Improving the Documentation of Penicillin Allergy Labels Among Pediatric Inpatients.

Background And Objectives: Penicillin allergy is the most common medication allergy, and the penicillin allergy label is commonly over-applied without adequate reaction history inquiry or documentation. Because penicillin allergy labels are often applied in childhood and carried into adulthood, we sought to increase the completeness of reaction history documentation from 20% to 70% for pediatric hospital medicine patients and from 20% to 50% for all other pediatric inpatients within 12 months. As a secondary outcome, we also aimed to increase the proportion of delabeling unnecessary penicillin labels to 20% for all pediatric inpatients.

Association of Sociodemographic Factors With Reported Penicillin Allergy in Pediatric Inpatients.

Objectives: Characterize the association of sociodemographic factors with reported penicillin allergy in pediatric inpatients.

Methods: We conducted a retrospective cohort study of pediatric inpatients admitted to general pediatric units at an academic medical center with reported penicillin allergy and reaction history. Sociodemographic factors evaluated were gender, age, race, ethnicity, language, and insurance payer.