Amoxicillin Allergy Trials: Difference between revisions
From Guide to YKHC Medical Practices
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Amoxicillin allergy is rarely a true allergy. Get more information about what the reaction was, at what age it occurred, look at telemed pictures if you can, consult a pediatrician if they are little, and consider amoxicillin challenge in the village OR bring them to clinic in Bethel for this. Over 90% of the time, there was not a true allergy; often, the flag was put on EMR because a parent reported a history of rash or hives that was not really hives OR it was imported from our old medical record system and was not validated. | |||
[[:category:YKHC Guidelines]] | Autotext: ..rmtamox | ||
==Resources/References== | |||
*Vyles D et al. [https://www.sciencedirect.com/science/article/pii/S1876285916304946?via%3Dihubhttps://www.sciencedirect.com/science/article/pii/S1876285916304946?via%3Dihub Parent-Reported Penicillin Allergy Symptoms in the Pediatric Emergency Department.] ''Academic Pediatrics.'' 2017. doi.org/10.1016/j.acap.2016.11.004 | |||
* Vyles D, et al. [https://pediatrics.aappublications.org/content/pediatrics/140/2/e20170471.full.pdf Allergy Testing in Children With Low-Risk Penicillin Allergy Symptoms.] Pediatrics. August 2017, 140(2)e20170471; doi.org/10.1542/peds.2017-0471 | |||
* Salkind, A. et al. [https://jamanetwork.com/journals/jama/article-abstract/193846 Is This Patient allergic to Penicillin? An Evidence-Based Analysis ofthe Likelihood of Penicillin Allergy.] JAMA, May 16, 2001--Vol 284, No. 19. | |||
* Mill, C. et al. [https://jamanetwork.com/journals/jamapediatrics/fullarticle/2506141 Assessing the Diagnostic Properties of a Graded Oral Provocation Challenge for the Diagnosis of Immediate and Nonimmediate Reactions to Amoxicillin in Children.] JAMA Pediatr. 2016;170(6):e160033. doi:10.1001/jamapediatrics.2016.0033 | |||
* Khan, D. et al. [https://www.sciencedirect.com/science/article/pii/S0091674909015644?via%3Dihub Drug allergy.] J Allergy Clin Immunol 2010;125:S126-37. | |||
* Solensky, R. et al. [https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20and%20Parameters/drug-allergy-updated-practice-param.pdf Drug Allergy: An Updated Practice Parameter.] Ann Allergy Asthma Immunol. 2010 Oct;105(4):259-273. doi: 10.1016/j.anai.2010.08.002 | |||
* [[Media:Stamping Out Amoxicillin Allergies - 8-6-2019.pdf|Stamping Out Amoxicillin Allergies 2019]] (PowerPoint Presentation) | |||
* [[Media:Stamping Out Amoxicillin Allergy.pdf|Stamping Out Amoxicillin Allergy 2013]] (PowerPoint Presentation) | |||
* [[Media:Amoxicillin allergy trials.pdf|Amoxicillin Allergy Trials YKHC Clinical Guideline]] | |||
[[:category:YKHC Guidelines|YKHC Clinical Guidelines]] | |||
<br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | |||
Latest revision as of 20:04, 12 May 2026
Amoxicillin allergy is rarely a true allergy. Get more information about what the reaction was, at what age it occurred, look at telemed pictures if you can, consult a pediatrician if they are little, and consider amoxicillin challenge in the village OR bring them to clinic in Bethel for this. Over 90% of the time, there was not a true allergy; often, the flag was put on EMR because a parent reported a history of rash or hives that was not really hives OR it was imported from our old medical record system and was not validated.
Autotext: ..rmtamox
Resources/References
- Vyles D et al. Parent-Reported Penicillin Allergy Symptoms in the Pediatric Emergency Department. Academic Pediatrics. 2017. doi.org/10.1016/j.acap.2016.11.004
- Vyles D, et al. Allergy Testing in Children With Low-Risk Penicillin Allergy Symptoms. Pediatrics. August 2017, 140(2)e20170471; doi.org/10.1542/peds.2017-0471
- Salkind, A. et al. Is This Patient allergic to Penicillin? An Evidence-Based Analysis ofthe Likelihood of Penicillin Allergy. JAMA, May 16, 2001--Vol 284, No. 19.
- Mill, C. et al. Assessing the Diagnostic Properties of a Graded Oral Provocation Challenge for the Diagnosis of Immediate and Nonimmediate Reactions to Amoxicillin in Children. JAMA Pediatr. 2016;170(6):e160033. doi:10.1001/jamapediatrics.2016.0033
- Khan, D. et al. Drug allergy. J Allergy Clin Immunol 2010;125:S126-37.
- Solensky, R. et al. Drug Allergy: An Updated Practice Parameter. Ann Allergy Asthma Immunol. 2010 Oct;105(4):259-273. doi: 10.1016/j.anai.2010.08.002
- Stamping Out Amoxicillin Allergies 2019 (PowerPoint Presentation)
- Stamping Out Amoxicillin Allergy 2013 (PowerPoint Presentation)
- Amoxicillin Allergy Trials YKHC Clinical Guideline
