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Childs-Kean LM, Shaeer KM, Varghese Gupta S, et al. Aminoglycoside Allergic Reactions. Pharmacy (Basel). 2019;7(3)doi: 10.3390/pharmacy7030124.
Childs-Kean, L. M., Shaeer, K. M., Varghese Gupta, S., & Cho, J. C. (2019). Aminoglycoside Allergic Reactions. Pharmacy (Basel, Switzerland), 7(3), . https://doi.org/10.3390/pharmacy7030124
Childs-Kean, Lindsey M, et al. "Aminoglycoside Allergic Reactions." Pharmacy (Basel, Switzerland) vol. 7,3 (2019). doi: https://doi.org/10.3390/pharmacy7030124
Childs-Kean LM, Shaeer KM, Varghese Gupta S, Cho JC. Aminoglycoside Allergic Reactions. Pharmacy (Basel). 2019 Aug 29;7(3). doi: 10.3390/pharmacy7030124. PMID: 31470509; PMCID: PMC6789510.
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Pharmacy (Basel). 2019 Aug 29;7(3). doi: 10.3390/pharmacy7030124.

Aminoglycoside Allergic Reactions.

Pharmacy (Basel, Switzerland)

Lindsey M Childs-Kean, Kristy M Shaeer, Sheeba Varghese Gupta, Jonathan C Cho

Affiliations

  1. Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, Gainesville, FL 32610, USA. [email protected].
  2. Department of Pharmacotherapeutics and Clinical Research, University of South Florida College of Pharmacy, Tampa, FL 33612, USA.
  3. Department of Pharmaceutical Sciences, University of South Florida College of Pharmacy, Tampa, FL 33612, USA.
  4. Department of Clinical Sciences, Ben and Maytee Fisch College of Pharmacy, The University of Texas at Tyler, Tyler, TX 75799, USA.

PMID: 31470509 PMCID: PMC6789510 DOI: 10.3390/pharmacy7030124

Abstract

Aminoglycosides are antimicrobial agents that are primarily used for infections caused by Gram-negative pathogens. The purpose of this article is to review the allergic reactions reported in the published literature to aminoglycoside antibiotics. A thorough PubMed search was conducted and excluded non-allergic adverse reactions to aminoglycosides. Allergic reactions to aminoglycosides occur infrequently, but can include cutaneous reactions as well as systemic reactions, including anaphylaxis. Of the evaluated aminoglycosides, gentamicin had the most reported allergic reactions, including the most reports of anaphylaxis, followed by tobramycin, and then amikacin. Most reports of allergic reactions occurred in patients who had a prior exposure to some dosage form of an aminoglycoside. Cross-reactivity among aminoglycosides is common and occurs due to the similarities in their chemical structures. Desensitization protocols to tobramycin have been described in the literature.

Keywords: allergy; amikacin; aminoglycosides; gentamicin; hypersensitivity; tobramycin

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