Having a penicillin allergy reported in a patient's chart raises their risk of getting a surgical site infection by 50%.
An estimated 95% of reported penicillin allergies are not, in fact, penicillin allergies.
Please make sure allergies are allergies before putting them in the chart.
An estimated 95% of reported penicillin allergies are not, in fact, penicillin allergies.
Please make sure allergies are allergies before putting them in the chart.
Comments
I spent way too much time explaining that while I'm not *allergic* to amoxicillin, I'll puke it right back up, so maybe still don't prescribe it...?
That’s not an allergy!
But yes- someone SHOULD be verifying it… but alas the big emphasis on should
I was probably a complete asshole to my kids about this. I had them start answering intake questions at 8 or 9, but we won't be around forever. They have to advocate for themselves & that's a little harder w/o medical hx.
Turns out I had an upset stomach. Erythromycin gives everyone an upset stomach.
Try getting an allergy removed from your records: it keeps popping up as people see it noted on older documents.
There was a paper a while ago about cost-efficacy of doing in-ED pen allergy testing. I should find it again...
- Non IgE allergies
- Genetic intolerance to meds
- Pharmacogenomic inhibitors & inducers
- Pharmacogenomics, period
-other significant adverse reactions
I don't.
Cephalexin is good.
But it bears repeating that ancef has nearly no cross reactivity with penicillin and should generally be given.
Evidence supports that no testing is needed for Ancef if penicillin history was rash. It's better for you as a patient.
Sincerely,
Every Orthopod