Parent-reported penicillin allergies in children: A qualitative study.

Autor: Carter, Eileen J., Kaman, Kelsey, Baron, Katelyn, Miller, Michael, Krol, David M., Harpalani, Divya, Aseltine, Robert H., Pagoto, Sherry
Zdroj: American Journal of Infection Control; Jan2023, Vol. 51 Issue 1, p56-61, 6p
Abstrakt: • Parents were largely unaware of the consequences of reported penicillin allergies. • Few parents were aware of the availability of penicillin allergy testing. • Parents expressed favorable attitudes towards penicillin allergy testing. • Efforts are needed to engage parents in penicillin allergy delabeling. Penicillin allergies are commonly reported in children. Most reported penicillin allergies are false, resulting in the unnecessary selection of alternative antibiotic treatments that promote antibiotic resistance. While formal allergy testing is encouraged to establish a diagnosis of penicillin allergy, children are rarely referred for allergy testing, and study of parents' experiences and perceptions of their child's reported penicillin allergy is limited. We aimed to describe parents' experiences and perceptions of their child's penicillin allergy and attitudes towards penicillin allergy testing to identify opportunities to engage parents in antimicrobial stewardship efforts. This was a qualitative descriptive study. Eighteen parents participated in this study. Parents' children were on average 2 years old when the index reaction occurred, and 7 years had passed since the reaction. Transcripts revealed that participants were receptive to penicillin allergy testing for their child after learning the consequences of penicillin allergy and availability of allergy testing. Four major themes emerged from data (1) parents' making sense of allergy; (2) parents' impressions of allergy label, (3) parents' attitudes towards allergy testing, and (4) parents' desire to be informed of testing availability. Efforts are needed to engage parents in addressing spuriously reported penicillin allergies. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index
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