The Korean Journal of INternal Medicine
eISSN 2005-6648
pISSN 1226-3303
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Original articles
Korean J Intern Med. 2010 June;25(2):207-212.
DOI: 10.3904/kjim.2010.25.2.207

The Current Practice of Skin Testing for Antibiotics in Korean Hospitals
So Hee Lee, Heung Woo Park, Sae Hoon Kim, Yoon Seok Chang, Sun Sin Kim, Sang Heon Cho, Kyung Up Min, and You Young Kim

Department of Internal Medicine, Seoul National University Hospital, Seoul; Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
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Background/Aims: Antibiotic skin testing is a useful procedure for identifying patients with IgE-mediated hypersensitivity to antibiotics. The procedures, however, have not been standardized, and the testing is performed with diverse protocols in Korean hospitals wards. Thus, we examined the current practice of antibiotic skin testing in Korea.
Methods: We sent questionnaires to 12 allergists working in secondary or tertiary referral hospitals and collected them by e-mail or fax. The questionnaire included items such as the types and concentrations of the tested antibiotics, the methods of antibiotic skin testing, and the interpretation of the results.
Results: All hospitals responded to the questionnaire. The antibiotic skin testing protocols were variable, inconsistent, and differed with regard to the type and concentrations of antibiotics, the volume injected, and the interpretation of the results. Moreover, the protocols differed from the commonly recommended procedures in the medical literature.
Conclusions: Standardized guidelines for antibiotic skin testing are needed for the safe and effective use of antibiotics in Korea. (Korean J Intern Med 2010;25:207-212)
Keywords : Anti-bacterial agents; Drug hypersensitivity; Skin tests
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