Is spurious penicillin allergy a major public health concern only in high-income countries
Authors
Krishna, Mamidipudi ThirumalaVedanthan, Pudupakkam K.
Vedanthan, Rajesh
El Shabrawy, Reham Mohamed
Madhan, Ramesh
Nguyen, Hoa L.
Kudagammana, Thushara
Williams, Iestyn
Karmacharya, Biraj
Hariharan, Seetharaman
Krishnamurthy, Kandamaran
Sumantri, Stevent
Elliott, Rachel
Mahesh, Padukudru Anand
Marriott, John F.
UMass Chan Affiliations
Division of Epidemiology, Department of Population and Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2021-05-20Keywords
health education and promotionhealth systems
medical microbiology
public health
Inaccurate penicillin allergy labels
antimicrobial resistance
drug allergy labelling
Allergy and Immunology
Health Services Administration
Immune System Diseases
International Public Health
Medical Microbiology
Public Health Education and Promotion
Metadata
Show full item recordAbstract
Inaccurate penicillin allergy labels (PALs) are a major public health problem in high-income countries and has been linked to antimicrobial resistance (AMR) and huge healthcare costs. Data regarding epidemiology of PALs and its potential association with AMR is sparse in low-income countries (LICs), low-middle-income countries (LMICs) and upper-middle-income countries (UMICs). There are no established drug allergy labelling and delabelling pathways in the majority of the LICs, LMICs and UMICs and addressing these inequities is critical for safe clinical practice and in the global campaign against AMR. A standardised validated computerised decision support tool might help address these gaps, but understanding local factors including clinical governance, cultural, social, religious and human behaviour will be key to uptake and success of such an intervention.Source
Krishna MT, Vedanthan PK, Vedanthan R, El Shabrawy RM, Madhan R, Nguyen HL, Kudagammana T, Williams I, Karmacharya B, Hariharan S, Krishnamurthy K, Sumantri S, Elliott R, Mahesh PA, Marriott JF. Is spurious penicillin allergy a major public health concern only in high-income countries? BMJ Glob Health. 2021 May;6(5):e005437. doi: 10.1136/bmjgh-2021-005437. PMID: 34016579; PMCID: PMC8141433. Link to article on publisher's site
DOI
10.1136/bmjgh-2021-005437Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41909PubMed ID
34016579Related Resources
Rights
Copyright © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.1136/bmjgh-2021-005437
Scopus Count
Except where otherwise noted, this item's license is described as Copyright © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
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