20.500.12556/DiRROS-12587 Management of a surgical patient with a label of penicillin allergy : narrative review and consensus recommendations 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. allergy and immunology drug hypersensitivity penicillins antibiotic prophylaxis surgery operative surgical procedures bacterial infections surgical wound infection drug provocation testing surgical procedures alergija in imunologija preobčutljivost za zdravila penicilini antibiotična profilaksa kirurgija operativni kirurški postopki bakterijske okužbe okužbe kirurških ran provokacijsko testiranje za zdravila operacije true false true Elsevier Angleški jezik Ni določen © 2019 British Journal of Anaesthesia Neznano 2020-10-16 12:28:06 2020-10-16 12:28:06 2022-08-18 03:38:11 0000-00-00 00:00:00 2019 0 Velika Britanija 0 Soavtor iz Slovenije: P. Kopac; Nasl. z nasl. zaslona; Opis vira z dne 31. 5. 2019; str. e82-e94 iss. 1 Vol. 123 Jul. 2019 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-097 1471-6771 10.1016/j.bja.2019.01.026 2048508529 515369241 https://bjanaesthesia.org/article/S0007-0912(19)30068-6/fulltext 1 https://dirros.openscience.si/Dokument.php?lang=slv&id=15284 Univerzitetna klinika za pljučne bolezni in alergijo Golnik 0 0 0