Management of Children with Hypersensitivity to Antibiotics and Monoclonal Antibodies

Abstract

Proper management of drug allergy in children is based on a thorough history, in vitro testing (if available), in vivo testing, and drug challenge. This approach has been well developed with beta-lactam drugs but not with non-beta-lactam drugs and monoclonal antibodies. Children commonly develop rashes during an antibiotic course, which can lead to misdiagnosis of drug allergy. Clinical reactions to monoclonal antibodies vary and are managed depending on the type. A better knowledge of drug reactions that can occur in antibiotic allergy and monoclonal allergy can aid a provider in better management of their drug-allergic pediatric patients.

Keywords: Allergy skin testing; Antibiotic allergy; Desensitization; Drug hypersensitivity; Drug provocation; Monoclonal allergy; Pediatric drug allergy.