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. Author manuscript; available in PMC: 2018 Jul 23.
Published in final edited form as: J Allergy Clin Immunol Pract. 2017 Oct 31;6(4):1287–1296.e1. doi: 10.1016/j.jaip.2017.09.004

Table 2.

Summary of cohort clinical characteristics, SCAR history and outcomes post testing

Study No. Age-Sex ICHa SCAR
Phenotype
Culprit antibiotics(s) Ex vivo or in vivo positive Antibiotic use post testing
Status Immunosuppression Antibiotic(s) Phenotypic Scoreb
S1 72F N DRESS CEF, VAN 6 Yes VAN, AMP, FLU
S2 20M N TEN TEIC 4 Yes FLU
MER 4
VAN 4
S3 43M N SJS TMP-SMXc 5 No NIL
S4 48M N DRESS TMP-SMX 4 No DOX
S5 83M Y ITP/Prednisolone SJS CEF 4 No MER, DOX, CIP, VAN
PIP-TAZ 3
S6 38F N DRESS PIP-TAZ, VAN 7 Yes CEFU
S7 74M N DRESS CEFZ, MER, PENG 5 Yes PENV, FLU
S8 62M Y NHL DRESS PIP-TAZ 4 Yes CEPH
S9 57M Y AML/chemotherapy DRESS VAN, PIP-TAZ, MER 6 Yes PIP-TAZ, MER
S10 51F N DRESS VANC, CEFZ 6 Yes NIL
S11 59F N DRESS AMP 4 Yes NIL
S12 52F N DRESS VAN, PIP-TAZ, ADF 4 Yes ADF, MER
S13 53F N AGEP1 MET 8 Yes PENV
AGEP2 VAN, CIP
S14 60M Y AML/chemotherapy DRESS VAN, PIP-TAZ 4 No CIP
S15 58M N DRESS VAN, CIP 6 Yes PENV
S16 75M Y DRESS/Prednisolone DRESS VAN, PIP-TAZ 2 Yes CEPH
S17 66M Y HCL DRESS TMP-SMXc 4 Yes NIL
S18 71M N DRESS PIP-TAZ, AMP 2 Yes AMP
S19 54F N SJS VAN 4 Yes PENG

Abbreviations: ICH, immunocompromised host; SCAR, Severe Cutaneous Adverse Drug Reaction; N, no; Y, yes; ITP, immune mediated thrombocytopenia; NHL, non-Hodgkin lymphoma; AML, acute myeloid leukemia; DRESS, drug reaction with eosinophilia and systemic symptoms; HCL, hairy cell leukemia; M, male; F, female; AMP, ampicillin; ADF, amoxicillin clavulanate; CEF, ceftriaxone; CEFZ, cefazolin, CEFU, cefuroxime; CEFT, ceftazidime; CEPH, cephalexin; CIP, ciprofloxacin; FLU, flucloxacillin; MER, meropenem; MET, metronidazole; PENG, benzylpenicillin; PENV, penicillin VK; PIP-TAZ, piperacillin-tazobactam; TEIC, teicoplanin; VAN, vancomycin; 4NO, 4-Nitro sulfamethoxazole; TMP, trimethoprim, SMX, sulfamethoxazole; TMP-SMX, trimethoprim-sulfamethoxazole; FLU, flucloxacillin; Nil, no antibiotics required; DOX, doxycycline

a

ICH: Transplant recipient, haematological or oncological malignancy (last 5 years), steroids > 10mg prednisolone equivalent per day, connective tissue or autoimmune condition. Immunosuppression was defined as that the patient was receiving at time of PBMC collection.

b

Phenotypic scores as per published guidelines for SJS/TEN (ALDEN), DRESS (RegiSCAR) and AGEP.

c

Patient S3 had ibuprofen implicated in causality, ALDEN score (3) was lower than that of TMP-SMX. Patient S18 had cladribine and allopurinol implicated, also with lower ALDEN scores (3) that TMP-SMX.