Table 1. Typical time intervals between first use of beta-lactam antibiotics and first onset of symptoms (from [20]).
Hypersensitivity reaction | Time interval |
---|---|
Urticaria, asthma, anaphylaxis | Typically up to 1 h, rarely up to 6 h after initial drug administration |
Maculopapular drug exanthema | 4 – 14 Days after initial drug administrationa |
Fixed drug reaction | 1 – 12 Hours after initial drug administration |
AGEP | 1 – 2 Days after initial drug administrationa |
SJS/TEN | 2 – 8 Weeks after initial drug administrationa |
aThe time interval in renewed reactions is typically shorter compared to initial reactions. In maculopapular drug exanthema, reaction typically after 6 h – 4 days; typical time interval after repeat reactions in AGEP, SJS, TEN, DRESS not investigated . AGEP = acute generalized exanthematous pustulosis; SJS = Stevens-Johnson syndrome; TEN = toxic epidermal necrolysis; DRESS = drug reaction with eosinophilia and systemic symptoms.