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非过敏症专科医生对青霉素过敏去标签化的最新进展及未来的叙述性综述。

Narrative review of recent developments and the future of penicillin allergy de-labelling by non-allergists.

作者信息

Powell Neil, Blank Michael, Luintel Akish, Elkhalifa Shuayb, Bhogal Rashmeet, Wilcock Michael, Wakefield Michael, Sandoe Jonathan

机构信息

Pharmacy Department, Royal Cornwall Hospital Trust, Truro, Cornwall, UK.

Imperial College Healthcare NHS Trust, London, UK.

出版信息

NPJ Antimicrob Resist. 2024 Jul 10;2(1):18. doi: 10.1038/s44259-024-00035-6.

DOI:10.1038/s44259-024-00035-6
PMID:39843524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11721385/
Abstract

This article outlines recent developments in non-allergist delivered penicillin allergy de-labelling (PADL), discusses remaining controversies and uncertainties and explores the future for non-allergist delivered PADL. Recent developments include national guidelines for non-allergist delivered PADL and validation of penicillin allergy risk assessment tools. Controversies remain on which penicillin allergy features are low risk of genuine allergy. In the future genetic or immunological tests may facilitate PADL.

摘要

本文概述了非过敏专科医生进行青霉素过敏重新评估(PADL)的最新进展,讨论了尚存的争议和不确定性,并探讨了非过敏专科医生进行PADL的未来发展。最新进展包括非过敏专科医生进行PADL的国家指南以及青霉素过敏风险评估工具的验证。关于哪些青霉素过敏特征真正过敏风险较低仍存在争议。未来,基因或免疫检测可能会促进PADL的发展。

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J Allergy Clin Immunol Pract. 2024 Jul;12(7):1801-1808.e2. doi: 10.1016/j.jaip.2024.04.010. Epub 2024 Apr 16.
2
A multicentre observational study to investigate feasibility of a direct oral penicillin challenge in de-labelling 'low risk' patients with penicillin allergy by non-allergy healthcare professionals (SPACE study): Implications for healthcare systems.一项多中心观察性研究,旨在调查非过敏专业医护人员通过直接口服青霉素挑战来解除“低危”青霉素过敏患者标签(SPACE 研究)的可行性:对医疗保健系统的影响。
J Infect. 2024 Mar;88(3):106116. doi: 10.1016/j.jinf.2024.01.015. Epub 2024 Feb 6.
3
Non-allergist healthcare workers views on delivering a penicillin allergy de-labelling inpatient pathway: identifying the barriers and enablers.非过敏症专科医护人员对实施青霉素过敏重新认定住院患者流程的看法:识别障碍与促进因素
JAC Antimicrob Resist. 2024 Feb 7;6(1):dlae014. doi: 10.1093/jacamr/dlae014. eCollection 2024 Feb.
4
Penicillin allergy de-labelling by non-allergists: a comparison of testing protocols.非过敏症专科医生对青霉素过敏标签的去除:检测方案比较
JAC Antimicrob Resist. 2023 Dec 19;5(6):dlad134. doi: 10.1093/jacamr/dlad134. eCollection 2023 Dec.
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