Penicillin allergy: a practical approach to assessment and prescribing.
beta-lactams
cephalosporins
hypersensitivity
Journal
Australian prescriber
ISSN: 0312-8008
Titre abrégé: Aust Prescr
Pays: Australia
ID NLM: 7804938
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
entrez:
16
1
2020
pubmed:
16
1
2020
medline:
16
1
2020
Statut:
ppublish
Résumé
Penicillin allergies are not always lifelong. Approximately 50% are lost over five years
A reaction to penicillin during a childhood infection is unlikely to be a true allergy
Only 1–2% of patients with a confirmed penicillin allergy have an allergy to cephalosporins. In patients with a low risk of severe allergic reactions, cephalosporins are a relatively safe treatment option
Patients with a history of delayed non-severe reactions, such as mild childhood rashes that occurred over 10 years ago, may be suitable for an oral rechallenge with low-dose penicillin. This should be done in a supervised hospital environment
In many cases, with appropriate assessment and allergy testing, it may be possible to remove the penicillin allergy label
Identifiants
pubmed: 31937989
doi: 10.18773/austprescr.2019.065
pii: austprescr-42-192
pmc: PMC6954877
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
192-199Informations de copyright
(c) NPS MedicineWise 2019.
Déclaration de conflit d'intérêts
Conflicts of interest: none declared
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