Widening access to penicillin allergy assessment in the United Kingdom—a proposed implementation plan for the National Health Service (NHS)
Year: 2025
Type: article
Abstract: Globally, there is increasing evidence that incorrect penicillin allergy labels negatively affect patient outcomes, antibiotic prescribing and antimicrobial resistance, leading to growing concern about this patient safety issue and how to resolve it. While many millions of patients worldwide have incorrect penicillin allergy labels, there are too few specialist allergists and a lack of 'point-of-care' tests to address this problem. Numerous research studies now provide evidence of the feasibility and importance of widening access to penicillin allergy assessment. Researchers from two UK-based studies (SPACE and ALABAMA), in collaboration with key stakeholders including patient representatives, gave their views to shape a high-level implementation plan to facilitate widening access to penicillin allergy assessment in the UK. This Viewpoint describes the basis of the implementation plan and summarizes the key actions required for successful delivery. While the plan is intended for the UK, we hope to promote international shared learning and collaboration to address this global problem informed by the UK context.
Source: JAC-Antimicrobial Resistance
Authors: Catherine E Porter, Caity Roleston, Claire Bethune, Jenny Boards, Colin S Brown, Ian Clarke, Joanne Fielding, Philip Howard, Conor Jamieson, Siraj A Misbah, Andrew C Moss, Sue H Pavitt, Neil Powell, Louise Savic, Sinisa Savic, Mamidipudi Thirumala Krishna, Sarah Tonkin-Crine, Iestyn Williams, Jonathan A.T. Sandoe
Institutions: University of Leeds, University of Oxford, University Hospitals Plymouth NHS Trust, National Institute for Health and Care Research, UK Health Security Agency, NHS England, Oxford University Hospitals NHS Trust, Royal Cornwall Hospital Trust, Royal Cornwall Hospital, Leeds Teaching Hospitals NHS Trust, St James's University Hospital, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham
Language: English
Subfield: Pharmacology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,609
Awards: G1949475607, G2075850591, G2181228234, A Multicentre Study to Investigate a Protocol-Driven Multidisciplinary Service Model to Tackle ‘Spurious Penicillin Allergy’ in Secondary Care (SPACE study), G3558608651, Penicillin allergy status and its effect on antimicrobial prescribing, patient outcomes, and antimicrobial resistance. Short title: ALABAMA: Allergy AntiBiotics And Microbial resistAnce, G6697820746
OpenAlex ID: W7118435149