Penicillin Allergy Skin Testing in the Inpatient Setting

被引:9
|
作者
Justo, Julie Ann [1 ,2 ]
Kufel, Wesley D. [3 ,4 ,5 ]
Avery, Lisa [6 ,7 ]
Bookstaver, P. Brandon [1 ,2 ]
机构
[1] Univ South Carolina, Coll Pharm, Dept Clin Pharm & Outcomes Sci, Columbia, SC 29208 USA
[2] Prisma Hlth Richland Hosp, Dept Pharm, Columbia, SC 29203 USA
[3] SUNY Binghamton, Sch Pharm & Pharmaceut Sci, Dept Pharm Practice, Binghamton, NY 13902 USA
[4] SUNY Upstate Med Univ, Dept Med, Syracuse, NY 13210 USA
[5] SUNY Upstate Univ Hosp, Dept Pharm, Syracuse, NY 13210 USA
[6] St John Fisher Coll, Wegmans Sch, Dept Pharm Practice, Rochester, NY 14618 USA
[7] St Josephs Hlth, Dept Pharm, Syracuse, NY 13203 USA
关键词
allergy; penicillin; skin testing; hospitalization; antimicrobial stewardship; beta-lactam; BLOOD-STREAM INFECTIONS; BETA-LACTAM ALLERGIES; AMOXICILLIN; RESPONSES; IMPACT;
D O I
10.3390/pharmacy7030120
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The consequences of a documented penicillin allergy in the medical record are especially troublesome in acutely ill, hospitalized patients. A penicillin allergy label may lead to alternative or second line therapies resulting in adverse drug events, negative clinical outcomes and increased costs. Reconciling penicillin allergies is a necessity to facilitate early, optimal therapy and is a shared responsibility among the healthcare team. Penicillin skin testing (PST) has been utilized successfully in hospitalized patients to de-label erroneous penicillin allergies and optimize antibiotic therapy. This targeted review aims to discuss the practical development and implementation of PST in the inpatient setting. This includes a needs assessment checklist with common considerations allowing for customization to one's institution based on available personnel, time, and technological resources.
引用
收藏
页数:13
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