Outpatient penicillin allergy de-labeling in primary care—whom to target

Key Points

• Determine which patients with penicillin allergy labels should be targeted for de-labeling interventions.
• Educated patients with penicillin allergy labels via online messaging.
• Conducted allergy referrals through nurse-driven communication.
• Analyzed the change in penicillin allergy labels before and after intervention.
• Reduced penicillin allergy labels by 8.6%.
• Largest reductions were seen in 'unknown' (14.8%) and 'rash' (7.9%) reaction types.
• Smaller reductions were noted for 'hives' (6.1%) and 'itching' (1.4%).