Amoxicillin-Associated Rash
A 24-month-old male presents to your office for a well child check-up and you notice he has a penicillin allergy label since 18 months of age. Mom shows you a picture on her phone when he developed a red, itchy rash to face, trunk, and extremities on day 8 of amoxicillin. Since his reaction, he has also had one course of Bactrim and one course of azithromycin to treat subsequent ear infections. What are your options?
Penicillin Allergy Testing Service (PATS) at Cincinnati Children’s Burnet and Liberty
PATS at Cincinnati Children’s is meeting the challenge of antimicrobial stewardship in pediatric patients. Penicillin allergy testing typically involves an in-clinic, oral challenge to amoxicillin. The PATS clinics has 2 types of appointments for amoxicillin challenges available 5 days a week:
Scheduled appointments in healthy children
Same-day challenges for sick patients who need amoxicillin and are labeled allergic.
Why test?
95% of children who were thought to be allergic will not have a reaction when tested. De-labeling unnecessary penicillin allergies will lead to dollars saved for families and healthcare and fewer side effects from non-ideal antibiotics.
PATS can be reached directly at 513-517-7287 or emailing us at PATS@cchmc.org. To learn more, visit: https://www.cincinnatichildrens.org/PATS