Are Cephalosporins Safe for Surgical Prophylaxis in Patients with Penicillin Allergy?


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
10 Dec 2023
Historique:
revised: 24 10 2023
received: 29 08 2023
accepted: 22 11 2023
medline: 11 12 2023
pubmed: 11 12 2023
entrez: 11 12 2023
Statut: aheadofprint

Résumé

Cefazolin, also known as Ancef, is a first-generation cephalosporin antibiotic often used in surgery to treat or prevent bacterial infection of the surgical site. Ancef is safe for most of the population; however, many physicians use alternative, less effective medications in patients with penicillin allergy due to a fear of cross-reactivity between Ancef and one's penicillin allergy. In this article, we aim to examine if cefazolin is safe for patients with penicillin allergy.

Identifiants

pubmed: 38073121
doi: 10.1002/lary.31222
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 The American Laryngological, Rhinological and Otological Society, Inc.

Références

Beltran RJ, Kako H, Chovanec T, Ramesh A, Bissonnette B, Tobias JD. Penicillin allergy and surgical prophylaxis: cephalosporin cross-reactivity risk in a pediatric tertiary care center. J Pediatr Surg. 2015;50(5):856-859. https://doi.org/10.1016/j.jpedsurg.2014.10.048.
Vorobeichik L, Weber EA, Tarshis J. Misconceptions surrounding penicillin allergy: implications for anesthesiologists. Anesth Analg. 2018;127(3):642-649. https://doi.org/10.1213/ane.0000000000003419.
Sousa-Pinto B, Blumenthal KG, Courtney L, Mancini CM, Jeffres MN. Assessment of the frequency of dual allergy to Penicillins and cefazolin. JAMA Surg. 2021;156(4):e210021. https://doi.org/10.1001/jamasurg.2021.0021.
Grant JM, Song WHC, Shajari S, et al. Safety of administering CEFAZOLIN versus other antibiotics in penicillin-allergic patients for surgical prophylaxis at a major Canadian teaching hospital. Surgery. 2021;170(3):783-789. https://doi.org/10.1016/j.surg.2021.03.022.
Kurcz BP, Allan DG, Nestler AJ, et al. Documented penicillin allergies should not preclude use of preoperative cefazolin in hip and knee arthroplasty. J Am Acad Orthop Surg. 2023;31(2):e107-e117. https://doi.org/10.5435/jaaos-d-22-00122.

Auteurs

Kiran Abraham-Aggarwal (K)

Industrial and Labor Relations, Cornell University, Ithaca, New York, U.S.A.

Ashutosh Kacker (A)

Otolaryngology-Head and Neck Surgery, Weill Cornell Medical Center, New York, New York, U.S.A.

Classifications MeSH