想请教一下有关青霉素过敏问题:二十多年前在中国青霉素皮试过敏,当时没有注射青霉素,而是用红霉素代替。以后就再没有注射过青霉素或其他类抗生素,但好像吃过阿莫西林,记不太清楚了。前段时间需要吃抗生素,只能用四环素代替阿莫西林,但是副作用太大,一个月后还有后遗症。所以就让家庭医生联系了测试过敏,测试诊所发来的信息是:“Testing for penicillin allergy involves skin tests. If they show no reaction, this is strong evidence against serious allergy. However, we confirm that by oral challenge with a dose of penicillin and a period of observation of one hour.”
“But just because you were told you had a penicillin allergy, or had one in the past, does not mean you have one now. People with a penicillin allergy history have their allergy disproved with allergy testing more than 90% of the time.”
想请教一下有关青霉素过敏问题:二十多年前在中国青霉素皮试过敏,当时没有注射青霉素,而是用红霉素代替。以后就再没有注射过青霉素或其他类抗生素,但好像吃过阿莫西林,记不太清楚了。前段时间需要吃抗生素,只能用四环素代替阿莫西林,但是副作用太大,一个月后还有后遗症。所以就让家庭医生联系了测试过敏,测试诊所发来的信息是:“Testing for penicillin allergy involves skin tests. If they show no reaction, this is strong evidence against serious allergy. However, we confirm that by oral challenge with a dose of penicillin and a period of observation of one hour.”
问题来了,我本来想这么多年过去了,再做一次青霉素皮试过敏测试,如果不过敏了,以后就可以用青霉素了,我的家庭医生也是这么说的。可我好朋友的医生弟弟说,国内大医院对于注射青霉素很严的,一旦有过敏历史,终身不再用青霉素。一般人每次注射青霉素前,都要做皮试的。注射不同批次的青霉素都要做皮试的。我的家庭医生和中国的医生说法差别怎么这么大呢?不知道各位有没有类似的经历可以分享一下呢?
先在这里谢谢各位耐心看贴,并谢谢各位的回复!
随着年龄的增大,以后用抗生素的时候会更多。我实在是太想能够再用青霉素了,因为吃四环素的时候,医生就说它的效果不如青霉素好,副作用也比青霉素大。
医生不太会开青霉素
查了一下,青霉素皮试也是有些风险的,最坏情况的反应是有生命危险的。
敏就是过敏,不想把自己放在risky 上。
我原生家庭4个: 爸妈,我,我妹,三个人青霉素过敏。
https://www.health.harvard.edu/blog/do-you-really-have-a-penicillin-allergy-2019022616017#app
“But just because you were told you had a penicillin allergy, or had one in the past, does not mean you have one now. People with a penicillin allergy history have their allergy disproved with allergy testing more than 90% of the time.”
我也是20年前在国内做了一次皮试,说有可能过敏。后来到美国住院生小孩的时候,医生问我是否有过敏,我说青霉素。从此这个过敏就进了系统,有次有个医生跟我说,青霉素非常好用,关键时候可以救你一命,如果不是很确定过敏,应该做一下测试。我去过敏医生那里做了测试,结论是不过敏,我的记录也改了,从此可以用了。
http://yao.dxy.cn/article/94406