Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2017
Paediatric acute care: Highlights from the Paediatric Acute Care-Advanced Paediatric Life Support Conference, Adelaide, 2016.
The Paediatric Acute Care Conference (PACC) is an annual conference organised by Advanced Paediatric Life Support Australia to advance paediatric acute care topics for clinicians in pre-hospital medicine, EDs, acute paediatrics, intensive care and anaesthesia. The PACC 2016 was held at Glenelg, Adelaide, Australia. We provide a summary of some of the presentations.
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Emerg Med Australas · Oct 2017
De-labelling self-reported penicillin allergy within the emergency department through the use of skin tests and oral drug provocation testing.
Self-reported penicillin allergy is common among patients attending the ED, but is a poor predictor of true immunoglobulin E-mediated hypersensitivity to penicillin. We hypothesise that with a combination of skin testing and drug provocation testing, selected patients can be safely de-labelled of their allergy. ⋯ Selected patients in the ED who self-report an allergy to penicillin can be safely tested there for penicillin allergy, using skin tests and oral drug provocation testing. This testing allows a significant de-labelling of penicillin allergy, with the majority of these patients able to tolerate penicillin without incident.