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Optimizing utilization of beta-lactam surgical prophylaxis through implementation of a structured allergy assessment tool in a presurgical clinic

Published online by Cambridge University Press:  30 September 2019

John-Ericson P. Margallo Open the ORCID record for John-Ericson P. Margallo [Opens in a new window] ,
Ethan A. Smith ,
Gregory Marks ,
Michael Ben-Aderet ,
Haoshu Yang ,
Meghan Madhusudhan ,
Sneha Krishna ,
Ann Duran ,
Arnold Friedman  and
Suzanne L. Cassel
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John-Ericson P. Margallo
Affiliation:
Loma Linda University School of Pharmacy, Loma Linda, California
Ethan A. Smith*
Affiliation:
Department of Pharmacy Services, Cedars-Sinai Medical Center, Los Angeles, California
Gregory Marks
Affiliation:
Department of Pharmacy Services, Cedars-Sinai Medical Center, Los Angeles, California
Michael Ben-Aderet
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Haoshu Yang
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Meghan Madhusudhan
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Sneha Krishna
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Ann Duran
Affiliation:
Department of Nursing, Cedars-Sinai Medical Center, Los Angeles, California
Arnold Friedman
Affiliation:
Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, California
Suzanne L. Cassel
Affiliation:
Department of Medical Affairs, Cedars-Sinai Medical Center, Los Angeles, California
Hai Tran
Affiliation:
Department of Pharmacy Services, Cedars-Sinai Medical Center, Los Angeles, California
Rita Shane
Affiliation:
Department of Pharmacy Services, Cedars-Sinai Medical Center, Los Angeles, California
Rekha K. Murthy
Affiliation:
Department of Medical Affairs, Cedars-Sinai Medical Center, Los Angeles, California
Jonathan D. Grein
Affiliation:
Department of Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
*
Author for correspondence: Ethan A. Smith, Email: ethan.smith@cshs.org
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Abstract

In patients with β-lactam allergies, administration of non–β-lactam surgical prophylaxis is associated with increased risk of infection. Although many patients self-report β-lactam allergies, most are unconfirmed or mislabeled. A quality improvement process, utilizing a structured β-lactam allergy tool, was implemented to improve the utilization of preferred β-lactam surgical prophylaxis.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 12 , December 2019 , pp. 1420 - 1422
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATION: The preliminary work was presented at the Western States Pharmacy Conference on May 22, 2018 in San Diego, CA.

References

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