Antibiotic resistance is a clinical and public health crisis. The misuse of antibiotics is a primary driver of this issue and antibiotic stewardship programs are challenged to change clinical practice patterns in response to this growing problem. Penicillin allergy skin testing is a novel approach to address the misuse of antibiotics by optimizing antibiotic utilization and is now included in the CDC's Get Smart Program materials, IDSA Stewardship Guidelines, SHEA Guidelines, and is endorsed by the AAAAI.
Pocket Guide for the Core Elements of Antimicrobial Stewardship
This pocket guide is intended to provide a practical overview of stewardship implementation with a focus on penicillin allergy skin testing.
IDSA: New Antimicrobial Stewardship Guideline 2016
The new Antibiotic Stewardship Guidelines focus on practical advice for implementation
CDC: Core Elements of Hospital Antibiotic Stewardship Programs
This document summarizes core elements of successful hospital Antibiotic Stewardship Programs. It complements existing guidelines on ASPs from organizations including the Infectious Diseases Society of America.
Antibiotic Resistance Facts
Why Penicillin Allergy Skin Testing?
Instructions for Supply Management and Test Preparation
Instructions for Conducting and Interpreting Penicillin Allergy Skin Testing
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- 2Dellit, TH, Owens, RC, McGowan JE, Jr et al. Infectious Disease Society of America and the Society for Healthcare Epidmiology of America Guidelines for Developing Institutional Programs to Enhance Antimicrobial Stewardship. Clin Infect Dis. 2007;44-150-77.
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- 4Dellit, TH, Owens, RC, McGowan JE, Jr et al. Infectious Disease Society of America and the Society for Healthcare Epidmiology of America Guidelines for Developing Institutional Programs to Enhance Antimicrobial Stewardship. Clin Infect Dis. 2007;44-150-77.
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- 6Centers for Disease Control (CDC) Get smart for healthcare website. http://www.cdc.gov/getsmart/healthcare/. [Cited 2016 Apr].
- 7Macy, Eric. Healthcare Use and Serious Infection Prevalence Associated with Penicillin "Allergy" in Hospitalized Patients: A Cohort Study. American Academy of Allergy, Asthma & Immunology. 2013.
- 8Healy, Melissa. LA Times. A Slow Catastrophe Unfolds as the Golden Era of Antibiotics Comes to an End. July 11, 2016.
- 9The Joint Commission. Antimicrobial Stewardship Toolkit. 2013; http://store.jcrinc.com/antimicrobial-stewardship-toolkit/.
- 10 American Society of Health-System Pharmacists. Implementing Antimicrobial Stewardship Programs in Health Systems: An Interprofessional Team Approach. 2013; www.leadstewardship.org.