PMID- 32326261 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2226-4787 (Electronic) IS - 2226-4787 (Linking) VI - 8 IP - 2 DP - 2020 Apr 21 TI - Glycopeptide Hypersensitivity and Adverse Reactions. LID - 10.3390/pharmacy8020070 [doi] LID - 70 AB - Glycopeptides, such as vancomycin and teicoplanin, are primarily used in the treatment of methicillin-resistant Staphylococcus aureus (MRSA) infections, such as cellulitis, endocarditis, meningitis, pneumonia, and septicemia, and are some of the most commonly prescribed parenteral antimicrobials. Parenteral glycopeptides are first-line therapy for severe MRSA infections; however, oral vancomycin is used as a first-line treatment of Clostridioides difficile infections. Also, we currently have the longer-acting lipoglycopeptides, such as dalbavancin, oritavancin, and telavancin to our armamentarium for the treatment of MRSA infections. Lastly, vancomycin is often used as an alternative treatment for patients with beta-lactam hypersensitivity. Common adverse effects associated with glycopeptide use include nephrotoxicity, ototoxicity, and Redman Syndrome (RMS). The RMS is often mistaken for a true allergy; however, it is a histamine-related infusion reaction rather than a true immunoglobulin E (IgE)-mediated allergic reaction. Although hypersensitivity to glycopeptides is rare, both immune-mediated and delayed reactions have been reported in the literature. We describe the various types of glycopeptide hypersensitivity reactions associated with glycopeptides and lipoglycopeptides, including IgE-mediated reactions, RMS, and linear immunoglobulin A bullous dermatosis, as well as describe cross-reactivity with other glycopeptides. FAU - Huang, Vanthida AU - Huang V AD - Department of Pharmacy Practice, Midwestern University College of Pharmacy-Glendale, Glendale, AZ 85308, USA. FAU - Clayton, Nicola A AU - Clayton NA AD - Department of Pharmacy Services, UC Davis Health, Sacramento, CA 95817, USA. FAU - Welker, Kimberly H AU - Welker KH AD - Department of Pharmacy Services, Mercy Gilbert Medical Center, Dignity Health, Gilbert, AZ 85297, USA. LA - eng PT - Journal Article PT - Review DEP - 20200421 PL - Switzerland TA - Pharmacy (Basel) JT - Pharmacy (Basel, Switzerland) JID - 101678532 PMC - PMC7357119 OTO - NOTNLM OT - Redman Syndrome OT - dalbavancin OT - glycopeptides OT - hypersensitivity OT - lipoglycopeptides OT - oritavancin OT - teicoplanin OT - telavancin OT - vancomycin COIS- The authors declare no conflict of interest. EDAT- 2020/04/25 06:00 MHDA- 2020/04/25 06:01 PMCR- 2020/04/21 CRDT- 2020/04/25 06:00 PHST- 2020/01/05 00:00 [received] PHST- 2020/03/23 00:00 [revised] PHST- 2020/04/18 00:00 [accepted] PHST- 2020/04/25 06:00 [entrez] PHST- 2020/04/25 06:00 [pubmed] PHST- 2020/04/25 06:01 [medline] PHST- 2020/04/21 00:00 [pmc-release] AID - pharmacy8020070 [pii] AID - pharmacy-08-00070 [pii] AID - 10.3390/pharmacy8020070 [doi] PST - epublish SO - Pharmacy (Basel). 2020 Apr 21;8(2):70. doi: 10.3390/pharmacy8020070.