Download antimicrobial use

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Pharmacokinetics wikipedia, lookup

Theralizumab wikipedia, lookup

Bilastine wikipedia, lookup

Prescription costs wikipedia, lookup

Pharmacogenomics wikipedia, lookup

Bad Pharma wikipedia, lookup

Adherence (medicine) wikipedia, lookup

Psychedelic therapy wikipedia, lookup

Vancomycin wikipedia, lookup

Dydrogesterone wikipedia, lookup

Ciprofloxacin wikipedia, lookup

Transcript
1.2
Anaphylaxis medications should be available
1.2.1 Epinephrine 0.2-0.5 mg IM or SC Q5 minutes as needed
1.2.1.1 Pediatrics: 0.01 mg/kg (maximum 0.3mg)
1.2.2 Diphenhydramine 25-50 mg IV
1.2.2.1 Pediatrics: 1-2 mg/kg
1.2.3 Albuterol 2.5-5 mg nebulized
F. Patient Interview
1.0
Potential questions to ask a patient/family member when investigating a medication
allergy include:6
1.1
Patient’s age at the time of the reaction
1.2
Patient’s recall of the reaction or who informed them of it
1.3
Time of onset of the reaction after beginning the penicillin (e.g., after 1 dose or
several days)
1.4
Signs/symptoms of the reaction
1.4.1 Was an antidote given
1.4.2 Did it require a visit to emergency room
1.4.3 Was there a loss of consciousness
1.5
Route of administration (oral or IV)
1.6
Indication for penicillin (or cephalosporin)
1.7
Concurrent medications
1.8
Did the reaction abate after the penicillin (or cephalosporin) was discontinued
1.9
Had the patient taken other penicillins (or cephalosporins) before or after the
reaction
1.9.1 If yes, what was the outcome
References
1. Solensky R, Earl H, Gruchalla RS. Clinical approach to penicillin-allergic patients: a
survey. Ann Allergy Asthma Immunol 2000;84:329-33.
2. Solensky R. Drug desensitization. Immunol Allergy Clin N Am 2004;24:425-43.
3. Park MA, Li JTC. Diagnosis and management of penicillin allergy. Mayo Clin Proc
2005;80:405-10.
4. Pichichero ME. A review of evidence supporting the American Academy of Pediatrics
recommendations for prescribing cephalosporin antibiotics for penicillin-allergic
patients. Pediatrics 2005;115:1048-57.
5. Gruchalla RS, Pirmohamed M. Antibiotic allergy. NEJM 2006;354:601-9.
6. Salkind AR, Cuddy PG, Foxworth JW. Is this patient allergic to penicillin? An
evidence-based analysis of the likelihood of penicillin allergy. JAMA 2001;285:2498505.
7. Bernstein IL, et al. Executive summary of disease management of drug
hypersensitivity: a practice parameter. Ann Allergy Asthma Immunol 1999;83:665700.
8. Puchner TC, Zacharisen MC. A survey of antibiotic prescribing and knowledge of
penicillin allergy. Ann Allergy Asthma Immunol 2002;88:24-9.
9. Gallelli JF, Calis KA. Penicillin allergy and cephalosporin cross-reactivity. Hosp
Pharm 1992;27:540-1.
10. Grabenstein JD. Predicting allergy to penicillin: a decision maker’s dilemma. Hosp
Pharm 1993;28:1020-5.
11. Robinson JL, Hameed T, Carr S. Practical aspects of choosing an antibiotic for
patients with a reported allergy to an antibiotic. CID 2002:35:26-31.
12. MacLaughlin EJ, et al. Cost of beta-lactam allergies. Arch Fam Med 2000;9:722-6.
13. Sade K, et al. The economic burden of antibiotic treatment of penicillin-allergic
patients in internal medicine wards of a general tertiary care hospital. Clin Exp Allergy
2003;33:501-6.