Does this child really have a penicillin allergy?

Hdl Handle:
http://hdl.handle.net/10147/559010
Title:
Does this child really have a penicillin allergy?
Authors:
Murphy, K; Scanlan, B; Coghlan, D
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Apr-2015
URI:
http://hdl.handle.net/10147/559010
Abstract:
Penicillins, the most prescribed paediatric medications worldwide, are also the most commonly reported cause of medication allergy, although this is rarely confirmed. An oral penicillin challenge is considered the gold standard in assessing children with suspected allergy but is seldom performed due to lack of appropriately trained staff and insufficient facilities. We introduced a standardised nurse-led protocol to evaluate children with suspected penicillin allergy fulfilling low risk criteria. In total, 40 children participated, including 22 girls and 18 boys, of which 38 met study criteria. There were 36 (95%) negative challenges completed, allowing these children to be safely prescribed oral penicillin in the future. There were 2 (5%) positive challenges developing similar signs to their initial reaction. This standardised protocol appears to be safe for use and efficient in the evaluation of low risk children with suspected penicillin allergy.
Item Type:
Article
Language:
en
Keywords:
ANTIBIOTICS; CHILDREN
Local subject classification:
ALLERGIES

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, Ken
dc.contributor.authorScanlan, Ben
dc.contributor.authorCoghlan, Den
dc.date.accessioned2015-07-06T11:44:49Zen
dc.date.available2015-07-06T11:44:49Zen
dc.date.issued2015-04en
dc.identifier.urihttp://hdl.handle.net/10147/559010en
dc.description.abstractPenicillins, the most prescribed paediatric medications worldwide, are also the most commonly reported cause of medication allergy, although this is rarely confirmed. An oral penicillin challenge is considered the gold standard in assessing children with suspected allergy but is seldom performed due to lack of appropriately trained staff and insufficient facilities. We introduced a standardised nurse-led protocol to evaluate children with suspected penicillin allergy fulfilling low risk criteria. In total, 40 children participated, including 22 girls and 18 boys, of which 38 met study criteria. There were 36 (95%) negative challenges completed, allowing these children to be safely prescribed oral penicillin in the future. There were 2 (5%) positive challenges developing similar signs to their initial reaction. This standardised protocol appears to be safe for use and efficient in the evaluation of low risk children with suspected penicillin allergy.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectANTIBIOTICSen
dc.subjectCHILDRENen
dc.subject.otherALLERGIESen
dc.titleDoes this child really have a penicillin allergy?en
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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