Immediate and nonimmediate reactions induced by contrast media: incidence, severity and risk factors
10.5415/apallergy.2013.3.4.241
- Author:
Martín BEDOLLA-BARAJAS
1
;
Dante D HERNÁNDEZ-COLÍN
;
Jaime MORALES-ROMERO
;
Carlos SERRANO-SALINAS
Author Information
1. Allergy and Clinical Immunology Service, Division of Internal Medicine, Civil Hospital of Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco 44340, Mexico. drmbedbar@gmail.com
- Publication Type:Original Article
- Keywords:
Contrast media;
Incidence;
Risk factors;
Adverse drug reaction;
X-ray computed tomography
- MeSH:
Blood Pressure;
Cohort Studies;
Contrast Media;
Creatinine;
Drug-Related Side Effects and Adverse Reactions;
Eosinophils;
Humans;
Incidence;
Injections, Intravenous;
Mexico;
Nausea;
Oximetry;
Oxygen;
Pruritus;
Risk Factors;
Sensation;
Tomography, X-Ray Computed
- From:
Asia Pacific Allergy
2013;3(4):241-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The pattern of the contrast media-induced adverse reactions has not been investigated extensively in Mexico. OBJECTIVE: To estimate the incidence and the degree of severity of the adverse reactions to contrast media, administered for the first time, in hospitalized subjects. METHODS: We studied 99 patients longitudinally on whom computed tomography with contrast media (iopamidol) was carried out. The adverse reactions were identified by clinical examination; subsequently, they were classified as mild, moderate and severe, following the Manual on Contrast Media version 9 guides, and as immediate and nonimmediate. In addition, the vital functions, oxygen saturation, serum creatinine levels and the total number of eosinophils were measured before and after the procedure. RESULTS: The incidence of immediate and nonimmediate adverse reactions was of 26.3% and 10.1%, respectively. The mild immediate reactions were 18 (69.2%), the most common being the sensation of warmth, nausea and pruritus; among the more delayed reactions, nephrotoxicity stood out (5.1%). The serum creatinine median showed no difference either before or after the intravenous injection of contrast media (p = 0.13); in contrast, there was a significant difference in the total number of eosinophils (p ≤ 0.001). The values of high baseline systolic blood pressure and the diminished baseline amounts in pulse oximetry were significantly related with any type of the adverse reactions to contrast media. CONCLUSION: The incidence of the adverse reactions to contrast media was greater with respect to previous reports; the majority of these reactions were of the immediate type and of a mild nature. The risk factors that have mostly been implicated in the adverse reactions to contrast media could not be identified in our cohort.
