Next step in antibiotic stewardship: Pharmacist-provided penicillin allergy testing.
نویسندگان
چکیده
WHAT IS KNOWN Penicillin allergy limits therapeutic options for patients but often disappears over time, leaving patients erroneously labelled allergic and leading to the utilization of broad-spectrum and more expensive antibiotics. Penicillin allergy can be effectively assessed via skin testing. OBJECTIVE To improve patient access to penicillin allergy testing by implementing a pharmacist-provided service in a hospital setting. COMMENT Beta-lactams remain a mainstream therapy for many infections due to their effectiveness, low side effects and affordability. Typically, patient access to penicillin allergy testing is limited by the availability of allergy specialists, who traditionally perform such testing. A pharmacist-provided penicillin allergy testing service was implemented at our hospital in 2015 and became a powerful antibiotic stewardship tool. Removing penicillin allergy from patient profiles significantly expanded therapeutic options, expedited discharges and reduced costs of care. WHAT IS NEW Pharmacists can expand patient access to penicillin allergy testing. CONCLUSION Pharmacist-provided penicillin allergy testing permitted optimized antibiotic treatment and expedited discharges.
منابع مشابه
Reply to Ressner et al.
care use and serious infection prevalence associated with penicillin " allergy " in hospitalized patients: a cohort study.ation of the impact of antibiotic stewardship on reducing the use of high-risk antibiotics and its effect on the incidence of Clostridium difficile infection in hospital settings. The impact of penicillin skin testing on clinical practice and anti-microbial stewardship. Shen...
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Approach to Penicillin Allergy – A Survey
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Antibiotic allergy testing (AAT) practices of Emerging Infections Network infectious disease physicians were surveyed. Although AAT was perceived to be necessary for removal of inappropriate or unnecessary allergy labels, there was limited access to any form of testing. In this study, we discuss current antibiotic allergy knowledge gaps and the development of AAT practices within antimicrobial ...
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ورودعنوان ژورنال:
- Journal of clinical pharmacy and therapeutics
دوره 42 4 شماره
صفحات -
تاریخ انتشار 2017