The GILL study: glycerin-induced local reactions in immunotherapy.

作者: Christopher W. Calabria , Christopher A. Coop , Michael S. Tankersley

DOI: 10.1016/J.JACI.2007.08.016

关键词: Single siteErythemaGastroenterologyLocal ReactionReaction rateImmunotherapyAllergenPreservativeInjection siteInternal medicineMedicineImmunology

摘要: Background The mechanism of local reactions is not well defined. Glycerin, an excellent preservative used commonly in immunotherapy extracts, a recognized irritant. Objective This study was undertaken to examine whether higher glycerin concentration extracts associated with increase reaction rates during immunotherapy. Methods A retrospective analysis electronic records over 12-month period performed from single site. small defined as induration and/or erythema at the injection site smaller than or equal size patient's palm. large larger Results Over period, 360 patients received total 9678 injections. For all injections, rate 16.3% (1574/9678), 15.9% (1536/9678), and 0.4% (38/9678). aeroallergens, increased significantly increasing allergen concentrations, 7.3% (1:1000 vol/vol) 23.0% (1:1 vol/vol; P Conclusions Small local, but concentration, number, volume. Higher concentrations (even 50%) are rates.

参考文章(17)
T R Kordash, M J Amend, J K Jones, G A Plunkett, S L Williamson, Effect of mixing allergenic extracts containing Helminthosporium, D. farinae, and cockroach with perennial ryegrass. Annals of allergy. ,vol. 71, pp. 240- 246 ,(1993)
David G. Tinkelman, Wilfred Q. Cole, Jane Tunno, Immunotherapy: A one-year prospective study to evaluate risk factors of systemic reactions ☆ ☆☆ ★ The Journal of Allergy and Clinical Immunology. ,vol. 95, pp. 8- 14 ,(1995) , 10.1016/S0091-6749(95)70146-X
Daniel R. More, Larry L. Hagan, Factors affecting compliance with allergen immunotherapy at a military medical center. Annals of Allergy Asthma & Immunology. ,vol. 88, pp. 391- 394 ,(2002) , 10.1016/S1081-1206(10)62370-8
David S. Hurst, Bruce R. Gordon, John H. Krouse, The importance of glycerin-containing negative control tests in allergy research studies that use intradermal skin tests. Otolaryngology-Head and Neck Surgery. ,vol. 127, pp. 177- 181 ,(2002) , 10.1067/MHN.2002.127890
M ANDERSON, H BAER, Antigenic and allergenic changes during storage of a pollen extract The Journal of Allergy and Clinical Immunology. ,vol. 69, pp. 3- 10 ,(1982) , 10.1016/0091-6749(82)90080-X
Christopher A. Coop, Michael S. Tankersley, Dose adjustment practices among allergists for local reactions to immunotherapy Annals of Allergy Asthma & Immunology. ,vol. 99, pp. 77- 81 ,(2007) , 10.1016/S1081-1206(10)60625-4
Michael S. Tankersley, Kathryn K. Butler, William K. Butler, David W. Goetz, Local reactions during allergen immunotherapy do not require dose adjustment The Journal of Allergy and Clinical Immunology. ,vol. 106, pp. 840- 843 ,(2000) , 10.1067/MAI.2000.110468
Z. N. Kain, J. MacLaren, P Less Than .05: What Does It Really Mean? Pediatrics. ,vol. 119, pp. 608- 610 ,(2007) , 10.1542/PEDS.2006-3030
Thomas E. Van Metre, Gary L. Rosenberg, Surender K. Vaswani, Sharon R. Ziegler, N.Franklin Adkinson, Pain and dermal reaction caused by injected glycerin in immunotherapy solutions The Journal of Allergy and Clinical Immunology. ,vol. 97, pp. 1033- 1039 ,(1996) , 10.1016/S0091-6749(96)70254-3