An audit of iodinated contrast media allergy of a medical center in Taiwan

研究成果: 會議貢獻類型論文

摘要

Background and Aims: Previous literatures revealed that mild hypersensitivity reactions (e.g. skin rashes, urticaria, nausea etc) to radiologic contrast media incidence was < 3%, ) and moderate to severe (e.g. laryngeal edema, tachycardia or bradycardia, cardiac failure, etc) incidence was < 0.04%). Mortality is less than one death per 100000 patients. The audit report aims to determine the frequency, management, and outcomes of allergy of intravenously injected iodinated contrast medium. Methods: Between 2008 and 2014,a total of 4384 patients in Group A (ionic contrast) (vs. 51654, Group B, non-ionic) received contrast medium examinations (CT and intravenous urography) were analyzed. The incident reports, radiology reports, and medical records of patients in whom contrast medium extravasations occurred were reviewed. Results: There were 134 injections in Group A (ionic, 4384 injections) and 244 injections (non-ionic, 51654 injections) in Group B. Allergic-like reaction rates were 0.68% [n=378]: mild, 2.6% [n=114] and in Group A vs 0.40% [n=207] in Group B; moderate/severe, 0.46% [n=20] and in Group A vs 0.07% [n=37] in Group B. Conclusion: The frequency of allergy decreases with use of non-ionic contrast media. The use of nonionic iodinated contrast medium has lesser in moderate or severe adverse effects than ionic contrast medium.
原文英語
出版狀態已發佈 - 十一月 2015
事件Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 - Taipei, 臺灣
持續時間: 十一月 14 2014十一月 15 2014
http://www.nrst.tw/news/news_info.asp?id=553

會議

會議Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015
縮寫名稱APQS 2015
國家臺灣
城市Taipei
期間11/14/1411/15/14
網際網路位址

指紋

Taiwan
Contrast Media
Hypersensitivity
Injections
Laryngeal Edema
Urography
Incidence
Urticaria
Bradycardia
Radiology
Tachycardia
Nausea
Medical Records
Heart Failure
Mortality

引用此文

Lu, C. H., Chen, C-Y., & Chan, W. P. (2015). An audit of iodinated contrast media allergy of a medical center in Taiwan. 論文發表於 Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, 臺灣.

An audit of iodinated contrast media allergy of a medical center in Taiwan. / Lu, Chia Hsun; Chen, Chia-Yuen; Chan, Wing P.

2015. 論文發表於 Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, 臺灣.

研究成果: 會議貢獻類型論文

Lu, CH, Chen, C-Y & Chan, WP 2015, 'An audit of iodinated contrast media allergy of a medical center in Taiwan' 論文發表於 Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, 臺灣, 11/14/14 - 11/15/14, .
Lu CH, Chen C-Y, Chan WP. An audit of iodinated contrast media allergy of a medical center in Taiwan. 2015. 論文發表於 Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, 臺灣.
Lu, Chia Hsun ; Chen, Chia-Yuen ; Chan, Wing P. / An audit of iodinated contrast media allergy of a medical center in Taiwan. 論文發表於 Asia-Pacific Forum on Quality and Safety of Medical Imaging 2015 , Taipei, 臺灣.
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title = "An audit of iodinated contrast media allergy of a medical center in Taiwan",
abstract = "Background and Aims: Previous literatures revealed that mild hypersensitivity reactions (e.g. skin rashes, urticaria, nausea etc) to radiologic contrast media incidence was < 3{\%}, ) and moderate to severe (e.g. laryngeal edema, tachycardia or bradycardia, cardiac failure, etc) incidence was < 0.04{\%}). Mortality is less than one death per 100000 patients. The audit report aims to determine the frequency, management, and outcomes of allergy of intravenously injected iodinated contrast medium. Methods: Between 2008 and 2014,a total of 4384 patients in Group A (ionic contrast) (vs. 51654, Group B, non-ionic) received contrast medium examinations (CT and intravenous urography) were analyzed. The incident reports, radiology reports, and medical records of patients in whom contrast medium extravasations occurred were reviewed. Results: There were 134 injections in Group A (ionic, 4384 injections) and 244 injections (non-ionic, 51654 injections) in Group B. Allergic-like reaction rates were 0.68{\%} [n=378]: mild, 2.6{\%} [n=114] and in Group A vs 0.40{\%} [n=207] in Group B; moderate/severe, 0.46{\%} [n=20] and in Group A vs 0.07{\%} [n=37] in Group B. Conclusion: The frequency of allergy decreases with use of non-ionic contrast media. The use of nonionic iodinated contrast medium has lesser in moderate or severe adverse effects than ionic contrast medium.",
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N2 - Background and Aims: Previous literatures revealed that mild hypersensitivity reactions (e.g. skin rashes, urticaria, nausea etc) to radiologic contrast media incidence was < 3%, ) and moderate to severe (e.g. laryngeal edema, tachycardia or bradycardia, cardiac failure, etc) incidence was < 0.04%). Mortality is less than one death per 100000 patients. The audit report aims to determine the frequency, management, and outcomes of allergy of intravenously injected iodinated contrast medium. Methods: Between 2008 and 2014,a total of 4384 patients in Group A (ionic contrast) (vs. 51654, Group B, non-ionic) received contrast medium examinations (CT and intravenous urography) were analyzed. The incident reports, radiology reports, and medical records of patients in whom contrast medium extravasations occurred were reviewed. Results: There were 134 injections in Group A (ionic, 4384 injections) and 244 injections (non-ionic, 51654 injections) in Group B. Allergic-like reaction rates were 0.68% [n=378]: mild, 2.6% [n=114] and in Group A vs 0.40% [n=207] in Group B; moderate/severe, 0.46% [n=20] and in Group A vs 0.07% [n=37] in Group B. Conclusion: The frequency of allergy decreases with use of non-ionic contrast media. The use of nonionic iodinated contrast medium has lesser in moderate or severe adverse effects than ionic contrast medium.

AB - Background and Aims: Previous literatures revealed that mild hypersensitivity reactions (e.g. skin rashes, urticaria, nausea etc) to radiologic contrast media incidence was < 3%, ) and moderate to severe (e.g. laryngeal edema, tachycardia or bradycardia, cardiac failure, etc) incidence was < 0.04%). Mortality is less than one death per 100000 patients. The audit report aims to determine the frequency, management, and outcomes of allergy of intravenously injected iodinated contrast medium. Methods: Between 2008 and 2014,a total of 4384 patients in Group A (ionic contrast) (vs. 51654, Group B, non-ionic) received contrast medium examinations (CT and intravenous urography) were analyzed. The incident reports, radiology reports, and medical records of patients in whom contrast medium extravasations occurred were reviewed. Results: There were 134 injections in Group A (ionic, 4384 injections) and 244 injections (non-ionic, 51654 injections) in Group B. Allergic-like reaction rates were 0.68% [n=378]: mild, 2.6% [n=114] and in Group A vs 0.40% [n=207] in Group B; moderate/severe, 0.46% [n=20] and in Group A vs 0.07% [n=37] in Group B. Conclusion: The frequency of allergy decreases with use of non-ionic contrast media. The use of nonionic iodinated contrast medium has lesser in moderate or severe adverse effects than ionic contrast medium.

M3 - Paper

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