Amoxicillin Allergy Trials
From Guide to YKHC Medical Practices
- Vyles D et al. Parent-Reported Penicillin Allergy Symptoms in the Pediatric Emergency Department. Academic Pediatrics. 2017. doi.org/10.1016/j.acap.2016.11.004.
Example Auto text for RMT For Amoxicillin Trial
ASSESSMENT:
- Patient’s history and medical records were reviewed and the patient does not have any evidence of a true allergy to amoxicillin.
- CHA and family are OK with trial of Amoxicillin
PLAN:
- Recommend Amoxicillin trial in clinic today.
- Have epinephrine available.
- Mix Amoxicillin
- Draw up a CHAM, weight based dose of Amoxicillin.
- Give the patient one 10th of the dose in the clinic.
- Have patient remain at the clinic for 30 minutes for observation. Caretaker is to alert the CHAs of any concerns.
- After 30 minutes the patient may be given the rest of the dose of Amoxicillin.
- Have patient remain at the clinic for another hour for observation in waiting room..
- If there are no problems tolerating the test doses, then the patient may go home and continue medicine as prescribed.
- If a rash or any concerns come up, the patient should be brought back to clinic and a telemed picture and RMT should be sent in for the provider to review and get a pediatric consult if required.
- Give Amoxicillin Rash Handout to family to take home. Rash with amoxicillin is common in infants and young children and it is usually OK to continue the medicine unless the patient develops true hives, face swelling or difficulty breathing.
