{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:22:11Z","timestamp":1793020931065,"version":"4.5.0"},"reference-count":19,"publisher":"Oceanside Publications Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["allergy asthma proc"],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"\n Background:<\/jats:bold>\n Most patients who report penicillin allergy are found to tolerate penicillin later in life. Few studies have examined patients' understanding and beliefs about penicillin allergy and testing. Evaluating patients' perspectives may help identify ways to improve\n patient education and increase testing to de-label those who can tolerate penicillin.\n Objective:<\/jats:bold>\n To better understand patient perspectives on penicillin allergy testing and to identify whether patient characteristics and beliefs impact completion of testing.\n Methods:<\/jats:bold>\n Patients who were visiting our allergy clinics and had documentation of a penicillin allergy in the electronic medical record (EMR) were approached to complete a survey with regard to their reaction history and knowledge and\/or perspectives about penicillin allergy and testing. Eighty-eight\n patients completed the survey, and their medical records were reviewed to collect results of penicillin testing.\n Results:<\/jats:bold>\n Fewer than half of the patients (45.5%) who had EMR-documented penicillin allergy reported awareness that testing for penicillin allergy is available.\n Awareness of penicillin allergy testing was significantly associated with completion of testing, whereas other patient characteristics, such as education, income, and distance to the hospital, were not. Patients who scheduled a return visit for testing at the time of their initial visit were\n significantly more likely to follow through with testing. Most patients were interested in penicillin testing. For patients who were not interested, the most frequently cited reason was fear of adverse effects of testing.\n Conclusion:<\/jats:bold>\n Among the patients who carried a penicillin\n allergy label, those who were aware of penicillin allergy testing were more likely to complete testing, and ease of scheduling contributed to higher rates of testing completion. Fear about adverse effects from testing was the most reported barrier. Our findings emphasized the importance of\n increasing awareness of the availability and safety of penicillin testing through patient education and collaboration with other specialties.\n <\/jats:p>","DOI":"10.2500\/aap.2022.43.210090","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T07:03:14Z","timestamp":1641366194000},"page":"64-69","source":"Crossref","is-referenced-by-count":16,"title":["Patient perspectives on penicillin allergy and testing"],"prefix":"10.2500","volume":"43","author":[{"given":"Kaoru","family":"Harada","sequence":"first","affiliation":[{"name":"From the Division of Clinical Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Grace","family":"Baker","sequence":"additional","affiliation":[{"name":"Elliot and Roslyn Jaffe Food Allergy Institute, Division of Pediatric Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shradha","family":"Agarwal","sequence":"additional","affiliation":[{"name":"From the Division of Clinical Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1355","reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1056\/NEJMra1807761","article-title":"Penicillin allergy","volume":"381","author":"Castells","year":"2019","journal-title":"N Engl J Med"},{"key":"B2","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1001\/jama.2018.19283","article-title":"Evaluation and management of penicillin allergy: a review","volume":"321","author":"Shenoy","year":"2019","journal-title":"JAMA"},{"key":"B3","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1111\/all.13168","article-title":"Clinical outcomes following inpatient penicillin allergy testing: a systematic review and meta-analysis","volume":"72","author":"Sacco","year":"2017","journal-title":"Allergy"},{"key":"B4","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.jaci.2013.09.021","article-title":"Health care use and serious infection prevalence associated with penicillin \u201callergy\u201d in hospitalized patients: a cohort study","volume":"133","author":"Macy","year":"2014","journal-title":"J Allergy Clin Immunol"},{"key":"B5","year":"2014"},{"key":"B6","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.jaip.2016.12.010","article-title":"Penicillin allergy testing should be performed routinely in patients with self-reported penicillin allergy","volume":"5","year":"2017","journal-title":"J Allergy Clin Immunol Pract"},{"key":"B7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.anai.2010.05.010","article-title":"Penicillin skin testing in the evaluation and management of penicillin allergy","volume":"106","author":"Fox","year":"2011","journal-title":"Ann Allergy Asthma Immunol"},{"key":"B8","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1097\/ACI.0000000000000173","article-title":"Penicillin allergy: optimizing diagnostic protocols, public health implications, and future research needs","volume":"15","author":"Macy","year":"2015","journal-title":"Curr Opin Allergy Clin Immunol"},{"key":"B9","doi-asserted-by":"crossref","first-page":"2972","DOI":"10.1093\/cid\/ciaa567","article-title":"Penicillin allergy evaluation access: a national survey","volume":"71","author":"Mancini","year":"2020","journal-title":"Clin Infect Dis"},{"key":"B10","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.anai.2017.04.023","article-title":"A survey of inpatient practitioner knowledge of penicillin allergy at 2 community teaching hospitals","volume":"119","author":"Staicu","year":"2017","journal-title":"Ann Allergy Asthma Immunol"},{"key":"B11","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1016\/j.jaip.2019.02.036","article-title":"Patient and primary care physician perceptions of penicillin allergy testing and subsequent use of penicillin-containing antibiotics: a qualitative study","volume":"7","author":"Wanat","year":"2019","journal-title":"J Allergy Clin Immunol Pract"},{"key":"B12","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1159\/000323898","article-title":"Patients' satisfaction with diagnostic drug provocation tests and perception of its usefulness","volume":"156","author":"Gomes","year":"2011","journal-title":"Int Arch Allergy Immunol"},{"key":"B13","doi-asserted-by":"crossref","first-page":"2858","DOI":"10.1016\/j.jaip.2020.04.059","article-title":"Penicillin allergy delabeling: a multidisciplinary opportunity","volume":"8","author":"Staicu","year":"2020","journal-title":"J Allergy Clin Immunol Pract"},{"key":"B14","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1016\/j.jaip.2020.10.050","article-title":"Examining the impact of a penicillin allergy skin testing brochure on inpatient perceptions: a pre-post intervention study","volume":"9","author":"Brown","year":"2021","journal-title":"J Allergy Clin Immunol Pract"},{"key":"B15","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/MOP.0000000000000879","article-title":"Update on penicillin allergy delabeling","volume":"32","author":"Shaker","year":"2020","journal-title":"Curr Opin Pediatr"},{"issue":"pt 1","key":"B16","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/S0091-6749(99)70439-2","article-title":"Natural evolution of skin test sensitivity in patients allergic to beta-lactam antibiotics","volume":"103","author":"Blanca","year":"1999","journal-title":"J Allergy Clin Immunol"},{"key":"B17","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1001\/jama.2017.6510","article-title":"Penicillin allergy is not necessarily forever","volume":"318","author":"Trubiano","year":"2017","journal-title":"JAMA"},{"key":"B18","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1080\/00325481.2017.1370360","article-title":"Proactive penicillin allergy testing in primary care patients labeled as allergic: outcomes and barriers","volume":"129","author":"Sundquist","year":"2017","journal-title":"Postgrad Med"},{"key":"B19","doi-asserted-by":"crossref","first-page":"2958","DOI":"10.1016\/j.jaip.2020.08.018","article-title":"Patient characteristics and concerns about drug allergy: a report from the United States Drug Allergy Registry","volume":"8","author":"Blumenthal","year":"2020","journal-title":"J Allergy Clin Immunol Pract"}],"container-title":["Allergy and Asthma 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