Taking a penicillin allergy history

 

Direct de-labelling

At this point, Non-allergies (Side effects) can be directly de-labelled:

 For all other patients, proceed to penicillin allergy assessment +/- de-labelling: 

 

Assess allergy risk with PENFAST score

PENFAST is a validated scoring system for assessing penicillin allergy.

If there is a history consistent with true penicillin allergy, calculate the PENFAST score:

Interpret as follows:

 

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