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Title:Management of a surgical patient with a label of penicillin allergy : narrative review and consensus recommendations
Authors:ID Savic, Louise C. (Author)
ID Khan, David A. (Author)
ID Kopač, Peter, Klinika Golnik (Author)
ID Clarke, Russel C. (Author)
ID Cooke, Peter J. (Author)
ID Dewachter, Pascale (Author)
ID Ebo, Didier G. (Author)
ID Garcez, Tomaz (Author)
ID Garvey, Lene Heise (Author)
ID Guttormsen, Anne Berit (Author)
Files:URL URL - Source URL, visit https://bjanaesthesia.org/article/S0007-0912(19)30068-6/fulltext
 
Language:English
Typology:1.02 - Review Article
Organization:Logo UKPBAG - University Clinic of Respiratory and Allergic Diseases Golnik
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.
Keywords:allergy and immunology, drug hypersensitivity, penicillins, antibiotic prophylaxis, surgery, operative surgical procedures, bacterial infections, surgical wound infection, drug provocation testing, surgical procedures
Publication status:Published
Publication version:Version of Record
Place of publishing:Velika Britanija
Publisher:Elsevier
Year of publishing:2019
Number of pages:str. e82-e94
Numbering:Vol. 123, iss. 1
PID:20.500.12556/DiRROS-12587 New window
UDC:616-097
ISSN on article:1471-6771
DOI:10.1016/j.bja.2019.01.026 New window
COBISS.SI-ID:2048508529 New window
Copyright:© 2019 British Journal of Anaesthesia
Note:Soavtor iz Slovenije: P. Kopac; Nasl. z nasl. zaslona; Opis vira z dne 31. 5. 2019;
Publication date in DiRROS:16.10.2020
Views:1353
Downloads:393
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Record is a part of a journal

Title:British journal of anaesthesia
Shortened title:Br. j. anaesth.
Publisher:Oxford University Press.
ISSN:1471-6771
COBISS.SI-ID:515369241 New window

Secondary language

Language:Undetermined
Keywords:alergija in imunologija, preobčutljivost za zdravila, penicilini, antibiotična profilaksa, kirurgija, operativni kirurški postopki, bakterijske okužbe, okužbe kirurških ran, provokacijsko testiranje za zdravila, operacije


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