K Sade1, I Holtzer, Y Levo, S Kivity. 1. Department of Medicine'T', Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. allergy@tasmc.health.gov.il
Abstract
BACKGROUND: Penicillin allergy poses a major problem in the management of infectious diseases. OBJECTIVE: We estimated the costs and usage of antibiotic treatment of 'penicillin-allergic' patients in comparison to non-allergic patients in a tertiary care hospital. MATERIALS AND METHODS: The study was based on the records of 118 randomly chosen in-hospital patients labelled as being 'allergic to penicillin' and who were treated with antibiotics. The antibiotic selection and cost of the patients with alleged penicillin allergy were compared to 118 matched patients without an antibiotic allergy (controls). RESULTS: During in-hospital treatment, the mean antibiotic cost for penicillin-allergic patients was 63% higher than the cost for the controls. In addition, there was a 38% higher cost of the recommended anti-microbial treatment regimen to be followed upon discharge by the former compared to the latter. CONCLUSIONS: Penicillin-allergic patients were more likely to receive broader spectrum antibiotics compared to the non-allergic ones. Since many of the patients who are labelled as being 'allergic to penicillin' are, in fact, not allergic to it, inaccurate reporting of penicillin allergies may have costly economic and epidemiologic repercussions in addition to more toxic effects which can occur when choosing alternative drugs in case of penicillin allergy.
BACKGROUND:Penicillinallergy poses a major problem in the management of infectious diseases. OBJECTIVE: We estimated the costs and usage of antibiotic treatment of 'penicillin-allergic' patients in comparison to non-allergicpatients in a tertiary care hospital. MATERIALS AND METHODS: The study was based on the records of 118 randomly chosen in-hospital patients labelled as being 'allergic to penicillin' and who were treated with antibiotics. The antibiotic selection and cost of the patients with alleged penicillinallergy were compared to 118 matched patients without an antibiotic allergy (controls). RESULTS: During in-hospital treatment, the mean antibiotic cost for penicillin-allergic patients was 63% higher than the cost for the controls. In addition, there was a 38% higher cost of the recommended anti-microbial treatment regimen to be followed upon discharge by the former compared to the latter. CONCLUSIONS:Penicillin-allergic patients were more likely to receive broader spectrum antibiotics compared to the non-allergic ones. Since many of the patients who are labelled as being 'allergic to penicillin' are, in fact, not allergic to it, inaccurate reporting of penicillinallergies may have costly economic and epidemiologic repercussions in addition to more toxic effects which can occur when choosing alternative drugs in case of penicillinallergy.
Authors: Gilbert Matte; Joseph Shuster; Chantal Guevremont; Phil Gold; Fabrice Leong; Zinquon Ngan; André Bonnici; Chris Tsoukas Journal: Can J Hosp Pharm Date: 2020-02-01
Authors: Kimberly G Blumenthal; Erica S Shenoy; Christy A Varughese; Shelley Hurwitz; David C Hooper; Aleena Banerji Journal: Ann Allergy Asthma Immunol Date: 2015-06-09 Impact factor: 6.347
Authors: Kimberly G Blumenthal; Paige G Wickner; Shelley Hurwitz; Nicholas Pricco; Alexandra E Nee; Karl Laskowski; Erica S Shenoy; Rochelle P Walensky Journal: J Allergy Clin Immunol Date: 2017-02-28 Impact factor: 10.793
Authors: Kimberly G Blumenthal; Erica S Shenoy; Shelley Hurwitz; Christy A Varughese; David C Hooper; Aleena Banerji Journal: J Allergy Clin Immunol Pract Date: 2014-04-24
Authors: Jaclynn M Moskow; Nicole Cook; Carisa Champion-Lippmann; Saint Anthony Amofah; Angela S Garcia Journal: J Am Med Inform Assoc Date: 2015-11-09 Impact factor: 4.497