Table 1. Utility of BAT for culprit drug identification in immediate DHR.
Drugs | Markers | Cutoff | Sensitivity (%) | Specificity (%) | Reference | |
---|---|---|---|---|---|---|
Beta-lactams | ||||||
AMX, AMP, PEN, CEFU | CD63 | ≥5%, SI≥2 | 49–55 | 91–100 | [19,20] | |
AMX, AMP, CEF-3, CEFT, CEFU | CD63, CD203c | ≥5%, SI≥2 | 33 | 100 | * | |
Quinolones | ||||||
MOX, LEV, CIP, OLF | CD63, CD203c | ≥5%, SI≥2 | 71 | 100 | [21,22] | |
NMBAs | ||||||
PAN, ROC, ATA, SUX | CD63, CD203c | >4%, >10% | 80–100 | 96–100 | [23,24] | |
RCM | ||||||
IOB, IOX, IOP, IOH, IOPA, IOM | CD63 | ≥5%, SI≥2 | 46–63 | 89–100 | [25,26] | |
IOB, IOH, IOP, IOX | CD63, CD203c | ≥5%, SI≥2 | 25 | ND | * | |
NSAIDs | ||||||
ASA, DIC, KET, CEL, ACT | CD63 | ≥5%, SI≥ (1.71–2.18) | 37–61 | 90–91 | [27,28,29] | |
DIC, IBU, ACT | CD63, CD203c | ≥5%, SI≥2 | 33 | 100 | * |
BAT, basophil activation tests; DHR, drug hypersensitivity reactions NMBAs, neuromuscular blocking agents; RCM, radiocontrast media; NSAIDs, nonsteroidal anti-inflammatory drugs containing ibuprofen, diclofenac, tramadol; ND, not determined; AMX, amoxicillin; AMP, ampicillin; PEN, penicillin; CEFU, cefuroxime; CEF-3, ceftriaxone; CEFT, ceftazidime; MOX, moxifloxacin; LEV, levofloxacin; CIP, ciprofloxacin; OLF, ofloxacin; PAN, pancuronium; ROC, rocuronium; ATA, atacurium; SUX, sumamethonium; IOB, iobitridol; IOH, iohexol; IOM, iomeprol; IOP, iopromide; IOPA, iopamidol; IOX, ioxithalamate; ASA, aspirin; DIC, diclofenac; KET, ketoprofen; CEL, celecoxib; ACT, acetaminophen; SI, stimulation index.
*Data of our studies, unpublished data.