Penicillin allergy testing: An outpatient nurse-driven program for patients with cancer Journal Article
| Authors: | Morjaria, S.; Inumerables, F.; Patel, D.; Cohen, N.; Seo, S.; Posthumus, S.; Martin, S. C.; Kaltsas, A.; Lee, S.; Boucher, N.; Fischer-Cartlidge, E. |
| Article Title: | Penicillin allergy testing: An outpatient nurse-driven program for patients with cancer |
| Abstract: | BACKGROUND: Penicillin allergy testing (PAT) can decrease the use of unnecessary antibiotics by clarifying who is truly allergic. OBJECTIVES: This article describes the development and implementation of an oncology outpatient nurse-driven PAT program. METHODS: A nurse-driven program, initiated with allergy screening at the first encounter, was designed to identify patients with oncologic diagnoses eligible for PAT. Once verified eligible, patients undergo a three-step testing process (scratch test, intradermal injection, and IV challenge dose) administered by the infusion nurse. FINDINGS: From November 2018 to December 2019, 82 outpatients with reported penicillin allergies were screened; 90% were eligible for PAT, and 97% of patients tested were negative for penicillin allergy. A significant reduction in aztreonam use among patients admitted for hematopoietic stem cell transplantation was also noted as compared to before PAT was offered. |
| Keywords: | oncology; penicillin; allergy screening; penicillin allergy testing |
| Journal Title: | Clinical Journal of Oncology Nursing |
| Volume: | 25 |
| Issue: | 2 |
| ISSN: | 1092-1095 |
| Publisher: | Oncology Nursing Society (ONS) |
| Date Published: | 2021-04-01 |
| Start Page: | 143 |
| End Page: | 150 |
| Language: | English |
| DOI: | 10.1188/21.Cjon.143-150 |
| PUBMED: | 33739344 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 3 May 2021 -- Source: Scopus |
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15Martin -
121Seo -
24Kaltsas -
8Patel -
32Cohen Orsini -
4Boucher -
35Morjaria -
12Inumerables -
1
Lee
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