• แบบนำส่งเลือดตรวจทางห้องปฏิบัติการเพื่อวินิจฉัยการแพ้ยา

    The request form for in vitro diagnostic testing for drug allergy
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  • ประวัติการแพ้ยาในอดีต/Past history of drug allergy

  • อายุขณะที่เกิดอาการแพ้ยาครั้งแรก ปี (ถ้าทราบแน่นอน)

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  • ประวัติการใช้ steroid ภายใน 1 เดือนก่อนหน้าวันที่ส่งตรวจ

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  • เพื่อช่วยพัฒนาความถูกต้องแม่นยำของวิธีการตรวจทางห้องปฏิบัติการเพื่อวินิจฉัยการแพ้ยาตลอดจนช่วยในการคัดเลือกระยะเวลาในการส่งตรวจให้เหมาะสม ถ้าท่านมีผลการให้ยาซ้ำในผู้ป่วยภายหลังว่ามีอาการแพ้หรือไม่อย่างไร ช่วยแจ้งกลับมาทางแบบรายงานด้านล่างนี้ด้วยครับ

    ผลการได้รับยาซ้ำในผู้ป่วยภายหลังได้รับผลตรวจทางห้องปฏิบัติการเพื่อวินิจฉัยการแพ้ยา

    To improve the accuracy of the in vitro testing for drug allergy diagnosis and select the appropriate time point, please inform us of the drug rechallenge results via the following report form.  

    The result of drug provocation in patients after receiving the result of in vitro testing for drug allergy diagnosis

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