Penicillin Allergy Delabeling: A Multidisciplinary Opportunity

The penicillin allergy label has been consistently linked with deleterious effects that span the health care spectrum, including suboptimal clinical outcomes, the emergence of bacterial resistance, and increased health care expenditures. These risks have recently motivated professional organizations...

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Veröffentlicht in:The journal of allergy and clinical immunology in practice (Cambridge, MA) MA), 2020-10, Vol.8 (9), p.2858-2868.e16
Hauptverfasser: Staicu, Mary L., Vyles, David, Shenoy, Erica S., Stone, Cosby A., Banks, Taylor, Alvarez, Kristin S., Blumenthal, Kimberly G.
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container_end_page 2868.e16
container_issue 9
container_start_page 2858
container_title The journal of allergy and clinical immunology in practice (Cambridge, MA)
container_volume 8
creator Staicu, Mary L.
Vyles, David
Shenoy, Erica S.
Stone, Cosby A.
Banks, Taylor
Alvarez, Kristin S.
Blumenthal, Kimberly G.
description The penicillin allergy label has been consistently linked with deleterious effects that span the health care spectrum, including suboptimal clinical outcomes, the emergence of bacterial resistance, and increased health care expenditures. These risks have recently motivated professional organizations and public health institutes to advocate for the implementation of penicillin allergy delabeling initiatives; however, the burden of delabeling millions of patients is too expansive for any one discipline to bear alone. This review presents the unique perspectives and roles of various stakeholder groups involved in penicillin allergy diagnosis, assessment, and delabeling; we emphasize opportunities, barriers, and promising areas of innovation. We summarize penicillin allergy methods and tools that have proven successful in delabeling efforts. A multidisciplinary approach to delabeling patients with reported penicillin allergy, bolstered by evidence-based clinical practices, is recommended to reduce the risks that associate with the penicillin allergy label.
doi_str_mv 10.1016/j.jaip.2020.04.059
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subjects Accreditation
Allergies
Anaphylaxis
Anti-Bacterial Agents - adverse effects
Antibiotic
Antibiotics
Asthma
Beta-lactam
Cephalosporin
Delabel
Delabeling
Delivery of Health Care
Diagnostic tests
Drug Hypersensitivity - drug therapy
Drug Hypersensitivity - therapy
Humans
Hypersensitivity
Immunology
Medical education
Patients
Penicillin
Penicillins - adverse effects
Physicians
Professionals
Public health
Reagents
Utilization
title Penicillin Allergy Delabeling: A Multidisciplinary Opportunity
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