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KMID : 1143120130030040241
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Asia Pacific Allergy
2013 Volume.3 No. 4 p.241 ~ p.248
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Immediate and nonimmediate reactions induced by contrast media: incidence, severity and risk factors
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Bedolla-Barajas Martin
Hernandez-Colin Dante D
Morales-Romero Jaime
Serrano-Salinas Carlos
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Abstract
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Background: The pattern of the contrast media-induced adverse reactions has not been investigated extensively in Mexico.
Objective: To estimate the incidence and the degree of severity of the adverse reactions to contrast media, administered for the first time, in hospitalized subjects.
Methods: We studied 99 patients longitudinally on whom computed tomography with contrast media (iopamidol) was carried out. The adverse reactions were identified by clinical examination; subsequently, they were classified as mild, moderate and severe, following the Manual on Contrast Media version 9 guides, and as immediate and nonimmediate. In addition, the vital functions, oxygen saturation, serum creatinine levels and the total number of eosinophils were measured before and after the procedure.
Results: The incidence of immediate and nonimmediate adverse reactions was of 26.3% and 10.1%, respectively. The mild immediate reactions were 18 (69.2%), the most common being the sensation of warmth, nausea and pruritus; among the more delayed reactions, nephrotoxicity stood out (5.1%). The serum creatinine median showed no difference either before or after the intravenous injection of contrast media (p = 0.13); in contrast, there was a significant difference in the total number of eosinophils (p ≤ 0.001). The values of high baseline systolic blood pressure and the diminished baseline amounts in pulse oximetry were significantly related with any type of the adverse reactions to contrast media.
Conclusion: The incidence of the adverse reactions to contrast media was greater with respect to previous reports; the majority of these reactions were of the immediate type and of a mild nature. The risk factors that have mostly been implicated in the adverse reactions to contrast media could not be identified in our cohort.
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KEYWORD
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Contrast media, Incidence, Risk factors, Adverse drug reaction, X-ray computed tomography
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