未经证实的青霉素过敏标签在手术患者中很常见,通过避免手术部位感染的最佳一线预防和耐药细菌菌株的感染增加,可能导致重大伤害。高达98%的青霉素过敏标签在测试时是不正确的。由于所有医疗保健系统中训练有素的过敏症专家的匮乏,只有少数手术患者有机会在手术前接受测试和去标签。可以在选定的患者中修改和缩短测试途径。各种医疗保健专业人员可以,经过适当的培训,并与过敏症专家合作,为选定的患者提供测试。我们回顾了如何评估患者,可以使用的适当测试策略,和安全测试的最低标准。
Unsubstantiated penicillin-allergy labels are common in surgical patients, and can lead to significant harm through avoidance of best first-line prophylaxis of surgical site infections and increased infection with resistant bacterial strains. Up to 98% of penicillin-allergy labels are incorrect when tested. Because of the scarcity of trained allergists in all healthcare systems, only a minority of surgical patients have the opportunity to undergo testing and de-labelling before surgery. Testing pathways can be modified and shortened in selected patients. A variety of healthcare professionals can, with appropriate training and in collaboration with allergists, provide testing for selected patients. We review how patients might be assessed, the appropriate testing strategies that can be used, and the minimum standards of safe testing.