Free Content Detecting patient allergy: beware the LIE

Authors: Bismil, Quamar1; Bowles, Christopher2; Edwards, Mark3; Arastu, Mateen2; Ricketts, David M.3; Solan, Matthew C.4

Source: Annals of The Royal College of Surgeons of England, Volume 89, Number 6, September 2007 , pp. 603-604(2)

Publisher: The Royal College of Surgeons of England

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Abstract:

INTRODUCTION: Allergy detection is important in surgical patients. Historically, the focus has been on drug allergies. There is increasing focus on non-drug allergy, specifically latex, iodine and elastoplast.

PATIENTS AND METHODS: The practice and knowledge of 24 pre-registration house officers was evaluated, with regard to patient allergy. For the second phase of the study, the cohort of 367 consecutive patients presenting to the orthopaedic pre-assessment clinic was prospectively assessed.

RESULTS: This prospective study demonstrates that standard history-taking misses a large number (38%) of such allergies.

CONCLUSIONS: With regard to allergy detection, we are living a LIE (by ignoring latex, iodine, elastoplast allergy). We suggest junior doctors should employ the mnemonic LIED (latex, iodine, elastoplast and drugs) when taking a medical history.

Keywords: ALLERGY; LATEX ALLERGY; IODINE ALLERGY; ELASTOPLAST ALLERGY; DRUG ALLERGY

Document Type: Research article

DOI: http://dx.doi.org/10.1308/003588407X187711

Affiliations: 1: South-West Thames Region, London, UK 2: Department of Orthopaedics, Frimley Park Hospital, Surrey, UK 3: Department of Orthopaedics, Princess Royal Hospital, West Sussex, UK 4: Department of Orthopaedics, Royal Surrey County Hospital, Surrey, UK

Publication date: 2007-09-01

More about this publication?
  • The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.

    The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.

    Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database

    To view articles that have been published online ahead of print please click here
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