A. Allergen desensitization with insect venom for those sensitive to stinging insects
B. Avoidance measures
C. Patient education on the use of epinephrine
D. Pre treatment with diphenhydramine before administration of antibiotics causing anaphylaxis
E. Education of close family members concerning treatment of anaphylaxis
Answer : D ( Pre treatment with diphenhydramine before administration of antibiotics causing anaphylaxis)
Discussion:
Patients with the history of antibiotic-induced anaphylaxis should not receive the drug again, unless proper desensitization has been carried out recently. The desensitization is temporary. Patient education regarding avoidance, use of epinephrine, and consideration of allergen desensitization are very important
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