Patch Testing

Table 1: Characteristics of patch testing
Characteristic Details
Testing site Back or upper arm (needs to be hairless)
Testing reagents 1% and 10% of reagent grade product; 10% and 30% of trade product; most commonly used vehicle is petrolatum
Controls

+ None

- Petrolatum

Shelf-life of patch test mixes Most antibiotics at room temperature are stable for 1 to 3 months; check with USP Pharmacopeia for verification
Patches Finn chambers (can be aluminum or molded plastic)
Tape Use hypoallergenic paper tape
Reading At 48 hours (85% of drugs-if will be positive-are positive by this point); 72 hours; 96 hours; and 1 week
Test interpretation

- Negative

? Doubtful reaction

+ Weak reaction, erythema

++ Strong reaction, erythema, papules, or vesicles

+++ Extreme, bullous, ulcerative

Figure 1
Figure 2

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