PPT-Penicillin Allergy and the Effect on the CHW Health System

David Vyles DO MS Sep 12 th 2019 Disclosure No relevant financial relationships to disclose This work was supported by funding from American Academy of Pediatrics Section on Emergency Medicine Ken Graff Award . 84. Drugs That Weaken the Bacterial Cell Wall I: Penicillins. Penicillins. Active against a variety of bacteria. Direct toxicity: low. Principal adverse effect: allergic reaction . Beta-lactam ring in their structure. and. Antibiotic Stewardship. 7. th. DHM. Malaga, Espana. 22 April, 2016. Eric Macy, MD MS FAAAAI. Kaiser Permanente Southern California. Penicillin Allergy . Testing and Antibiotic . Stewardship. Disclosures for Eric Macy. By Linda Paul, PharmD, BCPS. 1. Disclosure. I have no financial relationships or conflicts of interest to disclose.. 2. Pharmacist Objectives. 3. Pharmacy Technician. Objectives. 4. What percentage of the US population is considered allergic to Penicillin?. History and Evolution . Discovered in London in September 1928.. Doctor Alexander Fleming was studying Staphylococcus aureus and noticed a fungus (. Penicillin notatum. ) that prevented the bacteria to grow.. Mary L Staicu, PharmD. Infectious Diseases Clinical Pharmacy Specialist. Rochester General Hospital. Statement of Disclosures. No financial disclosures. Objectives. Case Presentation. 55 year old healthy male with no prior past medical history presenting with shoulder pain. Evaluation and Diagnosis of Penicillin Allergy for Healthcare ProfessionalsDid You Know 5 Facts About Penicillin Allergy Type 1 Immunoglobulin E IgE-mediated1Approximately 10 of all US patients report Page 1of 13PENICILLIN ALLERGY DELABELING ALGORITHMHistory PhysicalPCN allergy identifiedOnly do test dose during day shift and if a Parent/guardian is present if not you can Inclusion CriteriaAdmitte Allergy 101For NursesNurses Take Antibiotic Stewardship Action InitiativeThis material was supported in part by a US Centers for Disease Control and Prevention CDC contract to Johns Hopkins University Allergy Guidance DocumentKey PointsBackgroundCareful evaluation of antibiotic allergy and prior tolerance history is essentialto providingoptimal treatmentThe true incidence of penicillin hypersensiti CONTRA-INDICATED CAUTION Avoid if serious penicillin allergy eg anaphylaxis/ Use with caution if non-severe allergy eg minor rash only allergy not a complete list Amikacin Metronidazole Clarithro Presented by: Jaclyn Coffey, PharmD. PGY1 Pharmacy Resident. Norman Regional Health System, Norman OK. 1. Abstract # . 11. IRB Approved. Disclosure. Jaclyn Coffey. Potential conflicts of interest: none. Name. : _____________________________. Date of Birth: . _______________________ . Date . of . Evaluation: ___________________. . I . had . a penicillin allergy . evaluation, . and I am . NOT. Are we at the end of the beginning? . Christian Rosas-Salazar, MD, MPH. Juan C. . Celedón. , MD, DrPH. Ann Allergy Asthma Immunol. July 2019;123(1):3-5. Health Disparities in Asthma are Multifactorial. BACKGROUND. 10%. Report an allergy to penicillin. 1. 1%. Have a true penicillin . allergy. 2. BACKGROUND . Antibiotic allergy labels (AALs) are associated with: . Use of less effective, more toxic and more expensive antibiotics .