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Research Letter |

Management of Antimicrobial Allergies by Infectious Diseases Physicians

Lilian M. Abbo, MD1; Susan E. Beekmann, RN, MPH2; Thomas M. Hooton, MD1; Birgir Johannsson, MD2; Philip M. Polgreen, MD, MPH2,3; Infectious Diseases Society of America Emerging Infections Network
[+] Author Affiliations
1Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
2Carver College of Medicine, University of Iowa, Iowa City
3College of Public Health, University of Iowa, Iowa City
JAMA Intern Med. 2013;173(14):1376-1378. doi:10.1001/jamainternmed.2013.6480.
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Misconceptions about true antimicrobial allergy may result in less effective, more expensive therapy and adverse outcomes.1,2 Correctly identifying allergies could significantly reduce the immediate and direct risks of drug-related adverse events.3 For example, 9 of 10 patients who reported an allergy to penicillin were, in fact, not, when evaluated by skin testing (ST).4 To appropriately use first-line agents, it is important to determine if the patient truly has an antimicrobial allergy. Such efforts could contribute to better antimicrobial stewardship.

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