pubmed: 16 7 2024
entrez: 15 7 2024
Statut: epublish

Résumé

Drug hypersensitivity reactions are common in children. Risk factors predisposing to IgE-mediated drug allergies and delayed drug reactions are a matter of debate. Gender, age, previous reactions to the same drug or to another drug, reduced drug metabolism, chronic diseases, polypharmacy, drug doses are linked with the onset of hypersensitivity reactions in some children. Novel advances in genetic polymorphisms can rapidly change the approach to the prevention of reactions since gene testing can be a useful screening test for severe cutaneous adverse reactions. Viral infections may act as cofactors in susceptible individuals. Polypharmacy, high doses, repeated doses and parental route of administration are also risk factors. Clinicians should take into account risk factors to allow the risk-benefit balance to be maintained.

Identifiants

pubmed: 39010141
doi: 10.1186/s13052-024-01694-x
pii: 10.1186/s13052-024-01694-x
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

127

Informations de copyright

© 2024. The Author(s).

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Auteurs

Francesca Mori (F)

Allergy Unit, Meyer Children's Hospital IRCCS, 50139, Florence, Italy.

Francesca Saretta (F)

Dipartimento Materno-Infantile, SC Pediatria, Ospedale Latisana-Palmanova, Azienda Sanitaria Universitaria Friuli Centrale, 33100, Udine, Italy.

Sara Riscassi (S)

UOC Di Pediatria, Ospedale Bolzano, Azienda Sanitaria Dell'Alto Adige, Bolzano, 39100, Italy.

Silvia Caimmi (S)

SC Di Pediatria, Fondazione IRCSS Policlinico San Matteo, 27100, Pavia, Italy.

Paolo Bottau (P)

UOC Di Pediatria E Neonatologia, Ospedale Imola (BO), Imola, 40026, Italy.

Lucia Liotti (L)

UOC Pediatria, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", 60100, Ancona, Italy.

Fabrizio Franceschini (F)

Private Practice in Allergy, 60100, Ancona, Italy.

Annamaria Bianchi (A)

UOC Pediatria, Azienda Ospedaliera San Camillo Forlanini, 00152, Rome, Italy.

Rocco Luigi Valluzzi (RL)

Translational Research in Pediatric Specialties Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, 00165, Rome, Italy.

Giuseppe Crisafulli (G)

Dipartimento Materno-Infantile, UOC Pediatria, University of Messina, Messina, 98122, Italy.

Carlo Caffarelli (C)

Department of Medicine and Surgery, Clinica Pediatrica, Azienda Ospedaliera-Universitaria, University of Parma, 43123, Parma, Italy. carlo.caffarelli@gmail.com.

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