Experiences of an inpatient penicillin allergy de-labelling pathway: capturing the patient voice
dc.contributor.author | Powell, N | |
dc.contributor.author | Upton, M | |
dc.contributor.author | Kent, B | |
dc.contributor.author | Sandoe, J | |
dc.contributor.author | Tonkin-Crine, S | |
dc.date.accessioned | 2024-05-07T18:58:30Z | |
dc.date.available | 2024-05-07T18:58:30Z | |
dc.date.issued | 2023-12-28 | |
dc.identifier.issn | 2632-1823 | |
dc.identifier.issn | 2632-1823 | |
dc.identifier.other | ARTN dlae020 | |
dc.identifier.uri | https://pearl.plymouth.ac.uk/handle/10026.1/22467 | |
dc.description.abstract |
<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Non-allergist-delivered penicillin allergy de-labelling (PADL) is supported by UK and other national guidelines but is not yet routine practice in UK hospitals. Those who have undergone PADL report high rates of acceptance, but it is unknown why some continue to avoid penicillin, and why some decline testing.</jats:p> </jats:sec> <jats:sec> <jats:title>Objectives</jats:title> <jats:p>To explore the experiences of patients recently approached for penicillin allergy (penA) assessment and de-label by non-allergists in a UK hospital to determine the barriers and enablers to patient acceptance of PADL.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Qualitative study using semi-structured interviews with patients who were penA assessed and de-labelled during an inpatient stay between November 2022 and January 2023. Thematic analysis was used to analyse the data.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Nineteen patients were interviewed. Patients were largely unaware of the negative impact of penA on their healthcare. Patients had differing views on challenging their penA status while they were acutely unwell, some agreeing that it is the right time to test and others not. Patients declined testing because they felt they were at higher potential risk because they were older or had multiple comorbidities. Some patients who declined testing felt they would have been persuaded if they had received a better explanation of the risks and benefits of PADL.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>Patients who were successfully de-labelled were positive about the experience. Those who declined testing did so for a variety of reasons including frailty/comorbidities or a fear of testing whilst unwell. Patients highlighted the importance of good communication about the personalized risks and benefits of testing.</jats:p> </jats:sec> | |
dc.format.extent | dlae020- | |
dc.format.medium | Electronic-eCollection | |
dc.language | en | |
dc.publisher | Oxford University Press (OUP) | |
dc.subject | 3214 Pharmacology and Pharmaceutical Sciences | |
dc.subject | 3207 Medical Microbiology | |
dc.subject | 32 Biomedical and Clinical Sciences | |
dc.subject | 3202 Clinical Sciences | |
dc.subject | Health Services | |
dc.subject | Clinical Research | |
dc.subject | 7.1 Individual care needs | |
dc.subject | 7 Management of diseases and conditions | |
dc.subject | 8.1 Organisation and delivery of services | |
dc.subject | 8 Health and social care services research | |
dc.subject | Cancer | |
dc.title | Experiences of an inpatient penicillin allergy de-labelling pathway: capturing the patient voice | |
dc.type | Journal Article | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/38343626 | |
plymouth.issue | 1 | |
plymouth.volume | 6 | |
plymouth.publication-status | Published | |
plymouth.journal | JAC-Antimicrobial Resistance | |
dc.identifier.doi | 10.1093/jacamr/dlae020 | |
plymouth.organisational-group | |Plymouth | |
plymouth.organisational-group | |Plymouth|Research Groups | |
plymouth.organisational-group | |Plymouth|Faculty of Health | |
plymouth.organisational-group | |Plymouth|Faculty of Health|School of Nursing and Midwifery | |
plymouth.organisational-group | |Plymouth|Research Groups|Institute of Health and Community | |
plymouth.organisational-group | |Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | |Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED)|CBR | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA | |
plymouth.organisational-group | |Plymouth|Users by role | |
plymouth.organisational-group | |Plymouth|Users by role|Current Academic staff | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA|UoA01 Clinical Medicine | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | |Plymouth|Faculty of Health|School of Biomedical Sciences | |
plymouth.organisational-group | |Plymouth|Users by role|Researchers in ResearchFish submission | |
plymouth.organisational-group | |Plymouth|Research Groups|Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | |Plymouth|REF 2029 Researchers by UoA | |
plymouth.organisational-group | |Plymouth|REF 2029 Researchers by UoA|UoA01 Clinical Medicine | |
plymouth.organisational-group | |Plymouth|REF 2029 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2024-01-28 | |
dc.date.updated | 2024-05-07T18:58:29Z | |
dc.identifier.eissn | 2632-1823 | |
dc.rights.embargoperiod | forever | |
rioxxterms.versionofrecord | 10.1093/jacamr/dlae020 |