Β-lactam antibiotic reactions to any β-lactam antibiotic may occur in up to 10% of patients receiving that agent (a small fraction of which are truly IgE-mediated allergic reactions, see amoxicillin rash). Anaphylaxis will occur in approximately 0.01% of patients. There is perhaps a 5%-10% cross-sensitivity between penicillin-derivatives, cephalosporins, and carbapenems; but this figure has been challenged by various investigators. Nevertheless, the risk of cross-reactivity is sufficient to warrant the contraindication of all β-lactam antibiotics in patients with a history of severe allergic reactions (urticaria, anaphylaxis, interstitial nephritis) to any β-lactam antibiotic. A Jarisch–Herxheimer reaction may occur after initial treatment of a spirochetal
Antibiotic sensitivity antibiotic sensitivity testing offered as one combined service. This is because the clinician needs to know which organism is causing the infection, and which drugs will specifically work against this strain. Jump up ^ http://www.uphs.upenn.edu/bugdrug/antibiotic_manual/bk.html Jump up ^ http://www.slideshare.net/doctorrao/antibiotic-sensitivity-testing-presentation Jump up ^ http://cid.oxfordjournals.org/content/49/11/1749.full Jump up ^ http://www.microrao.com/micronotes/antibiotic.pdf Antibiotic sensitivity Antibiotic sensitivity or antibiotic susceptibility is the susceptibility of bacteria to antibiotics. Because susceptibility can vary even within a species (with some strains being more resistant than others), antibiotic susceptibility testing (AST) is usually carried out to determine which antibiotic will be most successful in treating a bacterial infection in vivo.