{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:48:25Z","timestamp":1765079305961},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,11,3]],"date-time":"2016-11-03T00:00:00Z","timestamp":1478131200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>Antibiotic allergies are frequently reported and have significant impacts upon appropriate prescribing and clinical outcomes. We surveyed infectious diseases physicians, allergists, clinical immunologists and hospital pharmacists to evaluate antibiotic allergy knowledge and service delivery in Australia and New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online multi\u2010choice questionnaire was developed and endorsed by representatives of the Australasian Society of Clinical Immunology and Allergy (<jats:styled-content style=\"fixed-case\">ASCIA<\/jats:styled-content>) and the Australasian Society of Infectious Diseases (<jats:styled-content style=\"fixed-case\">ASID<\/jats:styled-content>). The 37\u2010item survey was distributed in April 2015 to members of <jats:styled-content style=\"fixed-case\">ASCIA<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">ASID<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">the Society of Hospital Pharmacists of Australia<\/jats:styled-content> and the Royal Australasian College of Physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 277 respondents, 94% currently use or would utilise antibiotic allergy testing (<jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content>) and reported seeing up to 10 patients\/week labelled as antibiotic\u2010allergic. Forty\u2010two per cent were not aware of or did not have <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content> available. Most felt that <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content> would aid antibiotic selection, antibiotic appropriateness and antimicrobial stewardship (79, 69 and 61% respectively). Patients with the histories of immediate hypersensitivity were more likely to be referred than those with delayed hypersensitivities (76 vs 41%, <jats:italic>P<\/jats:italic>\u2009=\u20090.0001). Lack of specialist physicians (20%) and personal experience (17%) were barriers to service delivery. A multidisciplinary approach was a preferred <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content> model (53%). Knowledge gaps were identified, with the majority overestimating rates of penicillin\/cephalosporin (78%), penicillin\/carbapenem (57%) and penicillin\/monobactam (39%) cross\u2010reactivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A high burden of antibiotic allergy labelling and demand for <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content> is complicated by a relative lack availability or awareness of <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content> services in Australia and New Zealand. Antibiotic allergy education and deployment of <jats:styled-content style=\"fixed-case\">AAT<\/jats:styled-content>, accessible to community and hospital\u2010based clinicians, may improve clinical decisions and reduce antibiotic allergy impacts. A collaborative approach involving <jats:styled-content style=\"fixed-case\">infectious diseases<\/jats:styled-content> physicians, pharmacists and allergists\/immunologists is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13221","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T08:42:51Z","timestamp":1471336971000},"page":"1311-1317","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Return to sender: the need to re\u2010address patient antibiotic allergy labels in Australia and New Zealand"],"prefix":"10.1111","volume":"46","author":[{"given":"J. A.","family":"Trubiano","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases Austin Health  Melbourne Victoria Australia"},{"name":"Department of Infectious Diseases Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. J.","family":"Worth","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Peter MacCallum Cancer Centre  Melbourne Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Urbancic","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Austin Health  Melbourne Victoria Australia"},{"name":"Department of Pharmacy Austin Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. M.","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. L.","family":"Paterson","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the Australasian Society for Infectious Diseases Clinical Research Network","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Department of Clinical Immunology, Pathwest Laboratory Medicine Queen Elizabeth II Medical Centre  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the Australasian Society of Clinical Immunology and Allergy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Institute for Immunology and Infectious Diseases Murdoch University  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