P26: DRUG ALLERGY REPORTING: ARE WE PLAYING IT SAFE IN PAEDIATRICS?

Introduction: Accurate documentation of drug allergies is a recognised quality measure and inadequate allergy significant healthcare issue. Patients can suffer adverse effects following administration medications they report an to. There currently no data available within paediatrics. Method/Cohort: We retrospectively audited children with reported antibiotic allergy, who had one or more admissions to tertiary paediatric hospital in Western Australia between 2006 2017. 335 (52% male) total 1650 were reviewed, 2241 medication charts for allergies. Mean age at first presentation was 5.4 years. Data collected included demographics, chart inpatient note documentation, culprit prescribing, consistency throughout Adverse Drug Reaction (ADR) alerts. Results: All patients (19.7%) multiple including non-antibiotic The most common penicillin (47.1%), amoxicillin (16.4%) cephalexin (4.2%). 1543 (68.9%) medical identified, 17.8% did not have the reaction documented, 25.0% inconsistent across admissions. 105 (27.2%) inconsistent, documenting different reaction, 45.1% additional added, missing. 45 (13.4%) beta-lactam prescribed, 10.4% administered. Of these 4 (8.9%) prescribed administered same antibiotic. No incorrectly prescribed. 441 (26.7%) inconsistency in-patient notes charts. 602 (26.9%) ADR alert sticker as per policy. Conclusion: Our audit showed frequently incomplete inconsistent. relatively high incidence antibiotics being These findings reflect consequences risk that arise from poor understanding amongst general staff demonstrates need increased education standardised practices all staff.