Savic, LC, Khan, DA, Kopac, P et al. (22 more authors) (2019) Management of a surgical patient with a label of penicillin allergy: narrative review and consensus recommendations. British Journal of Anaesthesia, 123 (1). e82-e94. ISSN 0007-0912
Abstract
Unsubstantiated penicillin-allergy labels are common in surgical patients, and can lead to significant harm through avoidance of best first-line prophylaxis of surgical site infections and increased infection with resistant bacterial strains. Up to 98% of penicillin-allergy labels are incorrect when tested. Because of the scarcity of trained allergists in all healthcare systems, only a minority of surgical patients have the opportunity to undergo testing and de-labelling before surgery. Testing pathways can be modified and shortened in selected patients. A variety of healthcare professionals can, with appropriate training and in collaboration with allergists, provide testing for selected patients. We review how patients might be assessed, the appropriate testing strategies that can be used, and the minimum standards of safe testing.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 British Journal of Anaesthesia |
Keywords: | allergy; drug provocation testing; penicillin; prophylaxis; surgery; surgical site infection |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Trans Anaesthetics & Surgical Sciences (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 17 May 2019 13:32 |
Last Modified: | 20 Jun 2019 15:53 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.bja.2019.01.026 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:146162 |