Management of a surgical patient with a label of penicillin allergy: narrative review and consensus recommendations L. C. Savic 1, * ,#,y , D. A. Khan 2,#,y , P. Kopac 3,#,y , R. C. Clarke 4,5,y , P. J. Cooke 6,y , P. Dewachter 7,8,y , D. G. Ebo 9,y , T. Garcez 10,y , L. H. Garvey 11,12,y , A. B. Guttormsen 13,14,y , P. M. Hopkins 1,15,y , D. L. Hepner 16,y , H. Kolawole 17,18,y , M. Krøigaard 11,y , J. J. Laguna 19,y , S. D. Marshall 17,18,y , P. M. Mertes 20,y , P. R. Platt 4,5,y , M. A. Rose 21,y , V. Sabato 9,y , P. H. M. Sadleir 4,5,22,y , S. Savic 23,y , T. Takazawa 24,y , S. Voltolini 25,y and G. W. Volcheck 26,#,y 1 Anaesthetic Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK, 2 Department of Internal Medicine, Division of Allergy & Immunology, University of Texas Southwestern Medical Center, Dallas, TX, USA, 3 University Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia, 4 Department of Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia, 5 Anaesthetic Allergy Referral Centre of Western Australia, Nedlands, Western Australia, Australia, 6 Department of Anaesthesia and Perioperative Medicine, Auckland City Hospital, Auckland, New Zealand, 7 Service d’Anesth esie- R eanimation, Groupe Hospitalier de Paris-Seine-Saint-Denis, Assistance Publique-H^ opitaux de Paris, Paris, France, 8 Universit e Paris 13, Sorbonne-Paris-Cit e, Paris, France, 9 Department of Immunology, Allergology and Rheumatology, University of Antwerp, Antwerp University Hospital, Belgium, 10 Department of Immunology, Manchester University NHS Foundation Trust, Manchester, United Kingdom, 11 Danish Anaesthesia Allergy Centre, Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital, Gentofte, Denmark, 12 Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark, 13 Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway, 14 Department of Clinical Medicine, University of Bergen, Bergen, Norway, 15 Leeds Institute of Medical Research at St James’s, University of Leeds, Leeds, UK, 16 Department of Anesthesiology, Brigham and Women’s Hospital, Boston, MA, USA, 17 Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia, 18 Department of Anaesthesia, Peninsula Health, Melbourne, Australia, 19 Allergy Unit, Allergo-Anaesthesia Unit, Hospital Central de la Cruz Roja, Faculty of Medicine, Alfonso X El Sabio University, ARADyAL, Madrid, Spain, 20 Department of Anesthesia and Intensive Care, H^ opitaux Universitaires de Strasbourg, Nouvel H^ opital Civil, Strasbourg, France, 21 Department of Anaesthesia, Royal North Shore Hospital, and University of Sydney, Sydney, NSW, Australia, 22 Department of Pharmacology, University of Western Australia, Crawley, Western Australia, Australia, 23 Department of Editorial decision date: 09 January 2019; Accepted: 9 January 2019 © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. For Permissions, please email: [email protected] e82 British Journal of Anaesthesia, 123 (1): e82ee94 (2019) doi: 10.1016/j.bja.2019.01.026 Advance Access Publication Date: 11 March 2019 Special Article
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