{"id":61451,"date":"2022-09-28T09:06:31","date_gmt":"2022-09-28T13:06:31","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/?p=61451"},"modified":"2023-06-06T18:22:11","modified_gmt":"2023-06-06T22:22:11","slug":"a-better-way-to-evaluate-penicillin-allergies","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/a-better-way-to-evaluate-penicillin-allergies\/","title":{"rendered":"A Better Way to Evaluate Penicillin Allergies"},"content":{"rendered":"

\"\"<\/a>On September 28, 1928, Alexander Fleming discovered penicillin. To commemorate this momentous discovery, every year on September 28th<\/sup>, we celebrate National Penicillin Allergy Day<\/a> to raise awareness that carrying a penicillin allergy label may negatively affect a patient\u2019s health when it is not accurate.<\/p>\n

<\/figcaption><\/figure>\n

Even though 10% of the U.S. population believes they have a penicillin allergy, less than 1% of the population is truly allergic. For the 9 out of 10 patients that are no longer (or never were) allergic, the allergy \u201clabel\u201d on their medical record can lead to a host of negative consequences. They are often prescribed alternative antibiotics that are more expensive than penicillin, putting them at greater risk for developing multi-drug resistant infections.<\/p>\n

Additionally, patients with a penicillin allergy have more frequent and longer hospitalizations compared to non-allergic patients. Evaluating patients\u2019 penicillin allergies for penicillin tolerance can alleviate burdens associated with a true allergy.<\/p>\n

\"\"<\/a>
Mildred Kwan, MD, PHD, and Renae Boerneke, PharmD, BCPS, CPP<\/figcaption><\/figure>\n

Allergists play a significant role in allergy evaluation at an estimated cost of $40 for some insured patients up to $700 for an uninsured patient paying out of pocket. But Renae Boerneke,\u00a0PharmD, BCPS, CPP<\/a> a clinical pharmacist practitioner, and Mildred Kwan, MD, PHD<\/a>, an assistant professor of medicine in the Division of Rheumatology, Allergy, and Immunology, found a way to make allergy evaluation more accessible. They developed a process to conduct allergy assessments using an Epic dot phrase and risk stratification chart.<\/p>\n

Instead of requiring the expertise of any allergist in all cases, the evaluation can be carried out by a pharmacist or provider with the step-by-step tools. Based on screening questions, the patient may require an additional visit with an allergist. However, Boerneke found that pharmacists or non-allergist providers were able to de-label one in four patients screened, with no additional allergist visit needed. The change saved time and money for these patients, compared to evaluation using an allergist alone.<\/p>\n

\n

Those interested in learning more may contact Renae.Boerneke@unchealth.unc.edu<\/a> and Mildred.Kwan@med.unc.edu<\/a>.<\/p>\n[Read more<\/a> via the Carolina Antimicrobial Stewardship Program website]\n<\/div>\n","protected":false},"excerpt":{"rendered":"

On September 28, 1928, Alexander Fleming discovered penicillin. To commemorate this momentous discovery, every year on September 28th, we celebrate National Penicillin Allergy Day to raise awareness that carrying a penicillin allergy label may negatively affect a patient\u2019s health when it is not accurate. Even though 10% of the U.S. population believes they have a … Read more<\/a><\/p>\n","protected":false},"author":112562,"featured_media":61453,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[2,103],"tags":[631],"class_list":["post-61451","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-rheumatology","tag-631","odd"],"acf":[],"yoast_head":"\nA Better Way to Evaluate Penicillin Allergies | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/news\/a-better-way-to-evaluate-penicillin-allergies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Better Way to Evaluate Penicillin Allergies | Department of Medicine\" \/>\n<meta property=\"og:description\" content=\"On September 28, 1928, Alexander Fleming discovered penicillin. To commemorate this momentous discovery, every year on September 28th, we celebrate National Penicillin Allergy Day to raise awareness that carrying a penicillin allergy label may negatively affect a patient\u2019s health when it is not accurate. Even though 10% of the U.S. population believes they have a … Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/medicine\/news\/a-better-way-to-evaluate-penicillin-allergies\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Medicine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UNCDeptMedicine\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-28T13:06:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-06T22:22:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2022\/09\/logo.png\" \/>\n\t<meta property=\"og:image:width\" content=\"262\" \/>\n\t<meta property=\"og:image:height\" content=\"208\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Kendall Rovinsky\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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