Impacts of risk-stratified inpatient penicillin allergy label delabeling on subsequent antimicrobial spectrum index and costs

被引：0

作者：

Staub, Milner ^{[1
,2
]}

Nelson, George E. ^{[1
]}

Byrge, Kelly ^{[1
]}

Koo, Grace ^{[3
]}

Nesbitt, Whitney J. ^{[4
]}

Stollings, Joanna L. ^{[4
]}

Zhang, Minhua ^{[5
]}

Stone Jr, Cosby A. ^{[3
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Infect Dis, Nashville, TN 37235 USA

[2] Vet Affairs Tennessee Valley Healthcare Syst, Med Serv Line, Infect Dis Sect, Nashville, TN 37212 USA

[3] Vanderbilt Univ, Med Ctr, Dept Med, Div Allergy & Immunol, Nashville, TN USA

[4] Vanderbilt Univ, Ctr Cognit Med, Med Ctr, Nashville, TN 37212 USA

[5] Vanderbilt Univ, Med Ctr, Qual Safety & Risk Prevent, Nashville, TN USA

来源：

ANTIMICROBIAL STEWARDSHIP & HEALTHCARE EPIDEMIOLOGY | 2024年 / 4卷 / 01期

关键词：

D O I：

10.1017/ash.2024.421

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Penicillin allergy delabeling may benefit antimicrobial stewardship (AS). Cost of initial penicillin treatments following risk-stratified inpatient delabeling were compared to two hypothetical treatment regimens if delabeling had not occurred: (1) AS-guided and (2) Common Treatment. Penicillin allergy delabeling improved antimicrobial spectrum index, was cost-neutral, and averted unnecessary penicillin desensitizations.

引用

页数：4

共 8 条

[1] An inpatient antimicrobial stewardship team driven penicillin allergy delabeling protocol for minimal and low-risk penicillin allergic patients
Shankaran, Shivanjali
Adochio, Emily
Petrak, Robert
Goldenberg, Benjamin
Herald, Fischer
Lunn, Christy
Hodgson, Hayley
Won, Sarah
ANTIMICROBIAL STEWARDSHIP & HEALTHCARE EPIDEMIOLOGY, 2025, 5 (01):
[2] LOW RISK INPATIENT PENICILLIN ALLERGY DELABELING BY THE NONALLERGIST PHYSICIAN, A PILOT STUDY
Weaver, M.
Huffman, J.
Rice, L.
Miller, N.
Johnson, M.
Hickey, S.
Mense, K.
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2024, 133 (06) : S13 - S14
[3] Risk-stratified Management to Remove Low-Risk Penicillin Allergy Labels in the ICU
Stone, Cosby A., Jr.
Stollings, Joanna L.
Lindsell, Christopher J.
Dear, Mary Lynn
Buie, Reagan B.
Rice, Todd W.
Phillips, Elizabeth J.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2020, 201 (12) : 1572 - 1575
[4] Proactive risk stratification and low-risk penicillin allergy delabeling by an antimicrobial stewardship pharmacist
Caturano, Breana N.
Bjork, Lauren L.
Lichtenberger, Paola N.
Temino, Viviana M.
ANTIMICROBIAL STEWARDSHIP & HEALTHCARE EPIDEMIOLOGY, 2024, 4 (01):
[5] Risk-Stratified Management to Remove Low- Risk Penicillin Allergy Labels During the Postpartum Hospitalization
Tucker, A.
Guess, E.
Thompson, J.
Stone, C.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2024, 231 (06)
[6] Inpatient allergy delabeling of pediatric patients with low-risk penicillin allergy status through direct oral amoxicillin challenge
Lim, Peter Paul C.
Moore, LeAnne N.
Minich, Nori Mercuri
Wessell, Kathryn Ruda
Desai, Ankita P.
ALLERGY AND ASTHMA PROCEEDINGS, 2024, 45 (01) : 61 - 69
[7] Risk-Stratified Management Offers a Safe Approach to Removing Low-Risk Penicillin Allergy Labels in the Intensive Care Unit
Stone, Cosby
Lindsell, Christopher
Stollings, Joanna
Dear, Mary Lynn
Buie, Reagan
Rice, Todd
Phillips, Elizabeth
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2020, 145 (02) : AB94 - AB94
[8] Risk-stratified management to remove low-risk penicillin allergy labels in the patients with COVID-19 in the intensive care unit
Stollings, Joanna L.
Koo, Grace
Lindsell, Christopher J.
Dear, Mary Lynn
McCoy, Allison
Rice, Todd W.
Phillips, Elizabeth J.
Stone, Cosby A.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2023, 11 (02): : 632 - 635

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