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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
September 01, 2022 - Penicillin Allergy
Penicillin Allergy
Importance of documenting an accurate allergy history … history allows (1)
clarification of the type of allergic reaction, (2) assessment of
whether the patient … Do you have any allergies to any antibiotics? Which antibiotics?
2. What was the reaction? … even true
penicillin allergies can go away over time. … Do not document allergy;
remove allergy label
Rechallenge unless side effect was severe, in
which
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-discussion-guide.docx
September 01, 2022 - Penicillin Allergy – Discussion Guide
Antibiotic Allergy: Discussion Guide … members to determine how the practice can collectively improve the assessment for and documentation of allergies … Does the practice have a standardized approach to address patient-reported antibiotic allergies? … Who is responsible for obtaining the allergy assessment? … Does the practice have an approach for removing antibiotic allergies from the medical record that are
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - _________________________________ Date/time ________________________
Intolerance
• These are not allergies … and should not be labeled
as an allergic reaction
� Isolated gastrointestinal symptoms (nausea, … J Allergy Clin Immunol Pract. 2014 Apr;2(4):407-
13. PMID: 25017528. … Drug allergies documented in electronic health
records of a large healthcare system. … Allergy.
2016 Sep;71(9):1305-13. PMID: 26970431.
AHRQ Pub.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - Care
7
Types of Allergic Reactions
Drug allergy: immunologically mediated response to a pharmaceutical … Hypersensitivity Vasculitis
Antibiotic Allergies
AHRQ Safety Program for Improving Antibiotic Use – … patients lose hypersensitivity
14
Antibiotic Allergies
AHRQ Safety Program for Improving Antibiotic … Patient Handout: The Patient Handout explains allergic reactions to the patient, as well as the importance … Antibiotic hypersensitivity reactions and approaches to desensitization.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
September 01, 2022 - Slide 2
Antibiotic Allergy Prevalence
SAY:
This presentation will primarily address allergies … Slide 7
Types of Allergic Reactions
SAY:
It is helpful to review the different types of drug allergies … Slide 8
Type 1 Reactions
SAY:
Type 1 reactions are IgE-mediated hypersensitivity reactions. … losing their hypersensitivity by 5 years and 80 percent by 10 years. … The Patient Handout explains allergic reactions to the patient, as well as the importance of sharing
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Stewardship Toolkits
Long-Term Care Toolkit
Learn Best Practices
Penicillin Allergies … and Other Side Effects
Pocket Cards & Posters
Penicillin Allergies … Recognize how to conduct a detailed medication allergy history. … Approach to Residents With Reported Penicillin Allergy (PDF, 230 KB)
One-Page Document – Antibiotic … Side Effects (PDF, 293 KB)
Approaching the Resident With a Penicillin Allergy – Video (25 minutes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-handout-english.docx
September 01, 2022 - Penicillin Allergy – Patient and Family Member Handout (English)
Penicillin Allergy
AHRQ Pub. … No. 17(22)-0030
September 2022
Penicillin Allergy
Patient Handout
AHRQ Safety Program for Improving … Antibiotic Use – Ambulatory Care
Penicillin Allergy 2
Patient Handout
AHRQ Safety Program for Improving
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-handout-spanish.docx
September 01, 2022 - Penicillin Allergy – Patient and Family Member Handout (Spanish)
Alergia a la penicilina
Directions
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
September 01, 2022 - Describe approaches to evaluating patients with reported antibiotic allergies. … Best Practices in the Management of Patients With Antibiotic Allergies – Slides (PPTX, 3.3 MB)
Best …
Clinician One-Page Document and Discussion Guide
Penicillin Allergy – Clinician One-Page Document … (PDF, 268 KB)
Penicillin Allergy – Discussion Guide (DOCX, 93 KB)
Patient Handouts
These … Penicillin Allergy – Patient and Family Member Handout (English) (DOCX, 350 KB)
Penicillin Allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/health-literacy/my-medicines-list.pdf
September 20, 2022 - My Medicines List
Page 1 of 3
My Medicines List
My Name: My Allergies: My Emergency Contact … medicines may include vitamins, herbals, supplements, cold or cough
medicines, aspirin, pain relievers, allergy … medicines may include vitamins, herbals, supplements, cold or cough
medicines, aspirin, pain relievers, allergy … Date:
Page 3 of 3
My Medicines List
My Name: My Allergies … medicines may include vitamins, herbals, supplements, cold or cough
medicines, aspirin, pain relievers, allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - Even true allergic reactions tend to fade after 10 years. … The allergic reaction should always be verified with the resident. … Slide 7
Case 1: Allergy Assessment
SAY:
In this case, you ask Melba if she remembers what her allergic … reaction to penicillin was. … Note he does not have any known allergies to antibiotics.
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/index.html
September 01, 2022 - Soft Tissue Abscesses
Asymptomatic Bacteriuria and Urinary Tract Infections
Antibiotic Allergies … Learn Best Practices for Diagnosing and Managing Common Infectious Syndromes and Antibiotic Allergies … There are also materials covering non–respiratory tract infections and assessment of allergies. … Bacteriuria and Urinary Tract Infections
Best Practices in the Management of Patients With Antibiotic Allergies … Citation: Learn Best Practices for Diagnosing and Managing Common Infectious Syndromes and Antibiotic Allergies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - antibiotics.
7
Melba’s Chart
Most recent labs:
Normal creatinine
Normal liver function tests
Allergies … : penicillin
UTI Management
7
Case 1: Allergy Assessment, continued
Ask Melba if she remembers … what her allergy was to penicillin.
8
This sounds like a severe penicillin allergy. … The doctor told me it was a penicillin allergy. … No known allergies to antibiotics
>100,000 µg/mL E. coli
MIC INT
Ampicillin >16 R
Ampicillin-sulbactum
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/acute-care/diagnosis/penicillin.html
November 01, 2019 - Acute Care Hospital Toolkit
Best Practices for Diagnosis and Treatment
Penicillin Allergies … Infections
Clostridioides difficile Infections
Sepsis
Bacteremia
Penicillin Allergies … Toolkit
Long-Term Care Toolkit
Approach to Patients Reporting Penicillin Allergies … viewers will be able to—
Discuss the potential harm associated with the over diagnosis of penicillin allergies … Discuss the approach to evaluating penicillin allergies
Video
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/health-literacy/my-medicine-list.docx
October 03, 2022 - My Medicines List
My Name:
My Allergies:
My Emergency Contact Information:
Date: … medicines may include vitamins, herbals, supplements, cold or cough medicines, aspirin, pain relievers, allergy
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
September 01, 2020 - Hernandez has any allergies to IV contrast dye, and he says he does not, but again, it is not clear that … Hernandez, unfortunately your husband had a very bad allergic reaction to the intravenous contrast that … He told us that he had no allergy to IV contrast dye, didn't he? … Hernandez's interpreter had spoken up in this case about the contrast allergy, a simple premedication … regimen could have prevented the severe allergic reaction and allowed him to receive the angioplasty
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/dischargeprep.docx
January 02, 2013 - Medicine
Allergies ____ No known allergies ____
Allergy
Patient Confirm (Y/N)
If No, Explain
Allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
February 14, 2013 - Medicine
Allergies ____ No known allergies ____
Allergy
Patient
Confirm
(Y/N)
If No, … Explain Allergy
Patient
Confirm
(Y/N) If No, Explain
4.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.docx
January 02, 2013 - Medicine
Allergies ____ No known allergies ____
Allergy
Patient Confirm (Y/N)
If No, Explain
Allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.pdf
February 14, 2013 - Medicine
Allergies ____ No known allergies ____
Allergy
Patient
Confirm
(Y/N)
If No, … Explain Allergy
Patient
Confirm
(Y/N) If No, Explain
4.