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Correspondence
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Volume 354:2835-2837 June 29, 2006 Number 26
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Imipenem in Patients with Immediate Hypersensitivity to Penicillins

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To the Editor: It is considered potentially harmful to administer imipenem–cilastatin to patients with IgE-mediated hypersensitivity to penicillins1 because of a 47.4 percent rate of cross-reactivity (9 of 19 subjects) found in a single study2 on the basis of positive skin tests involving imipenem reagents.

Between 1997 and 2005, we studied 112 consecutive patients with such hypersensitivity, diagnosed as previously described,3 in order to assess the cross-reactivity with imipenem–cilastatin and to evaluate the allergic responses to imipenem–cilastatin in patients who had negative skin tests. Our patients had had a total of 143 immediate reactions to penicillins. All patients had positive . . . [Full Text of this Article]


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