Wanat, M, Anthierens, S, Butler, CC et al. (5 more authors) (2019) Patient and Primary Care Physician Perceptions of Penicillin Allergy Testing and Subsequent Use of Penicillin-Containing Antibiotics: A Qualitative Study. Journal of Allergy and Clinical Immunology: In Practice, 7 (6). 1888-1893.e1. ISSN 2213-2201
Abstract
Background: Removal of an inaccurate penicillin allergy record following testing allows patients to access first-line treatment for infections, and reduce use of broad spectrum antibiotics which contribute to antibiotic resistance. However, it is seldom undertaken.
Objectives: To identify clinicians’ working in primary care and patients’ views on barriers and enablers for penicillin allergy testing and subsequent antibiotic use.
Methods: Fifty interviews with patients and clinicians; including 31 patients with a record of penicillin allergy, 16 with experience of testing, and 19 clinicians. Interviews were analysed thematically.
Results: Patients were often unaware of the benefits of penicillin allergy testing and only patients who had experienced negative consequences of having a penicillin allergy label were motivated to get tested. Clinicians were reluctant to change patient records based on their clinical judgment alone but had limited experience of referring patients with suspected penicillin allergy and were often uncertain about referral criteria and what the testing involved. Clinicians felt allergy testing could be beneficial and patients who had attended testing reported benefits of the test. Clinicians expressed uncertainty related to whose responsibility it was to make sure that patient understood allergy test results.
Conclusions: Clinicians would benefit from information about penicillin allergy testing in order to be able to use these services appropriately, and to discuss referral with patients. Patients might be more motivated to seek testing if they were more informed regarding its benefits. Good communication between primary and secondary care would facilitate the updating of medical records, and promote better patient education.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 American Academy of Allergy, Asthma & Immunology. This is an author produced version of a paper published in The Journal of Allergy and Clinical Immunology: In Practice. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Penicillin allergy; Antibiotic stewardship; PrescribingAntibiotic resistance; Qualitative |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Applied Health and Clinical Translation (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Molecular Gastroenterology (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research MB17/94518 |
Depositing User: | Symplectic Publications |
Date Deposited: | 07 Mar 2019 10:52 |
Last Modified: | 12 Mar 2020 01:38 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.jaip.2019.02.036 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:143372 |