| Author/Editor | Savic, Louise C.; Khan, David A.; Kopač, Peter; Clarke, Russel C.; Cooke, Peter J.; Dewachter, Pascale; Ebo, Didier G.; Garcez, Tomaz; Garvey, Lene Heise; Guttormsen, Anne Berit | |
| Title | Management of a surgical patient with a label of penicillin allergy | |
| Type | članek | |
| Vol. and No. | Letnik 123, št. 1 | |
| Publication year | 2019 | |
| Volume | str. e82-e94 | |
| ISSN | 1471-6771 - British journal of anaesthesia | |
| Language | eng | |
| 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 patients. We review how patients might be assessed, the appropriate testing strategies that can be used, and the minimum standards of safe testing. | |
| Descriptors | Allergy and immunology Drug hypersensitivity Penicillins Antibiotic prophylaxis Surgery Surgical procedures, operative Bacterial infections Surgical wound infection Alergija in imunologija Preobčutljivost za zdravila Penicilini Antibiotična profilaksa Kirurgija Operativni kirurški postopki Bakterijske okužbe Okužbe kirurških ran | |
| Keywords | provokacijsko testiranje za zdravila operacije drug provocation testing surgical procedures |