Abstract

Macrolides are antibiotics that can be used to treat various infections. Allergic reactions to macrolides are rare, but may include minor to severe skin reactions, as well as systemic life-threatening reactions such as anaphylaxis. Hypersensitivity reactions can occur in any mode of administration and to almost all antibiotics. The purpose of the study was to determine whether there are reactions to macrolides in the study population, and to determine statistically significant differences in the occurrence of allergic reactions to macrolides between boys and girls of the same age and whether there are differences in the occurrence of allergic reactions between respondents in urban and rural areas. The sample consists of 1605 respondents, the sample was randomly selected and stratified by sex, and all data were processed in the statistical program. The results of the research show that 9.1% of the total population of boys and girls aged 15 from the Tuzla Canton are allergic to some type of antibiotic. The percentage of allergic reactions in the total population of 15-year-olds from suburban settlements is slightly higher than among peers in urban areas, but the differences are not statistically significant. A higher rate of allergic reactions was recorded in the group of boys from urban and rural areas. Macrolide allergies were found only in a group of boys in rural areas. This study confirmed that allergies to macrolides are rare and revealed differences in the occurrence of allergic reactions between girls and boys.

Highlights

  • Drugs as foreign substances to the body, in addition to the pharmacological effect, can cause side effects

  • Antibiotic allergies are in most cases present in suburban and rural settlements compared to urban

  • A higher percentage of allergic reactions to antibiotics are always present in the group of boys

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Summary

Introduction

Drugs as foreign substances to the body, in addition to the pharmacological effect, can cause side effects. These adverse drug reactions are divided into two basic groups - type A and type B. The most common are type A reactions (80%) and can occur in any person. They occur due to toxic or other pharmacologically expected effects such as overdose, side effects, accumulation and interactions. Type B reactions occur in 20% of cases and are not related to the pharmacological action of the drug. These reactions include allergies (hypersensitivity) to the drug, and their development involves immune mechanisms, and non-immune hypersensitivity, which includes pseudoallergic reactions, reactions related to changes in metabolism or enzyme deficiency, and intolerance to drugs [1,2]

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