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A Practical Guide for Managing Antibiotic Allergies in the Emergency Department.
- Source :
-
Advanced emergency nursing journal [Adv Emerg Nurs J] 2019 Oct/Dec; Vol. 41 (4), pp. 306-315. - Publication Year :
- 2019
-
Abstract
- Up to 30% of patients report at least one antibiotic allergy, but oftentimes these antibiotic allergies are misdiagnosed. In fact, of the 10% of patients reporting penicillin allergies, 90%-98% are not truly allergic. In an era of increasing antibiotic resistance coupled with a limited number of new antibiotics, evaluating antibiotic allergies is critical in providing optimal patient care. Differentiating adverse drug reactions from antibiotic allergies may seem like a daunting task for clinicians and providers, especially in the emergency department, where decisions are made quickly. However, a systemic approach, including medical record review coupled with patient and/or family interview, is vital in managing patients with antibiotic allergies. Inappropriate, alternative antibiotics are frequently chosen due to patient allergies, and data suggest higher rates of broad-spectrum antibiotic use, antibiotic resistance, and poor outcomes as a result. Herein, we review antibiotic selection in patients reporting antibiotic allergies in the emergency department.
Details
- Language :
- English
- ISSN :
- 1931-4493
- Volume :
- 41
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Advanced emergency nursing journal
- Publication Type :
- Academic Journal
- Accession number :
- 31687994
- Full Text :
- https://doi.org/10.1097/TME.0000000000000264