The Adverse Reaction After Intravenous Administration of Contrast Media in Intravenous Pyelography
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Abstract
Objective: To evaluate adverse reaction after intravenous administration of contrast media in intravenous pyelography.
Material and Method: The retrospective study was performed in intravenous pyelography examination in Buriram hospital since October 2007 to September 2008. All of them had intravenous administration of contrast media. The kinds of contrast media were ionic and non ionic contrast media. All the patients were advised for the examination and were interviewed for the allergic history especially the sea food allergy reaction include the renal function. All the data were analyzed for amout of the patients who had the adverse reaction after received the contrast media and the contrast reaction symptom.
Statistics: Data were demonstrate in mean, percentage, 95% Cl, Chi-square.
Results: A total of 752 cases were collected. The patient who received the ionic contrast media had more adverse reaction with significantly different (P=0.008). The most common adverse reaction for ionic and non ionic contrast media in intravenous pyelography was mid adverse reaction followed by moderate adverse reaction. The severe adverse reaction was rare. The rate of adverse reaction was 5.05%.
Conclusion: Adverse reaction of contrast media may occurred in intravenous pyelogra phy examination (5.05%). But we can reduce the risk factor for the reaction by used suitable kind of contrast media and have a complete interview for the history of allergy especially the sea food allergy. It was important to review treatment protocol regularly. Equipment and drugs need to be checked at regular interval for expiration and availability.
Keywords: Contrast media, Intravenous pyelography.
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References
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