US antibiotic stewardship and penicillin allergy

被引：4
|
作者：
Wada, Kara J. [1 ]
Calhoun, Karen H. [1 ]
机构：
[1] Ohio State Univ, Wexner Sch Med, Dept Otolaryngol Head & Neck Surg, Div Allergy, Columbus, OH USA
来源：
CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY | 2017年 / 25卷 / 03期
关键词：
allergy skin testing; antibiotic allergy; antibiotic stewardship; graded oral challenge; medication allergy; penicillin allergy; HYPERSENSITIVITY; CARBAPENEMS;
D O I：
10.1097/MOO.0000000000000364
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Purpose of review The purpose of this review is to improve otolaryngologists' antibiotic stewardship by detailing current approaches to penicillin allergy. Recent findings Although up to 15% of hospitalized patients in the United States have a penicillin allergy recorded on their charts, fewer than 10% of these have a true penicillin allergy. Summary Using a combination of a detailed allergy history, skin testing and graded-dose administration, many patients whose charts say 'penicillin-allergic' can safely be treated with penicillin and cross-reacting antibiotics. This permits use of narrower-spectrum antibiotics and saves money.
引用
收藏
页码：252 / 254
页数：3
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