Your browser doesn't support javascript.
loading
Management of a surgical patient with a label of penicillin allergy: narrative review and consensus recommendations.
Savic, L C; Khan, D A; Kopac, P; Clarke, R C; Cooke, P J; Dewachter, P; Ebo, D G; Garcez, T; Garvey, L H; Guttormsen, A B; Hopkins, P M; Hepner, D L; Kolawole, H; Krøigaard, M; Laguna, J J; Marshall, S D; Mertes, P M; Platt, P R; Rose, M A; Sabato, V; Sadleir, P H M; Savic, S; Takazawa, T; Voltolini, S; Volcheck, G W.
Afiliação
  • Savic LC; Anaesthetic Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: louise.savic@nhs.net.
  • Khan DA; Department of Internal Medicine, Division of Allergy & Immunology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  • Kopac P; University Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
  • Clarke RC; Department of Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia; Anaesthetic Allergy Referral Centre of Western Australia, Nedlands, Western Australia, Australia.
  • Cooke PJ; Department of Anaesthesia and Perioperative Medicine, Auckland City Hospital, Auckland, New Zealand.
  • Dewachter P; Service d'Anesthésie-Réanimation, Groupe Hospitalier de Paris-Seine-Saint-Denis, Assistance Publique-Hôpitaux de Paris, Paris, France; Université Paris 13, Sorbonne-Paris-Cité, Paris, France.
  • Ebo DG; Department of Immunology, Allergology and Rheumatology, University of Antwerp, Antwerp University Hospital, Belgium.
  • Garcez T; Department of Immunology, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
  • Garvey LH; Danish Anaesthesia Allergy Centre, Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital, Gentofte, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
  • Guttormsen AB; Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway.
  • Hopkins PM; Anaesthetic Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK; Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
  • Hepner DL; Department of Anesthesiology, Brigham and Women's Hospital, Boston, MA, USA.
  • Kolawole H; Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia; Department of Anaesthesia, Peninsula Health, Melbourne, Australia.
  • Krøigaard M; Danish Anaesthesia Allergy Centre, Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital, Gentofte, Denmark.
  • Laguna JJ; Allergy Unit, Allergo-Anaesthesia Unit, Hospital Central de la Cruz Roja, Faculty of Medicine, Alfonso X El Sabio University, ARADyAL, Madrid, Spain.
  • Marshall SD; Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia; Department of Anaesthesia, Peninsula Health, Melbourne, Australia.
  • Mertes PM; Department of Anesthesia and Intensive Care, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.
  • Platt PR; Department of Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia; Anaesthetic Allergy Referral Centre of Western Australia, Nedlands, Western Australia, Australia.
  • Rose MA; Department of Anaesthesia, Royal North Shore Hospital, and University of Sydney, Sydney, NSW, Australia.
  • Sabato V; Department of Immunology, Allergology and Rheumatology, University of Antwerp, Antwerp University Hospital, Belgium.
  • Sadleir PHM; Department of Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia; Anaesthetic Allergy Referral Centre of Western Australia, Nedlands, Western Australia, Australia; Department of Pharmacology, University of Western Australia, Crawley, Western Australia, Australia.
  • Savic S; Department of Clinical Immunology and Allergy, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
  • Takazawa T; Intensive Care Unit, Gunma University Hospital, Maebashi, Gunma, Japan.
  • Voltolini S; Allergy Unit, Policlinic Hospital San Martino, Genoa, Italy.
  • Volcheck GW; Division of Allergic Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA.
Br J Anaesth ; 123(1): e82-e94, 2019 Jul.
Article em En | MEDLINE | ID: mdl-30916014
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.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Penicilinas / Hipersensibilidade a Drogas / Anestesia / Antibacterianos Limite: Humans Idioma: En Revista: Br J Anaesth Ano de publicação: 2019 Tipo de documento: Article
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Penicilinas / Hipersensibilidade a Drogas / Anestesia / Antibacterianos Limite: Humans Idioma: En Revista: Br J Anaesth Ano de publicação: 2019 Tipo de documento: Article