Improving Clinical Outcomes in Patients With Methicillin-SensitiveStaphylococcus aureusBacteremia and Reported Penicillin Allergy
Author(s) -
Kimberly G. Blumenthal,
Robert A. Parker,
Erica S. Shenoy,
Rochelle P. Walensky
Publication year - 2015
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ394
Subject(s) - medicine , bacteremia , staphylococcus aureus , penicillin , microbiology and biotechnology , penicillin allergy , allergy , staphylococcal infections , intensive care medicine , antibiotics , immunology , bacteria , genetics , biology
Methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia is a morbid infection. First-line MSSA therapies (nafcillin, oxacillin, cefazolin) are generally avoided in the 10% of patients reporting penicillin (PCN) allergy, but most of these patients are not truly allergic. We used a decision tree with sensitivity analyses to determine the optimal evaluation and treatment for patients with MSSA bacteremia and reported PCN allergy.
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