ABSTRACT
Introducción: el interrogatorio clínico es un instrumentoeficaz para evaluar la alergia a los antibióticos. El objetivo denuestro trabajo es valorar su prevalencia y su fiabilidad para ladetección de alergias en las historias clínicas.Métodos: análisis observacional de la presencia del datode alergia a los antibióticos en las historias de un hospital general.Comprobación mediante interrogatorio dirigido de lafiabilidad del dato.Resultados: se evalúan 610 historias. En 98% de los casosconstaba interrogada la alergia a antibióticos. Setenta y un pacientes(12%) tenían registrada alergia a algún antibiótico. Enla valoración por el investigador, sólo un 5% (33 de 610 casos)resultó tener alergia. De detectó un 44% de falsas alergia. Lascausas más frecuentes de confusión fueron lipotimia e intoleranciagástrica.Conclusiones: la presencia del dato de alergia o no a losantibióticos es prácticamente constante en todas las historiasclínicas. La prevalencia de alergia a algún antibiótico medianteinterrogatorio dirigido es del 5%. Es necesario explicar periódicamenteal colectivo sanitario el significado de la alergia a losantibióticos y la importancia del interrogatorio dado que ésteconstituye un instrumento rápido, sencillo y muy eficaz(AU)
Objectives: Antibiotic allergy questionnaire is a usefultool for prescribing antibiotics. The objective of thisstudy is to assess the prevalence and clinical reliabilityof antibiotic allergy in medical records.Patients and method: Observational analysis of clinicalrecords. Assessment of antibiotic allergy by directinterview conducted by the investigator.Results: 610 medical records were evaluated. Antibioticallergy was checked in 98%, mainly in medicalwards. In 12 % of patients, antibiotic allergy was suspected,but after investigator interview only 5% of patientsfulfilled clinical criteria for allergy. 44% of falsesallergies were recorded. The most frequent cause of confusionwas faint and gastric intolerance.Conclussion: The questionnaire about antibioticallergy is present in almost all medical records. Howeverits reliability is low, less than 50%. Prevalence of veritableantibiotic allergy is 5% in this study. Antibioticallergy questionnaire in medical records is a practical tool.However periodical training about antibiotic allergydefinition is necessary for nurses and medical staff(AU)
Subject(s)
Humans , Male , Female , Anti-Bacterial Agents/adverse effects , Immunologic Techniques/trends , Immunologic Techniques , Medical Records/standards , Allergy and Immunology/organization & administration , Allergy and Immunology/trends , Hypersensitivity/complications , Hypersensitivity/diagnosis , Syncope/complications , Surveys and QuestionnairesABSTRACT
OBJECTIVES: Antibiotic allergy questionnaire is a useful tool for prescribing antibiotics. The objective of this study is to assess the prevalence and clinical reliability of antibiotic allergy in medical records. PATIENTS AND METHOD: Observational analysis of clinical records. Assessment of antibiotic allergy by direct interview conducted by the investigator. RESULTS: 610 medical records were evaluated. Antibiotic allergy was checked in 98%, mainly in medical wards. In 12 % of patients, antibiotic allergy was suspected, but after investigator interview only 5% of patients fulfilled clinical criteria for allergy. 44% of falses allergies were recorded. The most frequent cause of confusion was faint and gastric intolerance. CONCLUSIONS: The questionnaire about antibiotic allergy is present in almost all medical records. However its reliability is low, less than 50%. Prevalence of veritable antibiotic allergy is 5% in this study. Antibiotic allergy questionnaire in medical records is a practical tool. However periodical training about antibiotic allergy definition is necessary for nurses and medical staff.
Subject(s)
Anti-Bacterial Agents/adverse effects , Drug Hypersensitivity/diagnosis , Medical History Taking/methods , Surveys and Questionnaires , Humans , Reproducibility of ResultsABSTRACT
No disponible
Subject(s)
Humans , Anti-Bacterial Agents/therapeutic use , Cross Infection/drug therapy , Communicable Disease Control/methods , Drug PrescriptionsABSTRACT
No disponible
Subject(s)
Humans , Cross Infection/drug therapy , Anti-Bacterial Agents/therapeutic use , Microbial Sensitivity Tests , Risk Factors , Severity of Illness IndexABSTRACT
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Subject(s)
Male , Aged , Humans , Corynebacterium Infections , Species Specificity , Rheumatic Heart Disease , Mitral Valve , Endocarditis, Bacterial , CorynebacteriumSubject(s)
Corynebacterium Infections/microbiology , Corynebacterium/isolation & purification , Endocarditis, Bacterial/microbiology , Aged , Anti-Bacterial Agents/therapeutic use , Corynebacterium Infections/drug therapy , Corynebacterium Infections/pathology , Echocardiography, Transesophageal , Endocarditis, Bacterial/diagnosis , Endocarditis, Bacterial/drug therapy , Humans , Male , Treatment OutcomeABSTRACT
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No disponible
