Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/35262
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dc.contributor.authorLim, Angelina-
dc.contributor.authorKhumra, Sharmila-
dc.contributor.authorDalley, Annika-
dc.contributor.authorBubb, Grace-
dc.contributor.authorChien, Jacqueline-
dc.contributor.authorKong, David C M-
dc.date2024-
dc.date.accessioned2024-05-10T04:43:34Z-
dc.date.available2024-05-10T04:43:34Z-
dc.date.issued2024-04-27-
dc.identifier.citationThe International journal of pharmacy practice 2024; online first: 27 Aprilen_US
dc.identifier.issn2042-7174-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/35262-
dc.description.abstractIncorrect labelling of a penicillin allergy can lead to unnecessary use of broad-spectrum, less effective, more harmful, or more costly antibiotics. Community pharmacists are well positioned to educate the public on penicillin allergies, prevent incorrect labelling persisting, and optimize prescribing of antibiotics. This study investigated community pharmacists' capacity to recognize an opportunity to directly de-label a no-risk penicillin allergy. A sequential explanatory mixed methods design using mystery shopping (quantitative) and postvisit reflections (qualitative). Mystery shoppers simulated a case of a previously dispensed prescription (involving nonimmune mediated intolerance 'thrush' as the reported allergy) that provided the opportunity for pharmacists to educate on incorrect penicillin allergy. The main outcomes were proportion of community pharmacists who ascertained the nature of the penicillin reaction, provided education on incorrect penicillin allergy labels and its consequences. Knowledge and practices regarding penicillin allergy were collected. Across two major states in Australia, 265 community pharmacists participated. Only 44.5% (118/265) of pharmacists asked about the nature of the reaction; of those, 91.52% (108/118) indicated that 'thrush' is not an allergic reaction. No pharmacists took the opportunity to educate on how an incorrect allergy label can impact antibiotic prescribing. Postvisit reflection data revealed five probable explanations for the observations viz. outdated knowledge, lack of knowledge, prioritizing management of adverse drug reaction (thrush), variations in duty of care and assumption of true allergy without an assessment. Our findings underscore a concerning knowledge and practice gap among community pharmacists regarding penicillin allergy assessment which warrants more support and education in the community pharmacy sector.en_US
dc.language.isoeng-
dc.subjectantimicrobial stewardshipen_US
dc.subjectcommunity pharmacyen_US
dc.subjectde-labelen_US
dc.subjectpenicillin allergyen_US
dc.titleRecognizing the opportunity to directly de-label no-risk penicillin allergies in community pharmacy: a mystery shopper experience.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe International journal of pharmacy practiceen_US
dc.identifier.affiliationHormone Research, Murdoch Children's Research Institute, Royal Children's Hospital, VIC 3053, Australia.en_US
dc.identifier.affiliationFaculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, VIC 3052, Australia.en_US
dc.identifier.affiliationThe National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, University of Melbourne, The Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC 3000, Australia.en_US
dc.identifier.affiliationPharmacyen_US
dc.identifier.doi10.1093/ijpp/riae020en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-8219-1191en_US
dc.identifier.orcid0000-0002-5022-9060en_US
dc.identifier.pubmedid38676911-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.cerifentitytypePublications-
item.grantfulltextnone-
crisitem.author.deptPharmacy-
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