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revising penicillin allergy in the medical records, by taking full medical history and giving a challange test, in order to imrove the medical records and treatment possibilities.
issuing a list of patients with a title of penicillin allergy in their medical record. inviting these patients to an appointmnet with their family physician, in which a specific history will be take to evaluate the quality of the allergy.
patients with suscpition of a life threatening allergic reaction will be reffered to an allergy clinic for the challange test. the rest of the pateints will be given the test in the primary clinic: 1ml (50 grams) of amoxicillin, and an hour later a full dose of 500 mg amoxicillin.
after determining no allergic reaction develops the title will be erased from the medical record.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| treatment | Experimental | penicillin chalange test, as descibed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amoxicillin | Drug | chalange test of 50 mg, and after an hour 500 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| immidiate urticarial reaction | shortness of breath, angioedema | with 2 hours of test |
| Measure | Description | Time Frame |
|---|---|---|
| rash | body rash or itch seen by patient or physician | with 2 hours of test |
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Inclusion Criteria:
penicillin allergy in the medical record
Exclusion Criteria:
pregnancy lack of informed consent
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| lital f goldberg, MD. MPH. | Contact | 972544248284 | litalmargalith@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| lital f goldberg, MD. MPH | Clalit Health Services | Principal Investigator |
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| ID | Term |
|---|---|
| D000658 | Amoxicillin |
| ID | Term |
|---|---|
| D000667 | Ampicillin |
| D010400 | Penicillin G |
| D010406 | Penicillins |
| D047090 | beta-Lactams |
| D007769 |
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| Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |