2aa13187-1f47-45d4-84c4-31c1a4754634Penicillin allergy history based review2025-07-14T17:54:29.9161209+01:00EMISWEBMAYNARD, Laura (Mrs)Page 1falsefalseAllergy historyfalsee0937287-552b-44bd-868c-9c248c6216eafalsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\f0\fs18 Exclusion criteria: Under 18 years or unable to give consent or does not have a penicillin allergy or adverse drug reaction on record\par
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f41254fc-2385-448a-af38-c42d9d1c901ffalsefalseSNOMED_CONCEPTfalsetrueHistory based penicillin allergy review AS1c7e2820-f61b-4033-ac11-d076275cf6d6falsefalseSNOMED_CONCEPTfalsefalse34e3bb51-ea57-4118-9170-36ff5392fc1efalsefalseSNOMED_CONCEPTfalsefalse5babf63f-9c85-4b47-89ef-0d5ea2093c5dfalsefalse0cb4b286-ba75-43b6-a779-c553fa47ec13falsetruefalsefalseWhich penicillin was involved? - UnspecifiedWhich penicillin was involved? - AmoxicillinWhich penicillin was involved? - Co-amoxiclavWhich penicillin was involved? - FlucloxacillinWhich penicillin was involved? - PhenoxymethylpenicillinWhich penicillin was involved? - PivmecillinamWhich penicillin was involved? - Other (specifiy)94910530-d1d0-49d2-a6bf-27440c7454a1falsefalseRefer to section 2.3.1 of the Good Practice Guide85f9b589-f494-442b-90c5-6083dcbd62d9falsetruefalsefalseWas this suspected allergy within the last 5 years? = Yes (2 points)Was this suspected allergy within the last 5 years? = No (0 points)e0d4b1a1-aac5-47b6-825d-60a0c026cf8cfalsetrue* Stevens-Johnson syndrome/toxic epidermal necrolysis, acute generalised exanthematous pustulosis (AGEP), drug reaction with eosinophilia & systemic symptoms (DRESS), Any severe delayed rash with mucosal involvement falsefalseAnaphylaxis or angioedema OR severe cutaneous reaction? = Yes (2 points)Anaphylaxis or angioedema OR severe cutaneous reaction? = No (0 points)34caaa93-ebae-4ab4-ae4a-27da04a502d2falsetruefalsefalseWas treatment required for reaction? = Yes (1 point)Was treatment required for reaction? = No (0 points)3d419165-ab2f-438f-815a-ea7fbab8e5a1falsefalse32a79861-84fc-4c72-aa69-3d8bccfc34e5falsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\f0\fs18 Total score: \par
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0 points: Proceed to section 2 \par
There is <1% (less than 1 in 100) chance it is a true penicillin allergy \par
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1-2 points: Allergy remains on record\par
There is a 5% (1 in 20) chance it is a true penicillin allergy \par
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\u8203?3+ points: Allergy remains on record\par
There is at least a 20% (1 in 5) chance it is a true penicillin allergy \par
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f24ef14e-5e2d-4c1d-a148-221c5eae22d1falsefalsefalsefalse1-2 points - Person would like to receive an oral amoxicillin test if available =Yes1-2 points - Person would like to receive an oral amoxicillin test if available = NofalsefalseSection 2 - Very low risk symptoms - suitable for de-labelling:falsef915d1f1-16c6-4b1b-9e2a-23cda42a9385falsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\f0\fs18 Reported reaction to penicillin\par
}
81a1ce06-2b12-44e3-8c64-f816efa84037falsetruefalsefalseMild GI symptoms? = YesMild GI symptoms? = Nod72f5c65-78d6-4ffe-9496-6f023ad76a33falsetruefalsefalseThrush or c.difficile bowel infection after taking penicillin? = YesThrush or c.difficile bowel infection after taking penicillin? = Nob63f13a0-1db4-43e1-9af5-6fdf26fd0c50falsetruefalsefalseMild symptoms like headache, joint pain, change of taste in mouth = YesMild symptoms like headache, joint pain, change of taste in mouth = No95dbf4c3-62b8-4003-a016-c737c6f4429dfalsetruefalsefalseFamily history of penicillin allergy but without personal history of it = YesFamily history of penicillin allergy but without personal history of it = Node4205ae-d849-4065-8527-28e6f9ff4332falsetruefalsefalseHas taken and tolerated any Penicillin following the initial reaction? = YesHas taken and tolerated any Penicillin following the initial reaction? = No1362b7c8-5859-4305-aa46-153e8974b435falsefalsetruefalseAmoxicillinCo-AmoxiclavFlucloxacillinPhenoxymethylpenicillinPivmecillinamother19b9c253-4918-4b77-b2c3-69ea48d7f86afalsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\f0\fs18 If 'yes' answered to any of the above, discuss removing the penicillin allergy label with the person. \par
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If 'no' answered to \b ALL \b0 of the above, only consider removing the penicillin allergy label if there is strong clinical justification.\par
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falsefalseEligible person consents to removal of penicillin allergy from their active recordfalsea76d7165-abc3-40a9-8960-53040149a247falsefalsef472fbeb-9848-4b55-bd27-3f6a1c8d1772falsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\f0\fs18 Patient consent\par
}
2468343e-49e5-4405-9d20-2cc835bec66bfalsetruefalsefalseHistory based penicillin allergy review outcome: YES - the person is comfortable taking penicillin in the future and removing allergy recordHistory based penicillin allergy review outcome: NO - but the person would like to have an oral amoxicillin test in the future if the service is availableHistory based penicillin allergy review outcome: NO - clarify nature of reaction on records155fc25c-f453-43d4-8191-485b46da3af1falsefalse{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0 Tahoma;}}
\viewkind4\uc1\pard\b\f0\fs18 If penicillin allergy delabelled - ensure allergy information is updated. Remove the allergy code from the care record, and add an error entry deleted on the same date as the original code, with the previous visible text and a reason for change e.g. free text - Allergy to pencillin - delabelled 2026\par
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If penicillin allergy cannot be delabelled - clarify and document nature of reaction on the same line as the allergy or adverse drug reaction code\b0\par
}
abff1d45-a553-493e-b31c-80aa181c4a8ftruefalseSNOMED_CONCEPTfalsetrue