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Volume 354:2293-2294 May 25, 2006 Number 21
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Antibiotic Allergy

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 by Gruchalla, R. S.
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To the Editor: Gruchalla and Pirmohamed (Feb. 9 issue)1 recommend that before the initiation of cephalosporin therapy, skin testing should be performed for patients with a suspected history of IgE-mediated reactions to penicillins. We would like to add that it is equally important to recognize the potential for cross-reactivity between penicillins and carbapenems. From our experience, this relationship is often not recognized among clinicians. With the emergence of multidrug-resistant bacteria with extended-spectrum beta-lactamases, the use of carbapenems has somewhat expanded beyond the traditional use in only the sickest of patients.

The authors adroitly state that the rate of cross-reactivity of . . . [Full Text of this Article]




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