Carter Eileen J, Kaman Kelsey, Baron Katelyn, Miller Michael, Krol David M, Harpalani Divya, Aseltine Robert H, Pagoto Sherry
University of Connecticut School of Nursing, Storrs, CT.
Connecticut Asthma & Allergy Center, West Hartford, CT.
Am J Infect Control. 2023 Jan;51(1):56-61. doi: 10.1016/j.ajic.2022.04.008. Epub 2022 May 7.
Penicillin allergies are commonly reported in children. Most reported penicillin allergies are false, resulting in the unnecessary selection of alternative antibiotic treatments that promote antibiotic resistance. While formal allergy testing is encouraged to establish a diagnosis of penicillin allergy, children are rarely referred for allergy testing, and study of parents' experiences and perceptions of their child's reported penicillin allergy is limited. We aimed to describe parents' experiences and perceptions of their child's penicillin allergy and attitudes towards penicillin allergy testing to identify opportunities to engage parents in antimicrobial stewardship efforts.
This was a qualitative descriptive study.
Eighteen parents participated in this study. Parents' children were on average 2 years old when the index reaction occurred, and 7 years had passed since the reaction. Transcripts revealed that participants were receptive to penicillin allergy testing for their child after learning the consequences of penicillin allergy and availability of allergy testing. Four major themes emerged from data (1) parents' making sense of allergy; (2) parents' impressions of allergy label, (3) parents' attitudes towards allergy testing, and (4) parents' desire to be informed of testing availability.
Efforts are needed to engage parents in addressing spuriously reported penicillin allergies.
儿童中青霉素过敏的报告很常见。多数报告的青霉素过敏是假阳性，导致不必要地选用替代抗生素治疗，进而促进了抗生素耐药性。虽然鼓励进行正规的过敏测试以确诊青霉素过敏，但很少有儿童被转诊去做过敏测试，而且关于家长对其孩子报告的青霉素过敏的经历和看法的研究也很有限。我们旨在描述家长对其孩子青霉素过敏的经历和看法以及对青霉素过敏测试的态度，以确定让家长参与抗菌药物管理工作的机会。
这是一项定性描述性研究。
18位家长参与了本研究。家长的孩子在发生索引反应时平均年龄为2岁，自反应发生以来已过去7年。访谈记录显示，在了解青霉素过敏的后果和过敏测试的可及性后，参与者愿意为其孩子进行青霉素过敏测试。数据中出现了四个主要主题：（1）家长对过敏的理解；（2）家长对过敏标签的印象；（3）家长对过敏测试的态度；（4）家长希望了解测试的可及性。
需要努力让家长参与解决虚假报告的青霉素过敏问题。
