Journal article

Management of a surgical patient with a label of penicillin allergy: narrative review and consensus recommendations.

LC Savic, DA Khan, P Kopac, RC Clarke, PJ Cooke, P Dewachter, DG Ebo, T Garcez, LH Garvey, AB Guttormsen, PM Hopkins, DL Hepner, H Kolawole, M Krøigaard, JJ Laguna, SD Marshall, PM Mertes, PR Platt, MA Rose, V Sabato Show all

Br J Anaesth | Published : 2019

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 pat..

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University of Melbourne Researchers