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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
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
Corresponding
E-mail address:

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
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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American Nurses Association, Centers for Disease Control and Prevention. Redefining the antibiotic stewardship team: recommendations from the American Nurses Association/Centers for Disease Control and Prevention work group on the role of registered nurses in hospital antibiotic stewardship practices. Centers for Disease Control and Prevention website. https://www.cdc.gov/antibiotic-use/healthcare/pdfs/ANA-CDC-whitepaper.pdf. Updated September 2017. Accessed July 30, 2018.Google Scholar
Vaisman, A, McCready, J, Hicks, S, et al. Optimizing preoperative prophylaxis in patients with reported beta-lactam allergy: a novel extension of antimicrobial stewardship. J Antimicrob Chemother 2017;72:26572660.CrossRefGoogle ScholarPubMed

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