Urgent Bite 56 - Low Risk Antibiotic Reactions - with Dr Josh Russell

Can you consider prescribing an antibiotic when the patient reports a previous reaction?

Dr Josh Russell is trained in Emergency Medicine in the USA but works now in Urgent Care.  He is the editor in chief of the Journal of Urgent Care Medicine and a contributor to the Hippo Education UC:RAP

Check out the Hippo Education site - www.hippoed.com 

The January 2020 Urgent Care RAP features a more in-depth discussion on low risk antibiotic reactions.

The following papers are those used by Josh to come to his conclusions.

Campagna J et al.  The use of cephalosporins in penicillin allergic patients: a literature review. J Emerg Med 2012;42(5):612-20  https://www.ncbi.nlm.nih.gov/pubmed/?term=Campagna+J%2C+et+al.+The+use+of+cephalosporins+in+penicillin-allergic+patients%3A+a+literature

Shenoy ES et al.  Evaluation and Management of Penicillin Allergy: A review.  JAMA 2019;321(2):188-99 https://www.ncbi.nlm.nih.gov/pubmed/?term=Shenoy+ES%2C+et+al.+Evaluation+and+Management+of+Penicillin+Allergy%3A+A+review.+JAMA+2019%3B321(2)%3A188-99

Pichichero ME et al.  Penicillin and cephalosporin allergy.  Ann Allergy Asthma Immunol 2014; 112:404-12

Check out the Journal of Urgent Care Medicine - https://www.jucm.com 

Follow Josh on Twitter - @UCPracticeTips https://twitter.com/UCPracticeTips

 

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This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor