How can we remove erroneous penicillin allergy labels?

Q3 Dentistry Evidence-based dentistry Pub Date : 2025-01-09 DOI:10.1038/s41432-024-01100-9

C Albert Yeung

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Abstract

Objectives: To evaluate the use of the Penicillin Allergy Reassessment for Treatment Improvement (PARTI) tool in supporting appropriate penicillin allergy labelling in dental practices.

Design: Parallel mixed methods study.

Methods: Focus groups of patients with documented penicillin allergies and healthcare worker targeted questionnaires were used in gathering feedback on the PARTI tool's design and functionality. Transcriptions of the focus group discussions and free text answers from the questionnaires were coded for analysis using a modified grounded theory approach.

Results: A total of 15 patients engaged in the focus groups and 50 healthcare workers responded to the questionnaire. Mean age of the patients was 52 years and 53.3% were female. Most patients (73.3%) had visited a dentist in the preceding year and 86.6% were asked about drug allergies. Healthcare worker respondents included 30% pharmacists and dentists, dental hygienists, and dental assistants (28%). Feedback from patients and healthcare workers on the PARTI tool was constructive and suggestions were made for improvement. Many healthcare workers (68%) highlighted the importance of the section on penicillin allergy testing in the PARTI tool. Feedback from the participants was incorporated into the final PARTI tool.

Conclusions: Feedback from patients and healthcare workers was used to finalise a tool for dental practices to enhance dentist-patient communications regarding penicillin allergy.

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我们如何去除错误的青霉素过敏标签？

目的：评估青霉素过敏再评估以改善治疗（PARTI）工具在牙科实践中支持适当的青霉素过敏标签的使用。设计：平行混合方法研究。方法：采用有青霉素过敏记录的患者焦点小组和卫生保健工作者目标问卷，收集对PARTI工具设计和功能的反馈。焦点小组讨论的转录和问卷中的自由文本答案被编码，以便使用改进的扎根理论方法进行分析。结果：15名患者参与了焦点小组，50名医护人员参与了问卷调查。患者平均年龄52岁，女性53.3%。大部分病人（73.3%）在前一年曾看过牙医，86.6%曾被问及药物过敏。受访的卫生保健工作者包括30%的药剂师和牙医、牙科保健员和牙科助理（28%）。患者和医护人员对PARTI工具的反馈是建设性的，并提出了改进建议。许多卫生保健工作者（68%）强调了PARTI工具中青霉素过敏试验部分的重要性。参与者的反馈被纳入最终的PARTI工具。结论：利用患者和卫生保健工作者的反馈来确定牙科实践的工具，以加强牙医与患者关于青霉素过敏的沟通。

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来源期刊

Evidence-based dentistry Dentistry-Dentistry (all)

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Evidence-Based Dentistry delivers the best available evidence on the latest developments in oral health. We evaluate the evidence and provide guidance concerning the value of the author''s conclusions. We keep dentistry up to date with new approaches, exploring a wide range of the latest developments through an accessible expert commentary. Original papers and relevant publications are condensed into digestible summaries, drawing attention to the current methods and findings. We are a central resource for the most cutting edge and relevant issues concerning the evidence-based approach in dentistry today. Evidence-Based Dentistry is published by Springer Nature on behalf of the British Dental Association.