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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 5/2022

12-11-2021 | Penicillins | Letter to the Editor

Letter to the editor regarding penicillin allergy de-labelling in Ireland

Authors: Aimee McGreal-Bellone, Sarah Fenton, Marita Barrett, Arthur Jackson

Published in: Irish Journal of Medical Science (1971 -) | Issue 5/2022

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Excerpt

Erroneous antimicrobial allergy reporting is a common occurrence in healthcare worldwide. Around 10% of patients report penicillin allergy; however, only 1–10% of these represent true allergy [1, 2]. Given that such a small percentage of these reports are correct, we feel there should be a systematic approach to de-labelling patients with non-IgE-mediated penicillin allergy [2]. …
Literature
1.
Trubiano JA, Adkinson NF, Phillips EJ (2017) Penicillin allergy is not necessarily forever. JAMA – J Am Med Assoc 318
2.
Stone CA, Trubiano J, Coleman DT et al (2020) The challenge of de-labeling penicillin allergy. Allergy: Eur J Allergy Clin Immunol 75
3.
Jani YH, Williams I, Krishna MT (2020) Sustaining and spreading penicillin allergy delabelling: A narrative review of the challenges for service delivery and patient safety. Br J Clin Pharmacol 86
4.
Blumenthal KG, Lu N, Zhang Y et al (2018) Risk of meticillin resistant Staphylococcus aureus and Clostridium difficile in patients with a documented penicillin allergy: Population based matched cohort study. BMJ (Clinical research ed) 361
5.
Li J, Shahabi-Sirjani A, Figtree M et al (2019) Safety of direct drug provocation testing in adults with penicillin allergy and association with health and economic benefits. Ann Allergy Asthma Immunol 123(5)
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Campagna JD, Bond MC, Schabelman E, Hayes BD (2012) The use of cephalosporins in penicillin-allergic patients: A literature review. J Emerg Med 42(5)
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Blumenthal KG, Shenoy ES, Hurwitz S et al (2014) Effect of a drug allergy educational program and antibiotic prescribing guideline on inpatient clinical providers’ antibiotic prescribing knowledge. J Allergy Clin Immunol: In Practice 2(4)
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McCarthy K, Hourihane JO (2018) Penicillin allergy: Re-moulding practice. Ir Med J 111
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du Plessis T, Walls G, Jordan A, Holland DJ (2019) Implementation of a pharmacist-led penicillin allergy de-labelling service in a public hospital. J Antimicrob Chemother 74(5)
Metadata
Title
Letter to the editor regarding penicillin allergy de-labelling in Ireland
Authors
Aimee McGreal-Bellone
Sarah Fenton
Marita Barrett
Arthur Jackson
Publication date
12-11-2021
Publisher
Springer International Publishing
Published in
Irish Journal of Medical Science (1971 -) / Issue 5/2022
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-021-02844-4

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