{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T01:59:09Z","timestamp":1769047149183,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Penicillin allergy accounts for the majority of all reported adverse drug reactions in adults and children. Foregoing first\u2010line antibiotic therapy due to penicillin allergy label is associated with an increased prevalence of infections by resistant organisms and longer hospitalisation. Clinician awareness of allergy assessment, referral indications, management of allergy and anaphylaxis is therefore vital but globally lacking. We aim to assess the knowledge of penicillin allergy, assessment and management in Western Australian health professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymous survey was distributed to pharmacists, nurses and physicians within Western Australian paediatric and adult Hospitals, Community and General Practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 487\/611 were completed and included in the statistical analysis. Only 62% (301\/487) of respondents routinely assessed for patient medication allergies. Of those who assessed allergy, 9% (28\/301) of respondents met the Australian standards for allergy assessment. Only 22% (106\/487) of participants correctly cited all indications for management with adrenaline in anaphylaxis to antibiotics and 67% (197\/292) of physicians rarely or never referred to an allergy service. Paediatric clinicians had an increased understanding of allergy assessment and anaphylaxis management. Recent penicillin allergy education within a 5\u2010year period led to significant improvements in allergy knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, knowledge, assessment and management of penicillin allergies among practitioners in Western Australia are currently inadequate in adults and paediatric clinicians to provide safe and effective clinical care. The implementation of a targeted education program for WA health professionals is urgently required and is expected to improve clinician knowledge and aid standardised penicillin assessment (de\u2010labelling) practices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16007","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T11:31:26Z","timestamp":1651577486000},"page":"1414-1419","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Penicillin allergy<scp>SHACK<\/scp>: Survey of hospital and community knowledge"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6295-3961","authenticated-orcid":false,"given":"Katherine","family":"Collins","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Pain Management Perth Children's Hospital Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Rueter","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Perth Children's Hospital Perth Western Australia Australia"},{"name":"Department of Immunology Perth Children's Hospital Perth Western Australia Australia"},{"name":"School of Medicine The University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8881-9990","authenticated-orcid":false,"given":"Michaela","family":"Lucas","sequence":"additional","affiliation":[{"name":"Department of Immunology Perth Children's Hospital Perth Western Australia Australia"},{"name":"School of Medicine The University of Western Australia Perth Western Australia Australia"},{"name":"Department of Immunology Sir Charles Gairdner Hospital Perth Western Australia Australia"},{"name":"Institute for Immunology and Infectious Diseases Murdoch University Murdoch Western Australia Australia"},{"name":"PathWest Laboratory Medicine Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3600-1315","authenticated-orcid":false,"given":"David","family":"Sommerfield","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Perth Children's Hospital Perth Western Australia Australia"},{"name":"School of Medicine The University of Western Australia Perth Western Australia Australia"},{"name":"Perioperative Medicine Telethon Kids Institute Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aine","family":"Sommerfield","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Perth Children's Hospital Perth Western Australia Australia"},{"name":"Perioperative Medicine Telethon Kids Institute Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3349-5006","authenticated-orcid":false,"given":"Nazim","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of Western Australia Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-8541","authenticated-orcid":false,"given":"Britta S","family":"von Ungern\u2010Sternberg","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management Perth Children's Hospital Perth Western Australia Australia"},{"name":"School of Medicine The University of Western Australia Perth Western Australia Australia"},{"name":"Perioperative Medicine Telethon Kids Institute Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1717295115"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13223"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2020.03.012"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.01.034"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.4103\/2231-4040.70513","article-title":"The facts about penicillin allergy: A review","volume":"1","author":"Bhattacharya S","year":"2010","journal-title":"J. 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