Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital - Herlev and Gentofte Hospital.
UCSF Centre for Health Research, Copenhagen University Hospital - Rigshospitalet.
Dan Med J. 2023 Aug 23;70(9):A03230180.
About 10% of hospital inpatients are labelled with penicillin allergy in their electronic medical record (EMR). However, allergy is confirmed in less than 10% of these records. Consequently, 90% of patients are treated with broad-spectrum antibiotics, contributing to antimicrobial resistance. We aimed to explore experiences and practices of healthcare professionals that may explain incorrect labelling of penicillin allergy in Denmark and elucidate any consequences hereof.
An electronic survey was distributed to physicians and nurses in six hospital units in Copenhagen and via social media. The survey was active from 19 March to 1 May 2020. Data were assessed using descriptive statistics and by thematic analysis.
The response rate was 44.6%. The survey had 369 participants; 152 physicians and 217 nurses. Half of the physicians and one in every five nurses had experienced problems treating patients with a penicillin allergy label. Physicians reported limited trust in allergy labels, and labelling practices varied. The risk that patients may be truly allergic was the main reason for not removing labels (72%), and a precautionary principle was identified related to penicillin allergy labelling.
The penicillin allergy label is an independent factor of medication errors. Solutions to enhance patient safety may include education of physicians in allergy labelling, decision support, standardisation of the allergy registration in the various EMR systems used, and ideally also a national drug allergy register, which is accessible from all sectors.
None.
Not relevant.
大约 10%的住院患者在其电子病历（EMR）中被标记为青霉素过敏。然而，在这些记录中，不到 10%的患者被证实有过敏反应。因此，90%的患者接受了广谱抗生素治疗，导致了抗菌药物耐药性的产生。我们旨在探讨可能导致丹麦青霉素过敏错误标记的医护人员的经验和做法，并阐明由此产生的任何后果。
我们向哥本哈根六家医院科室的医生和护士以及通过社交媒体分发了电子调查问卷。该调查于 2020 年 3 月 19 日至 5 月 1 日期间进行。我们使用描述性统计和主题分析来评估数据。
回复率为 44.6%。调查共有 369 名参与者，其中包括 152 名医生和 217 名护士。一半的医生和五分之一的护士在治疗有青霉素过敏标签的患者时遇到了问题。医生报告说他们对过敏标签的信任有限，而且标签的使用做法也存在差异。不删除标签的主要原因是担心患者可能真的过敏（72%），并确定了与青霉素过敏标签相关的预防原则。
青霉素过敏标签是药物错误的一个独立因素。增强患者安全的解决方案可能包括对医生进行过敏标签教育、决策支持、在使用的各种 EMR 系统中标准化过敏登记，以及理想情况下还应建立一个全国性的药物过敏登记系统，以便从所有部门都可以访问。
无。
不相关。
