Research from Edith Cowan University (ECU) emphasizes the necessity for thorough evaluations of children suspected of having antibiotic allergies by specialized drug allergy services. ECU PhD student Ms. Annabelle Arnold pointed out that many children receive allergy labels during illnesses, where symptoms like mild rashes or hives may actually stem from the infection itself rather than an allergic reaction.
Approximately 90% of suspected antibiotic allergies are inaccurate, leading to the unnecessary avoidance of essential antibiotics, delayed treatment, and extended hospital stays. “An antibiotic allergy label significantly impacts clinical care, particularly under hospital microbial stewardship programs, resulting in increased alternative prescribing and longer patient stays,” Arnold noted.
Ms. Arnold also warned that adults with perceived antibiotic allergies often receive reserved alternatives, contributing to antibiotic resistance and higher rates of intensive care admissions. She advocates for testing once a child is stable, starting with a discussion of symptoms, followed by skin testing for severe reactions and a two or three-stage oral challenge if needed. A five-day antibiotic course helps identify any delayed reactions, as most occur within the first five days.
“Completeness in assessment allows GPs to receive conclusive proof regarding any reactions to antibiotics,” Arnold stated, underlining the need for accurate evaluations to enhance pediatric healthcare.
