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Penicillin Allergy: Evaluation and Testing

Over 95% of people labelled as penicillin allergic are not. This video supplement covers 5 toolkits from the January 15, 2019, JAMA clinical review that are a resource for clinicians interested in performing penicillin allergy testing in their practice. This video also explains risk stratification of patients undergoing penicillin allergy testing, patient preparation for testing, testing of low-risk patients and managing reactions to oral penicillin challenge including anaphylaxis, testing of moderate-risk patients, and follow-up management. Read the article and download the toolkits here: https://ja.ma/2RBlzL1 0:00 - Introduction 1:22 - Risk Stratification 3:08 - Preparation for All Patients Before Penicillin Allergy Testing 4:38 - Anaphylaxis Kit in Your Clinical Area 5:19 - Testing Low-Risk Patients 7:20 - Management of Anaphylaxis 8:16 - Testing Moderate-Risk Patients: Step 1 - Skin Prick Test 11:46 - Testing Moderate-Risk Patients: Step 2 - Intradermal Test 13:05 - Testing Moderate-Risk Patients: Step 3 - Oral Amoxicillin Challenge 13:59 - Updating EMR 16:30 - Additional Considerations