Perioperative medicine & outcomes

Epidemiology of perioperative anaphylaxis in France in 2017–2018: the 11th GERAP survey

Br J AnaesthPublished Retrospective multicentre study

Authors' conclusion

Our results confirm that most commonly identified triggering agents remain neuromuscular blocking agents. Reactions to antibiotics, particularly cefazolin, are becoming increasingly frequent.

Study context

Population
Patients with perioperative anaphylaxis in 26 allergy clinics of the GERAP network, France, 2017–8
Participants
765 patients · 26 allergy clinics
Outcome
Culprit agents of perioperative anaphylaxis

Main finding

As reported in the abstract

Severe reactions (Ring and Messmer grade 3 or 4)
428 (56%)
Culprit agent identified (of 676 with skin tests)
471 (70%)
NMBAs as cause
n=281; 60%
Antibiotics as cause
n=118; 25%
Patent blue dye as cause
n=11; 2%
Cefazolin, share of antibiotic-related reactions
52%
Suxamethonium, reactions per 100,000 vials sold
7.1 (6.1-8.4)
Rocuronium, reactions per 100,000 vials sold
5.6 (4.2-7.4)
Cefazolin, reactions per 100,000 vials sold
0.7 (0.5-0.9)

Observational data: associations, not effects.

Original publication

Epidemiology of perioperative anaphylaxis in France in 2017–2018: the 11th GERAP survey. Br J Anaesth. Published 16 March 2024. doi:10.1016/j.bja.2024.01.044

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