alergije penicilin
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7/23/2019 Alergije Penicilin
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Al l drug-al lergies must be specified on medicat ion charts (with the patient ’s react ion)
In TRUE penicil lin allergy* ALL penicillins, cephalosporins and other beta-lactam antibioticsshould be avoided
Ant ib iotics to be avoided in
penicillin allergy Amoxicil lin (in Co-amoxiclav/Augmentin,Heliclear)
Ampici ll in (in Co-fluampic il/Magnapen)
Benzylpenicillin/Penicill in G
Flucloxacillin (in Co-fluampicil/Magnapen)
Phenoxymethylpenicillin /Penicil lin V
Piperacillin (in Tazocin)
Pivmecillinam
Ticarcillin (in Timentin)
CONTRA-INDICATED
CAUTION
Avoid i f serious penici ll inallergy (e.g. anaphylaxis/
angioedema)
Use with caution if non-severe allergy
(e.g. minor rash only)
CONSIDEREDSAFE
Ant ib iotics to be avoided orused with caution in penicillinallergy
Cephalosporins:Cefaclor , Cefadroxil, Cefalexin,Cefixime, Cefotaxime, Cefpirome,
Cefpodoxime, Cefprozil, Cefradine,Ceftazidime, Ceftriaxone, Cefuroxime
Other beta-lactam antibiot ics: Aztreonam, Imipenem, Meropenem,Ertapenem
Ant ib iot ics safe in penicil linallergy (not a complete list)
Amikacin MetronidazoleCiprofloxacin NitrofurantoinClarithromycin MinocyclineClindamycin RifampicinColistin Sodium FusidateCo-trimoxazole TeicoplaninDoxycycline TetracyclineErythromycin TobramycinGentamicin TrimethoprimLinezolid Vancomycin
*TRUE penicillin allergy includes anaphylaxis, urticaria or rash immediately after penicillin administration
In cases of INTOLERANCE to penicillin (e.g. gastrointestinal upset) or a rash occurring >72 hours afteradministration, penicillins/related antibiotics should not be withheld unnecessarily in severe infection but
the patient must be monitored closely after administration
Penicillin Allergy
AUSG October 2005
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