Abstract | BACKGROUND: OBJECTIVE: To determine the percentage of patients who have their electronic allergy record updated after an allergy service consult (ASC). METHODS: This was a retrospective study of patients with at least 1 documented beta-lactam allergy and had an ASC during (inpatient) or prior to (outpatient) hospital admission at Northwestern Memorial Hospital and Prentice Women's Hospital in Chicago, Illinois. RESULTS: Within the study period, a total of 26 526 patients were identified as having a documented antibiotic allergy, with 21 657 patients (81.6% of patients with allergies) having a listed beta-lactam allergy. Of these patients, 1689 (7.8%) patients were identified as having an ASC during or prior to admission, with 598 patients meeting inclusion criteria. Changes in the allergy record were recommended by the ASC for 62% (n = 371) of patients; however, the allergy record was updated after the ASC in 74.9% (n = 278) of patients. CONCLUSION: ASC recommendations to delabel a patient as beta-lactam allergic must result in updating the allergy record in order to optimize future treatment. Given the low proportion of allergy-labeled patients tested, programs outside formal ASCs should be considered.
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Authors | Bryan G Shaw, Inela Masic, Nancy Gorgi, Niree Kalfayan, Elise M Gilbert, Viktorija O Barr, Michael G Ison, Milena M McLaughlin |
Journal | Journal of pharmacy practice
(J Pharm Pract)
Vol. 33
Issue 3
Pg. 243-246
(Jun 2020)
ISSN: 1531-1937 [Electronic] United States |
PMID | 30180773
(Publication Type: Journal Article)
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Chemical References |
- Anti-Bacterial Agents
- Penicillins
- beta-Lactams
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Topics |
- Anti-Bacterial Agents
(adverse effects)
- Drug Hypersensitivity
(diagnosis, epidemiology)
- Female
- Humans
- Illinois
- Penicillins
(adverse effects)
- Retrospective Studies
- beta-Lactams
(adverse effects)
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