{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T08:39:49Z","timestamp":1765183189035,"version":"3.46.0"},"reference-count":53,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"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":["Medical Journal of Australia"],"published-print":{"date-parts":[[2025,12,8]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n This scoping review explores existing clinical guidelines on administration of benzathine benzylpenicillin (Bicillin L\u2010A, Pfizer Australia) in Australia and Aotearoa New Zealand. The objective is to understand existing delivery guidance to address variation in care and cultural safety considerations, to support messaging during periods of stockout and to inform planning for new administration techniques.<\/jats:p>\n <\/jats:sec>\n \n Data sources<\/jats:title>\n Semi\u2010structured Google search to identify publicly available clinical resources for each jurisdiction of Australia and for New Zealand. The search was conducted from October to December 2023.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Government reports and publicly available clinical guidelines were included. This scoping review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses Extension for Scoping Reviews (PRISMA\u2010ScR).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This guideline review demonstrates that guidance on administration of Bicillin L\u2010A in Australia and New Zealand has strong, consistent, biomedical recommendations but underdeveloped cultural considerations. Across the features of culturally safe practice, existing clinical guidelines provide consistent information on biomedical knowledge and skills, less information about practising culturally safe behaviours and relatively little guidance on addressing power differentials.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Cultural safety inclusions should be considered for future administration guidance development.<\/jats:p>\n <\/jats:sec>","DOI":"10.5694\/mja2.70050","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T08:25:47Z","timestamp":1757579147000},"page":"646-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Scoping review of variation in clinical guidelines for delivery of injectable long\u2010acting penicillin across Australia and Aotearoa New Zealand"],"prefix":"10.5694","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5441-0502","authenticated-orcid":false,"given":"Shriyutha","family":"Vaka","sequence":"first","affiliation":[{"name":"Australian National University Canberra ACT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4816-2933","authenticated-orcid":false,"given":"Lisa J","family":"Whop","sequence":"additional","affiliation":[{"name":"Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research Australian National University Canberra ACT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie J","family":"Kirk","sequence":"additional","affiliation":[{"name":"University of Western Australia Perth WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurens","family":"Manning","sequence":"additional","affiliation":[{"name":"University of Western Australia Perth WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3904-9269","authenticated-orcid":false,"given":"Rosemary","family":"Wyber","sequence":"additional","affiliation":[{"name":"Yardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research Australian National University Canberra ACT"},{"name":"The Kids Research Institute Australia Perth WA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_9_1_1","unstructured":"RHD Action.Global status of BPG report: the benzathine penicillin G report.https:\/\/rhdaction.org\/sites\/default\/files\/RHD%20Action_Global%20Status%20of%20BPG%20Report_Online%20Version.pdf(viewed Oct 2023)."},{"volume-title":"Acute rheumatic fever and rheumatic heart disease in Australia","year":"2024","author":"Australian Institute of Health and Welfare","key":"e_1_2_9_2_1"},{"volume-title":"Rheumatic fever cases in 2023","year":"2023","author":"Institute of Environmental Science and Research","key":"e_1_2_9_3_1"},{"volume-title":"National syphilis surveillance quarterly report. 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