Table 3: Skin testing with major and minor determinants . Adapted from Sogn D, Evans RE, Shepherd G, Casale T, Condemi J, Greenberger P, et al. Results of the National Institute of Allergy and Infectious Diseases Collaborative Clinical Trial to test the predictive value of skin testing with major and minor penicillin derivatives in hospitalized adults. Arch Intern Med 1992;152:1025-32.

Major Determinant

Skin Test

Minor Determinant Skin Test

Risk of Anaphylaxis

POSITIVE

NEGATIVE

60%

NEGATIVE

POSITIVE

60%

POSITIVE

POSITIVE

>60%

NEGATIVE

NEGATIVE

<2%