Detection of Penicillin Hypersensitivity With Penicilloyl-Polylysine

Michael W. Rytel, Franklin M. Klion, Thomas R. Arlander, Lloyd F. Miller

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

According to recent concepts, the haptenes responsible for penicillin hypersensitivity are penicillin derivatives rather than the penicillin molecule itself. Penicilloyl-polylysine has been administered as a skin test to 1,022 naval recruits to determine correlation between skin reactions and systemic penicillin allergy. Individuals allergic to penicillin had a 35% incidence of positive skin reactions compared to an incidence of 6.8% in nonallergic recruits. A strongly positive skin test carried an almost ninefold greater risk of occurrence of a systemic reaction following penicillin treatment than did a negative skin test. The test was reproducible and penicilloyl-polylysine in the dosages employed was nonsensitizing.

Original languageEnglish
Pages (from-to)894-898
Number of pages5
JournalJAMA - Journal of the American Medical Association
Volume186
Issue number10
DOIs
StatePublished - 7 Dec 1963

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