Penicillin allergy delabelling of patients at risk of sexually transmitted infections in primary care

Author/s: 
Wittmer, R., Vincent-Boulay, O., Barrios, J. L.
Date Added: 
March 30, 2023
Journal/Publication: 
Canadian Medical Association Journal
Publisher: 
CMA Impact
Publication Date: 
March 27, 2023
Issue: 
12
Volume: 
195
Pages: 
E449-E451
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Article
DOI (1): 
10.1503/cmaj.221266
PMID (1): 
36972911

RPR Commentary

A concise review and algorithm for evaluating and delabelling "penicillin-allergic"
patients. James W. Mold, MD, MPH

Abstract

KEY POINTS
Most patients who report a penicillin allergy do not have a serious allergy.

Penicillin allergy delabelling enables patients to receive penicillin and β-lactam antibiotics when indicated.

A simple algorithm allows for stratification of allergy risk for patients.

Patients at low risk of a serious allergic reaction can undergo an oral penicillin challenge in sexual health clinics and other primary care settings.

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