{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T01:48:26Z","timestamp":1790214506648,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,2,2]],"date-time":"2017-02-02T00:00:00Z","timestamp":1485993600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Pharmacother"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>Objective: To critically examine the feasibility, benefits, and limitations of an inpatient penicillin skin testing service and how pharmacists can be utilized. Data Sources: A PubMed search was performed from July 2016 through September 2016 using the following search terms: penicillin skin testing, penicillin allergy, \u03b2-lactam allergy. Additional references were identified from a review of literature citations. Study Selection and Data Extraction: All English-language studies assessing the use of penicillin skin testing as well as management and clinical outcomes of patients with a \u03b2-lactam allergy were evaluated. Data Synthesis: The prevalence of people self-identifying as penicillin allergic ranges from 10% to 20% in the United States. Being improperly labeled as penicillin allergic is associated with higher health care costs, worse clinical outcomes, and an increased prevalence of multidrug-resistant infections. Penicillin skin testing can be a tool used to clarify penicillin allergies and has been demonstrated to be a successful addition to antimicrobial stewardship programs in multiple health care settings. Prior to implementing a penicillin skin testing service, institutions will need to perform a feasibility analysis of who will supply labor and accept the financial burden as well as identify if the positive benefits of a penicillin skin testing service overcome the limitations of this diagnostic test. Conclusion: We conclude that institutions with high percentages of patients receiving non\u2013\u03b2-lactams because of penicillin allergy labels would likely benefit the most from a penicillin skin testing service.<\/jats:p>","DOI":"10.1177\/1060028017690854","type":"journal-article","created":{"date-parts":[[2017,2,3]],"date-time":"2017-02-03T01:57:59Z","timestamp":1486087079000},"page":"504-510","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Feasibility, Benefits, and Limitations of a Penicillin Allergy Skin Testing Service"],"prefix":"10.1177","volume":"51","author":[{"given":"Prasanna P.","family":"Narayanan","sequence":"first","affiliation":[{"name":"Mayo Clinic Hospital\u2013Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan N.","family":"Jeffres","sequence":"additional","affiliation":[{"name":"University of Colorado Skaggs School of Pharmacy and 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