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Anaphylaxis

Prevalence
Causes
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Causes

Causes of anaphylaxis include: c   
  • foods (particularly nuts)
  • stings or bites
  • drugs, including b
    • antibiotics
    • anaesthetic agents
    • contrast media 

Food and insects are common causes of anaphylaxis

Causes %
(95% CI)
wasp or bee sting, or snake bite c   17% to 52%
drugs or vaccines  9% to 30%
nuts  7.4% to 39%
unclear cause  19%
(13% to 25%)
other  15%
(9.3% to 20%)
latex  3.5%
(0.7% to 6.2%)

 

Certain drugs have a higher risk of anaphylaxis

Outcome Risk Factor OR
(95% CI)
NNH
(95% CI)
possible or probable anaphylaxis d   glafenine
independent
53.8
(25.5 to 113.2)
87
(42 to 190)
  amoxicillins
independent
12.3
(5.94 to 25.3)
410
(190 to 920)
  diclofenac
independent
8.21
(3.73 to 18.1)
630
(270 to 1700)
  penicillins
independent
7.28
(3.78 to 14.0)
730
(350 to 1600)
  NSAID
independent
4.19
(2.06 to 8.51)
1400
(600 to 4300)
  analgesics
independent
3.78
(1.91 to 7.46)
1600
(700 to 5000)
 

Expiry date: September 2004
Levels of Evidence used in grading these guides

Authors   M   Bennett , RS   Phillips
Reviewer   M   Daniel
CAT Writers   CM   Ball , M   Bennett