An algorithm for safe de‐labelling of antibiotic allergy in adult hospital in‐patients

Sneddon, Jacqueline; Cooper, Lesley; Ritchie, Neil D.; Steele, Cathal; Spears, Mark; McEwen, J.; Dempsey, Zoey; Sutherland, R.; Khatamzas, Elham; Seaton, R Andrew

doi:10.1111/cea.13878

Cited by 13 publications

(15 citation statements)

References 9 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Potential Solutionmentioning

confidence: 99%

“…Other proposed solutions include a risk-based algorithm piloted by the Scottish Antimicrobial Group (SAPG) (18). This algorithm was used in supporting non-specialist clinicians remove unverified penicillin allergy labels from patients with a penicillin allergy label (18). This algorithm was successful in safely supporting clinicians remove a penicillin allergy label from 80% of the adult patients involved in the study (18).…”

Section: Potential Solutionmentioning

confidence: 99%

“…This algorithm was used in supporting non-specialist clinicians remove unverified penicillin allergy labels from patients with a penicillin allergy label (18). This algorithm was successful in safely supporting clinicians remove a penicillin allergy label from 80% of the adult patients involved in the study (18). However, this support tool was limited in its success, as even after formally removing a penicillin allergy label, many patients and clinicians continued to experience concerns over the safety of prescribing or taking penicillin (18).…”

Section: Potential Solutionmentioning

confidence: 99%

“…This algorithm was successful in safely supporting clinicians remove a penicillin allergy label from 80% of the adult patients involved in the study (18). However, this support tool was limited in its success, as even after formally removing a penicillin allergy label, many patients and clinicians continued to experience concerns over the safety of prescribing or taking penicillin (18). This highlights the limitation of this solution in not addressing the all the barriers to best practice.…”

Section: Potential Solutionmentioning

confidence: 99%

See 3 more Smart Citations

Penicillin Allergy label - the unmet needs - causes and potential solutions

Patel

Elkhalifa

2022

Eur Ann Allergy Clin Immunol

View full text Add to dashboard Cite

Penicillin allergy is the most prevalent drug allergy. Its overdiagnosis has been associated with inappropriate antibiotic prescribing, increased antimicrobial resistance, worse clinical outcomes, and increased healthcare costs. Methods:403 inpatients were audited against National Institute of Clinical Excellence (NICE) Clinical Guidance 183 (CG183) on diagnosis, investigations, documentation, and management of penicillin allergy. 50 junior doctors were surveyed to explore barriers to best practice, investigating their knowledge of, and confidence using the NICE CG183 guidelines. Their views on potential solutions were also explored.

show abstract

Section: Potential Solutionmentioning

confidence: 99%

Section: Potential Solutionmentioning

confidence: 99%

Section: Potential Solutionmentioning

confidence: 99%

Section: Potential Solutionmentioning

confidence: 99%

See 2 more Smart Citations

Penicillin Allergy label - the unmet needs - causes and potential solutions

Patel

Elkhalifa

2022

Eur Ann Allergy Clin Immunol

View full text Add to dashboard Cite

show abstract

“…7,8 Moreover, the current European Academy of Allergy and Clinical Immunology (EAACI) 9 and previous British Society of Allergy and Clinical Immunology (BSACI) penicillin allergy guidelines 3 did not endorse non-allergist allergy assessment and de-label. However, there have been recent developments in the UK, with Scotland publishing their nonallergist de-label toolkit aimed at hospital physicians in 2021 10 and BSACI publishing guidelines for non-allergist de-labelling in hospitals. 11 Both these publications provide toolkits for non-allergy healthcare workers to undertake penicillin allergy de-labelling in the UK.…”

mentioning

confidence: 99%