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www.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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www.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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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - , atopic eczema),and, for some, allergic reactions can be severe or even fatal. … and allergic
reactions. … reaction terms composed of 92% of all
reactions stored in PEAR, sorted by frequency. … food allergies,
and allergic reactions using longitudinal electronic health record data. … Allergic reactions included a high proportion (38.2%) of non-immune-mediated
opioid reactions (e.g.,
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - This is important as it can help determine what kind of allergic or non-allergic reaction a patient had … reaction to related medications. … If after the allergy history there is concern for an allergic reaction, try to classify the reaction. … The staff did not ask any questions such as when he found out he was allergic and what his allergic reaction … Family history of allergy to penicillin are not “true” allergic reactions but should be noted as “intolerance
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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - history accurately in the EHR
Reaction
Document symptoms that are not allergic reactions
Headache, … unique side chain as compared to penicillins
| 29
History of Beta-Lactam Hypersensitivity34*
PCN Hypersensitivity … Cefazolin25†
Administer normally
Cephalosporin Hypersensitivity
Discuss with Local Antimicrobial Stewardship … Patient was labeled “penicillin allergy” without asking any other clarifying questions about allergic … reaction.
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www.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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www.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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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies
After viewing or presenting … Describe approaches to evaluating patients with reported antibiotic allergies. …
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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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Penicillin Allergies and Other Side Effects of Antibiotic Use
After viewing or presenting this … presentation, viewers will be able to—
Discuss the diagnostic approach to a resident with a penicillin allergy … 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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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
July 01, 2024 - Grantee Profile
Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions … “Drug allergy is a major type of adverse drug reaction, and it has great impact on quality of care and … environmental allergy data. … Zhou and her team used a system-wide allergy repository that Dr. … alerts and issues related to allergy documentation standards and quality .
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.docx
March 01, 2022 - True allergy to iodine (the active ingredient in iodophor) does not exist since iodine is required naturally … discomfort
· Nasal congestion
· Nasal irritation
What should I do if I suspect my patient is having an allergic … reaction to CHG or iodophor? … In extremely rare circumstances, severe allergic reactions to CHG or topical nasal iodophor have been … However, if you think a patient may be developing a severe allergic reaction (including hives, severe
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
March 01, 2022 - Decolonization of Non-ICU Patients With Devices Staff FAQs 2
True allergy to iodine (the active … reaction to CHG or
iodophor? … In extremely rare circumstances, severe allergic reactions to CHG or topical nasal iodophor have
been … However, if you think a patient may be developing a severe allergic reaction
(including hives, severe … What should I do if I suspect my patient is having an allergic reaction to CHG or iodophor?
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www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab1.html
July 01, 2018 - Measure does not specify format or coding of drug information
Maintain active medication allergy … admitted to EH/CAH) have at least 1 entry (or an indication that the patient has no known medication allergies … ) recorded as structured data
Structured list of medication allergies
Useful as a numerator … useful for measure exclusions and risk adjustment
Measure does not specify format or coding of allergy … Medication allergy list.
Reason for visit.
Procedures.
Immunizations.
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - True allergy to iodine (the active ingredient in iodophor) does not exist since iodine is required naturally … What should I do if I suspect my patient is having an allergic reaction to the decolonization agent? … In extremely rare circumstances, severe allergic reactions to CHG, topical nasal mupirocin, or topical … However, if you think a patient may be developing a severe allergic reaction (including hives, severe