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Controversies in Drug Allergy: Drug Allergy Pathways.


ABSTRACT: Drug allergy pathways are standardized approaches for patients reporting prior drug allergies with the aim of quality improvement and promotion of antibiotic stewardship. At the International Drug Allergy Symposium during the 2018 American Academy of Allergy, Asthma, and Immunology/World Allergy Organization Joint Congress in Orlando, Florida, drug allergy pathways were discussed from international perspectives with a focus on beta-lactam allergy pathways and pragmatic approaches for acute care hospitals. In this expert consensus document, we review current pathways, and detail important considerations in devising, implementing, and evaluating beta-lactam allergy pathways for hospitalized patients. We describe the key patient and institutional factors that must be considered in risk stratification, the central feature of pathway design. We detail shared obstacles to widespread beta-lactam allergy pathway implementation and identify potential solutions to address these challenges.

SUBMITTER: Chiriac AM 

PROVIDER: S-EPMC6466632 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Controversies in Drug Allergy: Drug Allergy Pathways.

Chiriac Anca M AM   Banerji Aleena A   Gruchalla Rebecca S RS   Thong Bernard Y H BYH   Wickner Paige P   Mertes Paul-Michel PM   Terreehorst Ingrid I   Blumenthal Kimberly G KG  

The journal of allergy and clinical immunology. In practice 20181217 1


Drug allergy pathways are standardized approaches for patients reporting prior drug allergies with the aim of quality improvement and promotion of antibiotic stewardship. At the International Drug Allergy Symposium during the 2018 American Academy of Allergy, Asthma, and Immunology/World Allergy Organization Joint Congress in Orlando, Florida, drug allergy pathways were discussed from international perspectives with a focus on beta-lactam allergy pathways and pragmatic approaches for acute care  ...[more]

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