Diagnostic procedures & practices in drug allergy/hypersensitivity: a survey of 13 Asian countries - Université de Montpellier Accéder directement au contenu
Article Dans Une Revue Asia Pacific Allergy Année : 2020

Diagnostic procedures & practices in drug allergy/hypersensitivity: a survey of 13 Asian countries

Min-Moon Tang (1) , Jie Shen Fok (2, 3) , Bernard Yu-Hor Thong (4) , James Yun (5, 6) , Philip Hei Li (7, 8) , Hye-Ryun Kang (9, 10) , Francis Thien (3) , Masao Yamaguchi (11) , Michaela Lucas (12, 13) , Yoon-Seok Chang (14) , Byung-Keun Kim (15) , Mizuho Nagao (16) , Iris Rengganis (17, 18) , Yi-Giien Tsai (19) , Wen-Hung Chung (20, 21) , Ticha Rerkpattanapipat (22, 23) , Wasu Kamchaisatian (24) , Ting Fan Leung (25) , Joo-Yoon Ho (26) , Luo Zhang (27, 28) , Amir Hamzah Abdul Latiff (29) , Takao Fujisawa (16) , Mariana Castells (30) , Pascal Demoly (31, 32, 33) , Jiu Yao Wang (34) , Ruby Pawankar (35)
1 Hospital Kuala Lumpur
2 Box Hill Hospital
3 Monash University [Melbourne]
4 Tan Tock Seng Hospital
5 The University of Sydney
6 Nepean Hospital
7 Queen Mary Hospital
8 HKU - The University of Hong Kong
9 SNU - Seoul National University [Seoul]
10 Seoul National University Hospital
11 Teikyo University School of Medicine
12 Sir Charles Gairdner Hospital
13 UWA - The University of Western Australia
14 SNUBH - Seoul National University Bundang Hospital
15 Korea University Anam Hospital [Seoul]
16 Mie National Hospital [Tsu]
17 UI - Universitas Indonesia
18 Cipto Mangunkusumo Hospital [Jakarta]
19 Kaohsiung Medical University
20 CGMH - Chang Gung Memorial Hospital [Taipei]
21 Chang Gung University [Taïwan]
22 Ramathibodi Hospital [Bangkok, Thailand]
23 Mahidol University [Bangkok]
24 Samitivej Children's Hospital [Bangkok]
25 CUHK - The Chinese University of Hong Kong [Hong Kong]
26 Hanyang University
27 Beijing Tongren Hospital
28 CUMS - Capital University of Medical Sciences [Beijing]
29 Pantai Hospital [Kuala Lumpur]
30 BWH - Brigham & Women’s Hospital [Boston]
31 Département pneumologie et addictologie [Montpellier]
32 EPAR - Epidemiology of Allergic and Respiratory Diseases Department [iPlesp]
33 UM - Université de Montpellier
34 NCKU - National Cheng Kung University
35 Nippon Medical School [Tokyo, Japon]
Min-Moon Tang
  • Fonction : Auteur
Hospital Kuala Lumpur
Jie Shen Fok
Box Hill Hospital
Monash University [Melbourne]
Bernard Yu-Hor Thong
Tan Tock Seng Hospital
James Yun
The University of Sydney
Nepean Hospital
Philip Hei Li
Queen Mary Hospital
The University of Hong Kong
Hye-Ryun Kang
Seoul National University [Seoul]
Seoul National University Hospital
Francis Thien
Monash University [Melbourne]
Masao Yamaguchi
Teikyo University School of Medicine
Michaela Lucas
Sir Charles Gairdner Hospital
The University of Western Australia
Yoon-Seok Chang
Seoul National University Bundang Hospital
Byung-Keun Kim
Korea University Anam Hospital [Seoul]
Mizuho Nagao
Mie National Hospital [Tsu]
Iris Rengganis
Universitas Indonesia
Cipto Mangunkusumo Hospital [Jakarta]
Yi-Giien Tsai
Kaohsiung Medical University
Wen-Hung Chung
Chang Gung Memorial Hospital [Taipei]
Chang Gung University [Taïwan]
Ticha Rerkpattanapipat
Ramathibodi Hospital [Bangkok, Thailand]
Mahidol University [Bangkok]
Wasu Kamchaisatian
Samitivej Children's Hospital [Bangkok]
Ting Fan Leung
The Chinese University of Hong Kong [Hong Kong]
Joo-Yoon Ho
  • Fonction : Auteur
Hanyang University
Luo Zhang
Beijing Tongren Hospital
Capital University of Medical Sciences [Beijing]
Amir Hamzah Abdul Latiff
Pantai Hospital [Kuala Lumpur]
Takao Fujisawa
Mie National Hospital [Tsu]
Mariana Castells
Brigham & Women’s Hospital [Boston]
Pascal Demoly
Département pneumologie et addictologie [Montpellier]
Epidemiology of Allergic and Respiratory Diseases Department [iPlesp]
Université de Montpellier
CV
Jiu Yao Wang
  • Fonction : Auteur
National Cheng Kung University
Ruby Pawankar
Nippon Medical School [Tokyo, Japon]

Résumé

Background: The issues and challenges in the diagnosis of drug allergy/hypersensitivity among children and adults in Asia are likely to be different from non-Asian countries. Objective: To study the diagnostic modalities used in the evaluation and management of drug allergy/drug hypersensitivity reactions (DHRs) among member societies of the Asia Pacific Association of Allergy, Asthma and Clinical Immunology (APAAACI). Methods: A questionnaire comprising 41 questions was circulated electronically to member societies and individual members of APAAACI between January 23, 2020 and March 6, 2020. Results: Twenty-six respondents from 15 member societies and 1 individual member responded. European DHR guidelines were most commonly used. Skin prick and intradermal testing was used by 100%, with only 60% having access to commercial penicillin skin test reagents. In vitro-specific IgE tests were used by 75%, and basophil activation test by 56.3% for immediate DHR. Patch tests were used by 75% in contrast to lymphocyte transformation tests by 25% for nonimmediate DHR. Drug provocation tests were used by 68.8%, the most common indication being to exclude hypersensitivity where history/symptoms were not suggestive of drug hypersensitivity/allergy (93.3%). Human leukocyte antigen (HLA) genotype testing was mandatory among 25% respondents before new carbamazepine prescriptions, and 8.3% for allopurinol prescriptions. Conclusions: There was increased use of skin testing for iodinated contrast media hypersensitivity and patch testing for nonimmediate DHR. HLA genotype testing prior to new carbamazepine, allopurinol and abacavir prescriptions remain variable despite strong associations for severe cutaneous adverse reactions with Asian ethnicity. Results of this survey form a useful framework for developing educational and training needs and for improving access to drug allergy diagnostic and treatment modalities across APAAACI member societies.

Domaines

Allergologie

Anthony Herrada  : Connectez-vous pour contacter le contributeur

https://hal.umontpellier.fr/hal-03230157

Soumis le : mercredi 19 mai 2021-15:32:05

Dernière modification le : vendredi 29 mars 2024-19:54:03

Consulter le texte intégral

Dates et versions

hal-03230157 , version 1 (19-05-2021)

Identifiants

Citer

Min-Moon Tang, Jie Shen Fok, Bernard Yu-Hor Thong, James Yun, Philip Hei Li, et al.. Diagnostic procedures & practices in drug allergy/hypersensitivity: a survey of 13 Asian countries. Asia Pacific Allergy, 2020, 10 (4), pp.e36. ⟨10.5415/apallergy.2020.10.e36⟩. ⟨hal-03230157⟩

Exporter

BibTeX XML-TEI Dublin Core DC Terms EndNote DataCite

Collections

INSERM IPLESP UNIV-MONTPELLIER SORBONNE-UNIVERSITE SU-MEDECINE
20 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More