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Abstract
Methods and patients: Prospective study of 357 patients examined in CT scan unit in Al-Yarmouk teaching hospital, 44 of them had history of penicillin allergy, all given i.v. contrast medium (LOCM), and the prevalence of LOCM related side effects calculated for both groups.
Results: The prevalence of contrast medium related side effect was 0.64% in patients without history of penicillin allergy, while of the 44 patients with penicillin allergy, no side effects has been encountered.
Conclusion: No significant increase in LOCM related side effect was seen in patients with penicillin allergy.
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References
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References
- A. Adam, A. K. Dixon, R. G. Gainger, D. J. Allison. Diagnostic radiology text book of medical imaging, Churchill Livingstone 2008, Vol. 1, 2:27, 34.
- Osborne, E. D. Sutherland, C.G., Scholl, A.J., et al. Reontegnography of the urinary tract during excretion of sodium iodide. 1923, JAMA 80, 368-373.
- P. Dawson, W. Clauss. Contrast media in practice questions and answers. Springer-Verlag Berlin Heidelberg 1999.chap 1 P 1,43.
- Swick M Darstellung Der Niere und Harnwege in Roentgenbild durch intravenose Einberingung eines neuen Kontraststoffes: des Uroselectans. 1929, Klin Wochenscher 8: 2087-2089.
- Christopher H. Hunt; Robert P. Hartman; Gina K. Hesley, Frequency and Severity of Adverse Effects of Iodinated and Gadolinium Contrast Materials: Retrospective Review of 456,930 Doses, Am J Roentgenol. 2009;193(4):1124-1127.
- John R. Haaga et al, CT and MRI of the whole body, Mosby 2009. Vol. 2, 39:1807.
- Lalli A F 1980 contrast media reactions:data analysis and hypothesis.Radiology 134: 1-12
- Sidhu P S, Dawson P 1999 adverse reaction to contrast media. Isis medical media, oxford, ch. 9: pp 99-119.
- Dawson P, Cosgrove D O, Grainger R G 1999 textbook of contrast media, ch. 11, ch. 15 Isis medical media, oxford.
- American College of radiology manual on iodinated contrast media version 7, 2010, ACR, Chicago. P 17.
- Dillman JR, Strouse PJ, Ellis JH, Cohan RH, Jan SC. Incidence and severity of acute allergic-like reactions to i.v. nonionic iodinated contrast material in children. AJR Am J Roentgenol 2007; 188:1643–1647.
- Schmitt KM, Behrends B, Claus W, Kaufmann J, Lehnert J (1986) Iohexol in der Ausscheidungsurographie. Ergebnisse des Drug-monitoring. Fortscher Med 7:153-156
- Katayama H, Yamaguchi K, Kozuka T et al. (1990) adverse reactions to ionic and non-ionic contrast media. A report from Japanese committee on the safety of contrast media. Radiol 11:52-66
- Palmer FJ (1989) the royal Australian college of radiologists (RACR) survey of reactions to intravenous ionic and non-ionic media. In Enge I, Edgren J (eds) patients safety and adverse events in contrast medium examination. Elsevier, Amstrdam, pp 137-141
- Cochran ST, Bomyea K, Sayre JW. Trends in adverse events after IV administration of contrast media. AJR Am J Roentgenol 2001; 176:1385–1388.
- Wolfgang Dahnert. radiology review manual.Lippincott Williams and Wilkins, 2007. Vol. 2: 1132.
- Wang CL, Cohan RH, Ellis JH, Caoili EM, Wang G, Francis IR. Frequency, outcome, and appropriateness of treatment of nonionic iodinated contrast media reactions. AJR Am J Roentgenol 2008; 191:409–415.
