Patient, 12 y.o
Shortly after the installation of peripheral intravenous catheter, patient complained of swelling and redness of upper limb. No drugs were administered.This case wasn't first on this patient
Never...
However, it might me interesting for public. Let's publish this case (photos !).
fue poliuretano o latex? primero estudiar alergia al latex
Have you excluded chlorexidine impregnating catheter as allergen?
Dear Gianfranko, this kind of catheter is not covered with chloregexidine
I agree with Gianfranco Calogiuri, it is important to remember chlorhexidine. Repeated reactions in the healthcare setting is a key feature in chlorhexidine allergy. If the reaction occurs shortly after installation of the cathter then the patient may have been exposed to chlorhexidine in the skin swab used before puncture. As mentioned earlier, testing with latex is also important and maybe investigations should also include IgE to ethylene oxide.
Dear Morten, Do I understand your point - the reaction could be more likely on chlorhexidine or alcohol, which rubbed the skin before catheter placement?
Dear Maria, yes exactly - chlorhexidine from the skin swab can be introduced intravenously when the skin is penetrated. In few chlorhexidine allergic patients this can cause allergic symptoms. You can read more about it in the article by Sivathasan N et al, 'skin cleansers: the risks of chlorhexidine' from 2011.
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