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Naslov:Management of a surgical patient with a label of penicillin allergy : narrative review and consensus recommendations
Avtorji:Savic, Louise C. (Avtor)
Khan, David A. (Avtor)
Kopač, Peter (Avtor)
Clarke, Russel C. (Avtor)
Cooke, Peter J. (Avtor)
Dewachter, Pascale (Avtor)
Ebo, Didier G. (Avtor)
Garcez, Tomaz (Avtor)
Garvey, Lene Heise (Avtor)
Guttormsen, Anne Berit (Avtor)
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:Logo UKPBAG - Univerzitetna klinika za pljučne bolezni in alergijo Golnik
Povzetek: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.
Ključne besede:allergy and immunology, drug hypersensitivity, penicillins, antibiotic prophylaxis, surgery, operative surgical procedures, bacterial infections, surgical wound infection, drug provocation testing, surgical procedures
Leto izida:2019
Založnik:Elsevier
Izvor:Velika Britanija
UDK:616-097
ISSN pri članku:1471-6771
OceCobissID:515369241 Povezava se odpre v novem oknu
COBISS_ID:2048508529 Povezava se odpre v novem oknu
DOI:10.1016/j.bja.2019.01.026 Povezava se odpre v novem oknu
Opombe:Soavtor iz Slovenije: P. Kopac; Nasl. z nasl. zaslona; Opis vira z dne 31. 5. 2019;
Število ogledov:15
Število prenosov:3
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://bjanaesthesia.org/article/S0007-0912(19)30068-6/fulltext
 
Nadgradivo:Br. j. anaesth.
Oxford University Press.
 
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
Avtorske pravice:© 2019 British Journal of Anaesthesia
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