title: Skin testing for immediate hypersensitivity to betalactams: comparison between two commercial kits.
abstract: BACKGROUND
  Skin testing with major and minor determinants of benzylpenicillin is the recommended standard practice to evaluate subjects with immediate hypersensitivity to betalactams. The withdrawal of these products from the market has set us back to the early days, before the introduction of reagents for in vivo testing.
  
  
  OBJECTIVE
  To compare a recently released kit of benzylpenicillin conjugated to poly-l-lysine (PPL) and minor determinants mixture (MDM) with the previously existing kit in a positive control group of subjects sensitized to major and/or minor determinants of benzylpenicillin.
  
  
  METHODS
  Skin tests with both kits were made in a group of positive subjects previously diagnosed with immediate hypersensitivity to penicillins and with positive results to PPL and/or MDM and in a negative control group. Radioallergosorbent test (RAST) inhibition assays with a pool of sera and individual samples were carried out to compare the inhibition capacity of PPL and MDM of both kits.
  
  
  RESULTS
  Of 22 cases selected from our historical group, 14 were positive: eight to PPL, three to MDM and three to both. These results were equivalent for both kits. RAST inhibition studies showed similar potencies in the inhibition of PPL and MDM.
  
  
  CONCLUSIONS
  Both tests show similar results in terms of RAST inhibition assays and skin tests sensitivity and specificity in the groups selected. The new assay can be used for the same purpose and indications as the previous test.
authors.affiliation: Research Unit for Allergic Diseases, Allergy Service, Carlos Haya Hospital, Málaga, Spain.
authors.forename: J L
authors.initials: JL
authors.lastname: Rodríguez-Bada
authors.forename: M I
authors.initials: MI
authors.lastname: Montañez
authors.forename: M J
authors.initials: MJ
authors.lastname: Torres
authors.forename: C
authors.initials: C
authors.lastname: Mayorga
authors.forename: G
authors.initials: G
authors.lastname: Canto
authors.forename: E
authors.initials: E
authors.lastname: Perez-Inestrosa
authors.forename: R
authors.initials: R
authors.lastname: Suau
authors.forename: M
authors.initials: M
authors.lastname: Blanca
mesh_terms: D004342:Drug Hypersensitivity / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D011933:Reagent Kits, Diagnostic; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012882:Skin Tests / Q000295:instrumentation / Q000379:methods
chemical_list: D011933:Reagent Kits, Diagnostic