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Incidence of acute allergic reactions to contrast medium following CT examination on the basis of analysis of medical record data – preliminary report

100%

Zdanowski P., Szymczewska D., Dykowska G., Gotlib J.

Polish Journal of Public Health

2015

vol. 125

issue 2

103-109

Introduction. A contrast-enhanced CT examination can have negative health implications. It can spark both allergic and other adverse reactions. Aim. The study aimed at analyzing the incidence of acute allergic reactions to Ultravist 370, used as a contrast medium in a CT examination. Material and methods. The analysis of medical records that comprised 12295 patients who had undergone a CT examination. Women accounted for 50.7% of the study participants. Mean age of the patients was 62 years (min. 15; max. 92, SD=10.123). In the study, 6219 patients were examined without using a contrast medium and 6076 individuals underwent a contrast-enhanced CT examination. In the further analysis, Group 1 comprised of 15 patients from the contrastenhanced CT examination group who confirmed being allergic to a contrast medium after the CT examination and Group 2 comprised 49 persons who had reported being allergic to iodine before the CT examination. Results. 15 patients (8 women and 7 men) developed an allergy to Ultravist 370 (contrast medium). An acute allergic reaction was most likely to happen in two groups of patients: between 31-40 and 51-60 years. Some 12 out of 15 patients had no contraindications for taking an iodine-based contrast medium. The most frequent allergic reactions to Ultravist 370 were rash and urticaria (15 patients). Five patients out of those who experienced adverse reactions reported two symptoms of allergy each while other patients reported one symptom only. Patients with mild symptoms of acute reaction to a contrast medium (15 patients) received pharmacotherapy recommended by a radiologist. Some 13 individuals received Solu-Medrol intravenously and 2 patients received Solu-Medrol intravenously and Fenicort intramuscularly. Conclusions. 1. Using Ultravist 370 in patients is safe, since there is very low risk of adverse side effects caused by the application of this contrast medium. 2. In the present study, age, gender, and risk factors contributed to the development of acute allergic reactions. However, due to the small size of the study group, it is obvious that issues like the incidence of symptoms of discomfort or intolerance of the drug need further research. 3. Owing to the fact that essential biochemical tests had not been performed on a large group of patients, doctors referring patients to a CT examination should take care of their own safety by properly preparing themselves for this procedure. 4. It seems essential to develop and implement regular trainings for CT laboratory staff with reference to the following issues: the incidence and nature of acute adverse reactions to non-ionic contrast medium (Ultravist 370), as well as the procedures for dealing with side effects

Health Risks Related to Tattoo Procedure

88%

Tuchowska A., Kruk J., Sagan P., Duchnik E., Marchlewicz M.

Central European Journal of Sport Sciences and Medicine

2019

vol. 26

issue 2

41-46

Nowadays, tattoos have become a very common form of body decoration. However, they carry a risk of numerous complications – ranging from allergies to cancer. The study was divided into two parts. Adult persons, 156 men and 149 women, with one or more tattoos, participated in the first part of study. Anonymous respondents filled in the authorial questionnaire consisting of 14 questions and posted on the Internet. The second part of the study concerned of tattoo salons (n=38) employees. The aim of the study was to examine the awareness of people who are tattooing the body about the possible risks associated with such intervention, as well as the ability to obtain information from tattoo artists and analyze client cards in terms of the most important information about tattooing. The second part of the study was devoted to the analysis of the tattoo consent forms. Most tattoo salons clients claimed that they signed a tattoo consent and were informed about contraindications and possible complications. However, only in very rare cases allergic tests were reported. There were few cases of complications among the respondents. There is a need to educate both the clients of tattoo salons and tattooists themselves. Attention should be paid to the necessity of filling in the informed consent.

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1 Central European Journal of Sport Sciences and Medicine

1 Polish Journal of Public Health

1 2019

1 2015

1 Duchnik E.

1 Dykowska G.

1 Gotlib J.

1 Kruk J.

1 Marchlewicz M.

1 Sagan P.

1 Szymczewska D.

1 Tuchowska A.

1 Zdanowski P.

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Incidence of acute allergic reactions to contrast medium following CT examination on the basis of analysis of medical record data – preliminary report

Health Risks Related to Tattoo Procedure