İlaç Alerjisi

Özİlaç reaksiyonları (İR) ilaçların istenmeyen ya da zararlı olabilen etkileridir. Tüm hastane başvurularının % 6,5’ini oluşturur. Hastaneye yatırılarak tedavi uygulanan hastalarda ise %15 oranında İR gelişmektedir. İlaç kullanan bir kişide herhangi bir tıbbi sorun geliştiğinde ayırıcı tanıda İR olasılığı düşünülmelidir. Tanıda klinik değerlendirme önemlidir. Tanı testleri sınırlı olmakla birlikte etkili immün mekanizmaya ve organa özgül ya da sistemik bulguların varlığına göre tanısal testlerden yararlanılır. Tanısal değerlendirmeler yapılırken “önce, zarar verme” ilkesi akılda tutulmalıdır. Bu yazıda çocuklarda ilaç alerjilerine yaklaşım güncel rehberler doğrultusunda değerlendirilecektir.

Anahtar Kelimeler:

Çocuk, ilaç alerjisi, tanı, tedavi, yaklaşım

Drug Allergy

AbstractDrug reactions (DR) are adverse admissions or harmful effects of drugs. They constitute 6.5% of all hospital admission. DR develops with a rate of 15% in patients whoare treated by hospitalization. The possibility of DR should be considered in the differential diagnosis when any medical problem occurs in a person who uses medication. The diagnosis of DHR remains largely clinical. Although diagnostic tests arelimited, they are beneficial according to the effective immune mechanism and presence of organ-specific or systemic findings. Proper identification of a DH upholdsthe principle of primum non nocere. In this article, the apporach to drug allergies in children will be evaluated in accordance with current guidelines.

Keywords:

Child, drug allergy, diagnosis, treatment, approach,

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