Çocuklarda İlaç Alerjileri

Bir ilacın profilaksi, tanı veya tedavi amacı ile kullanımı sırasında veya sonrasında oluşan istenmeyen etkiler ilaç aşırı duyarlılık reaksiyonu (ADR), ilaç ters etkisi veya ilaç reaksiyonu olarak tanımlanır. İlaç ADR yaşamı tehdit edebilecek durumlara neden olabilmesi, hastanede yatış süresini uzatabilmesi, tedavi maliyetini artırabilmesi nedeni ile önemli bir sağlık sorunudur. Tanının en önemli kısmını dikkatli alınan bir anamnez oluşturur. Öncelikle reaksiyonun ilaç alerjisi ile ilişkisi belirlenmeli, sonrasında da bu durumun immünolojik reaksiyon mu yoksa nonimmün reaksiyon mu olduğuna karar verilmelidir. Öyküye göre tanısal testler planlanmalıdır. İlaç alerjilerinin akut tedavisi suçlanan ilacın kesilmesi ve aktif lezyonun durumuna göre gerekli destek medikal tedavi uygulanması şeklindedir. Hastalarda uzun dönemli yaklaşım planı yapmak son derece önemlidir. İlaç alerjisi olan hastalar akılcı ilaç kullanımı konusunda eğitilmelidir. Bu yazıda çocuklarda ilaç alerjilerine yaklaşım güncel rehberler doğrultusunda değerlendirilecektir.
Anahtar Kelimeler:

ALERJİ, ÇOCUK, DRUG

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Klinik Tıp Pediatri Dergisi-Cover
  • ISSN: 1309-0453
  • Başlangıç: 2009
  • Yayıncı: Selen Medya Yayıncılık Tanıtım ve Organizasyon Hizmetleri