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Evaluation Of Beta-Lactam Allergy Classification And Carbapenem Use In Patients Admitted To The Medical-Surgical Floors Of A Large, Community Hospital, Zachary Brown Pharmd, Dylan Walker, Trent Towne Pharmd, Bcps Jan 2020

Evaluation Of Beta-Lactam Allergy Classification And Carbapenem Use In Patients Admitted To The Medical-Surgical Floors Of A Large, Community Hospital, Zachary Brown Pharmd, Dylan Walker, Trent Towne Pharmd, Bcps

Parkview Pharmacy Department

Background and Objective

Background • CDC reports half of patients admitted to the hospital received at least 1 dose of antibiotics from 2006-2012 • Approximately 32 million people in the United States have a documented allergy to a beta-lactam (BL) antibiotic • Approximately 10% of all US patients report having an allergic reaction to a BL in their lifetime • Fewer than 1% has a true IgE (immunoglobulin E) mediated allergy to a BL • Over 80% of those patients with an IgE-mediated allergy lose sensitivity after 10 years • Penicillin-skin testing cost: ~$220 • Per the CDC, carbapenem use …