PCN Allergy Assessment & Skin Testing (PAAST)

Come fight the negative impact of documented penicillin allergies with us! Click link to learn more about PAAST certification. NEW email: [email protected]

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Very excited to announce the official launch of our Penicillin Allergy Assessment and Skin Testing Certificate Program! 11 hour home study plus 4 hour live programming! Want to know more or host a live session in your area? Visit our website at https://t.co/LnhTFwgES0 (1 of 2)

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

@cdustinwaters @blandman19 We hope we can help in anyway! You've got some folks out there now who trained in @PCN_Allergy previously and know the regulatory hurdles too! @stephanieshealy @carlyecrowder

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

We agree! Excellent editorial @Bruce_M_Jones & @blandman19
https://t.co/0hi088xn6m

Love your reply in Clinical Infectious Diseases as well!
https://t.co/byLyvKYNkL

[JACCP @JACCPJournal]

Is it time for #pharmacists to take the reins to ensure widespread penicillin allergy de-labeling? We believe indeed it is. https://t.co/bOETe8dNJa @blandman19 @Bruce_M_Jones @accpinfdprn

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Excited that this training was able to be done!

Folks across the country, COVID has put a bit of a damper on being able to do live training (i.e. travel) BUT we hope to be back strong sometime in 2021!

[Prisma Health Richland UofSC Pharmacy Residency @PHUofSCPharmRes]

Our residents completed #PAAST training today with @BBookstaver_USC and @reagan_kiger! They’re ready to take the reins at @PalmettoHealth!

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Thanks for sharing these important data!

[Kimberly Blumenthal, MD, MSc @KimberlyBlumen1]

The majority of US hospitals (>100 surveyed) do not have sufficient resources for inpatient #penicillinallergy assessments! https://t.co/1ksuRZLzxh #antibioticstewardship @VizientInc @MGH_ClinEpi @mgh_id @mgh_ast @MonganInstitute coauthors @Kuperrx @RWalensky @LucasTShulz

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Great to see expansion into the outpatient arena through collaboration between pharmacists & physicians (inc. trainees) to conduct allergy assessment and skin testing.

[Reagan Kiger Barfield @reagan_kiger]

Jumping for joy because today we kicked off a Penicillin Allergy Assessment & Skin Testing program at a Prisma Health Internal Medicine Clinic. Thrilled to be taking this service to the outpatient world & thankful for some amazing colleagues that helped make this possible 💉💊

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

New article in CID on successful pharmacist implementation of assessment and skin testing in the ED. Great place to implement!
https://t.co/HnE8D8OqOn
@accpinfdprn @SIDPharm #IDTwitter

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Excited for our next penicillin allergy assessment and skin testing Certificate program today! Today we're at Kershaw Health with an eager group of pharmacists and physicians ready to start at their facility. #penicillin #penicillinallergy

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Thankful for y'all putting this program on today! #penicillin #IDTwitter #allergy

[Nicholas Torney @NPT_PharmD]

Great turnout today for the 2nd @PCN_Allergy skin test certificate program in Traverse City, MI. Many thanks to the Munson infusion clinic nurses and pharmacists and @mdtiberg and @JulietChiji. Excited to resolve those pesky PCN allergies prior to surgery.

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Check out the informational video below from @USdrugallergy #IDTwitter #allergy #penicillin

[United States Drug Allergy Registry @USdrugallergy]

We are thrilled to share this video about us, USDAR! #drugallergy #penicillinallergy https://t.co/s4O5SUNQ1U

[M. Jeffres 🦦 @PharmerMeg]

Beta-lactam allergy handout with cross-reactivity chart available on Google drive for download.
https://t.co/uXlhQuBCu5

[Nicholas Torney @NPT_PharmD]

Great turnout despite the winter squal ❄️in Cheyenne, WY today for a Penicillin Allergy Assessment and Skin Testing (#PAAST) certificate program live session. Nathon Parker’s PCN skin testing team is growing! #PCNallergy

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Really proud of @NPT_PharmD & Nathon Parker for leading this #PAAST certificate program today in Cheyenne! Great group. Contact us if interested in coming to your neck of the woods! #penicillin #allergy

[Nicholas Torney @NPT_PharmD]

Great turnout despite the winter squal ❄️in Cheyenne, WY today for a Penicillin Allergy Assessment and Skin Testing (#PAAST) certificate program live session. Nathon Parker’s PCN skin testing team is growing! #PCNallergy

[Jeff Pearson @jeffpears0n]

An excellent guide to implementing #PCNallergy skin testing was published in @AJHPOfficial https://t.co/RIjN9arf33 @blandman19 @bbookstaver_usc @emilylheil @bruce_m_jones @julie_justo @marylynnstaicu @NPT_PharmD @NuwavePharm 2/8

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

@NikaBejou @EStohs @PergamIC @UWHealth @uwsmph @UNMC_ID @accpimtrprn Great work!
Check also excellent & thoughtful editorial NEW @ericashenoy
Carved in Stone with Consequences: Antibiotic Allergy Labels in Transplant Patients. Cc @EricMacyMD @marylynnstaicu @blandman19 @TrubianoJason @KimberlyBlumen1 @CAAR_Aus
#IDTwitter
https://t.co/9tx8AWUMMp

[Eric Macy @EricMacyMD]

@jeffpears0n When using positive challenges as the reference standard for clinically significant immunologically mediated cross reactivity between betalactams sharing side chains, the rates of positive reactions are rarely greater than rate for any not sharing side chains, about 1 to 2%.

[Jeff Pearson @jeffpears0n]

PCN Allergies, day 4: A meta-analysis looked at cross-reactivity potential in #PCNallergy patients. Cross-reactivity varied: 16.5% chance for cephalosporins with similar R1 side chains, 2.1% for cephs with different side chains, and 0.9% for carbapenems https://t.co/ctyUr7fwTi

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

Some relevant comments in this thread by @DrToddLee @KimberlyBlumen1 @EricMacyMD @BBookstaver_USC et al

How often does 1 bad anecdotal experience hurt this education process? (Eg post-surgical anaphylaxis from cefazolin in pt w/ PCN allergy?) #IDTwitter #idprn #penicillin

[Todd C. Lee @DrToddLee]

@ABsteward @ICHEJournal @Bruce_M_Jones @julie_justo @KimberlyBlumen1 @EricMacyMD @TrubianoJason @PCN_Allergy @IDstewardship @blandman19 @KisgenUF @BBookstaver_USC @marylynnstaicu @SHEA_Epi Is there really cross reactivity between pen and cefazolin? I think the tide is turning on that. Meaning cefazolin probably should be used unless cefazolin allergy. What do others think? Ps - great jama review https://t.co/yVCHavV0vv

[Kimberly Blumenthal, MD, MSc @KimberlyBlumen1]

@DrToddLee @EricMacyMD @ABsteward @ICHEJournal @Bruce_M_Jones @julie_justo @TrubianoJason @PCN_Allergy @IDstewardship @blandman19 @KisgenUF @BBookstaver_USC @marylynnstaicu @SHEA_Epi Evidence to date best summarized meta-analysis: https://t.co/eBIlGWRajx
Cefazolin rxn among report PCN allergy 0.4% (95% CI, 0%-1.4%) & confirmed PCN allergy 1.4% (95% CI, 0%-8.4%) #needsmoredata

[PCN Allergy Assessment & Skin Testing (PAAST) @PCN_Allergy]

It's quite clear the harm in a penicillin allergy label. If you have an opportunity, inpatient or outpatient, take the time to reconcile it...and hopefully resolve it with other tools (eg skin test, oral challenge) when possible. #IDTwitter #penicillin

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

NEW🔥large🇨🇦 retrospective study @ICHEJournal
Self-reported β-lactam allergy was associated with an ⬆️ SSI risk mediated through receipt of alternate antibiotic prophylaxis. #IDTwitter #medtwitter @Bruce_M_Jones @julie_justo
https://t.co/j7Ol0ObAxn

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

NEW🔥large🇨🇦 retrospective study @ICHEJournal
Self-reported β-lactam allergy was associated with an ⬆️ SSI risk mediated through receipt of alternate antibiotic prophylaxis. #IDTwitter #medtwitter @Bruce_M_Jones @julie_justo
https://t.co/j7Ol0ObAxn