Implementing a Rapid Access Preoperative Penicillin Allergy Delabelling Pathway

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Authors: Imran Ali, Mevan Gooneratne, G. McDonnell, FZ El Rhermoul, Valerie Lan‐Pak‐Kee, J. Overend, Ricardo Madrigal‐Burgaleta
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Abstract

Approximately 10–15% of inpatients carry a penicillin allergy label, yet up to 90% are incorrect when tested. These inaccurate labels deprive patients of first-line beta-lactam antibiotics and are associated with higher surgical site infection rates, prolonged hospital stays, and increased costs, leading to use of broader-spectrum alternatives that contribute to antimicrobial resistance. Addressing this issue represents both a key perioperative challenge and a global antimicrobial stewardship priority.

Fields of Study & Subjects

Surgical site infection prevention Drug-Induced Adverse Reactions Antibiotic Use and Resistance

Publication details

Journal / source
Advances in Perioperative Care
Volume
1
Issue
S1
Publication date
28 January 2026
Language
EN