Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience

Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face...
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Autor*in:	Syed Ali, MBBS, FRACP [verfasserIn] Tiffany Hughes, MBBS, FRACP [verfasserIn] Anthony Smith, MBBS, FRACP, PhD [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic

Übergeordnetes Werk:	In: World Allergy Organization Journal - Elsevier, 2013, 17(2024), 2, Seite 100863-
Übergeordnetes Werk:	volume:17 ; year:2024 ; number:2 ; pages:100863-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.waojou.2023.100863

Katalog-ID:	DOAJ094755809

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520			\|a Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall.
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allfields	10.1016/j.waojou.2023.100863 doi (DE-627)DOAJ094755809 (DE-599)DOAJd89a8ee23c51454fb46de0aaa5c2d67d DE-627 ger DE-627 rakwb eng RC581-607 Syed Ali, MBBS, FRACP verfasserin aut Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall. Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy Tiffany Hughes, MBBS, FRACP verfasserin aut Anthony Smith, MBBS, FRACP, PhD verfasserin aut In World Allergy Organization Journal Elsevier, 2013 17(2024), 2, Seite 100863- (DE-627)640571239 (DE-600)2581968-9 19394551 nnns volume:17 year:2024 number:2 pages:100863- https://doi.org/10.1016/j.waojou.2023.100863 kostenfrei https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d kostenfrei http://www.sciencedirect.com/science/article/pii/S1939455123001242 kostenfrei https://doaj.org/toc/1939-4551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 17 2024 2 100863-
spelling	10.1016/j.waojou.2023.100863 doi (DE-627)DOAJ094755809 (DE-599)DOAJd89a8ee23c51454fb46de0aaa5c2d67d DE-627 ger DE-627 rakwb eng RC581-607 Syed Ali, MBBS, FRACP verfasserin aut Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall. Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy Tiffany Hughes, MBBS, FRACP verfasserin aut Anthony Smith, MBBS, FRACP, PhD verfasserin aut In World Allergy Organization Journal Elsevier, 2013 17(2024), 2, Seite 100863- (DE-627)640571239 (DE-600)2581968-9 19394551 nnns volume:17 year:2024 number:2 pages:100863- https://doi.org/10.1016/j.waojou.2023.100863 kostenfrei https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d kostenfrei http://www.sciencedirect.com/science/article/pii/S1939455123001242 kostenfrei https://doaj.org/toc/1939-4551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 17 2024 2 100863-
allfields_unstemmed	10.1016/j.waojou.2023.100863 doi (DE-627)DOAJ094755809 (DE-599)DOAJd89a8ee23c51454fb46de0aaa5c2d67d DE-627 ger DE-627 rakwb eng RC581-607 Syed Ali, MBBS, FRACP verfasserin aut Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall. Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy Tiffany Hughes, MBBS, FRACP verfasserin aut Anthony Smith, MBBS, FRACP, PhD verfasserin aut In World Allergy Organization Journal Elsevier, 2013 17(2024), 2, Seite 100863- (DE-627)640571239 (DE-600)2581968-9 19394551 nnns volume:17 year:2024 number:2 pages:100863- https://doi.org/10.1016/j.waojou.2023.100863 kostenfrei https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d kostenfrei http://www.sciencedirect.com/science/article/pii/S1939455123001242 kostenfrei https://doaj.org/toc/1939-4551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 17 2024 2 100863-
allfieldsGer	10.1016/j.waojou.2023.100863 doi (DE-627)DOAJ094755809 (DE-599)DOAJd89a8ee23c51454fb46de0aaa5c2d67d DE-627 ger DE-627 rakwb eng RC581-607 Syed Ali, MBBS, FRACP verfasserin aut Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall. Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy Tiffany Hughes, MBBS, FRACP verfasserin aut Anthony Smith, MBBS, FRACP, PhD verfasserin aut In World Allergy Organization Journal Elsevier, 2013 17(2024), 2, Seite 100863- (DE-627)640571239 (DE-600)2581968-9 19394551 nnns volume:17 year:2024 number:2 pages:100863- https://doi.org/10.1016/j.waojou.2023.100863 kostenfrei https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d kostenfrei http://www.sciencedirect.com/science/article/pii/S1939455123001242 kostenfrei https://doaj.org/toc/1939-4551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 17 2024 2 100863-
allfieldsSound	10.1016/j.waojou.2023.100863 doi (DE-627)DOAJ094755809 (DE-599)DOAJd89a8ee23c51454fb46de0aaa5c2d67d DE-627 ger DE-627 rakwb eng RC581-607 Syed Ali, MBBS, FRACP verfasserin aut Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall. Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy Tiffany Hughes, MBBS, FRACP verfasserin aut Anthony Smith, MBBS, FRACP, PhD verfasserin aut In World Allergy Organization Journal Elsevier, 2013 17(2024), 2, Seite 100863- (DE-627)640571239 (DE-600)2581968-9 19394551 nnns volume:17 year:2024 number:2 pages:100863- https://doi.org/10.1016/j.waojou.2023.100863 kostenfrei https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d kostenfrei http://www.sciencedirect.com/science/article/pii/S1939455123001242 kostenfrei https://doaj.org/toc/1939-4551 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 17 2024 2 100863-
language	English
source	In World Allergy Organization Journal 17(2024), 2, Seite 100863- volume:17 year:2024 number:2 pages:100863-
sourceStr	In World Allergy Organization Journal 17(2024), 2, Seite 100863- volume:17 year:2024 number:2 pages:100863-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic Immunologic diseases. Allergy
isfreeaccess_bool	true
container_title	World Allergy Organization Journal
authorswithroles_txt_mv	Syed Ali, MBBS, FRACP @@aut@@ Tiffany Hughes, MBBS, FRACP @@aut@@ Anthony Smith, MBBS, FRACP, PhD @@aut@@
publishDateDaySort_date	2024-01-01T00:00:00Z
hierarchy_top_id	640571239
id	DOAJ094755809
language_de	englisch
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callnumber-first	R - Medicine
author	Syed Ali, MBBS, FRACP
spellingShingle	Syed Ali, MBBS, FRACP misc RC581-607 misc Drug allergy misc Drug allergy referrals misc Drug allergy waitlist misc Outpatient clinic misc Immunologic diseases. Allergy Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience
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topic_title	RC581-607 Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience Drug allergy Drug allergy referrals Drug allergy waitlist Outpatient clinic
topic	misc RC581-607 misc Drug allergy misc Drug allergy referrals misc Drug allergy waitlist misc Outpatient clinic misc Immunologic diseases. Allergy
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title	Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience
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title_full	Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience
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title_sort	long waitlists for outpatient drug allergy referrals: an australian tertiary centre experience
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title_auth	Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience
abstract	Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall.
abstractGer	Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall.
abstract_unstemmed	Drug allergy clinic waitlist time data are limited. A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall.
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title_short	Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience
url	https://doi.org/10.1016/j.waojou.2023.100863 https://doaj.org/article/d89a8ee23c51454fb46de0aaa5c2d67d http://www.sciencedirect.com/science/article/pii/S1939455123001242 https://doaj.org/toc/1939-4551
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A 24-month retrospective study of drug allergy referrals was undertaken at a tertiary hospital in Australia. One hundred six patients were reviewed with a median age of 50 years (IQR 40.5–67.3) and a female predominance (n = 76, 71%). Face-to-face consultations were common (n = 83, 78.3%) with the remainder being telephone consultations.General practitioners comprised just over one-third (n = 38, 35.9%) of the referrers but majority being from within the hospital, such as the emergency department (n = 22, 20.8%). Most patients (n = 100, 94.3%) were triaged as Category 1 or urgent. Antibiotic allergies were common (n = 75, 70.8%), of which majority were beta-lactam antibiotics (n = 71, 95%): 55 (73.3%) for penicillins and 16 (15.1%) for cephalosporins.The median waitlist time was 178 days (IQR 48.5–502.5) and only 18 (17%) of Category 1 were seen within urgent timeframe. Telephone consultation had a significantly shorter waitlist time (median 47 days; IQR 6–245) compared to face-to-face consultations (median 267 days; IQR 69–519) (p = 0.026).Large waitlist times are present for drug allergy, and given the majority of referrers are from hospitals, inpatient drug allergy assessment remains paramount. Beta-lactam antibiotic drug allergy labels remain common, and given their negative implications, further work is needed. Economic and human resources evaluations are required to address this shortfall.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Drug allergy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Drug allergy referrals</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Drug allergy waitlist</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Outpatient clinic</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Immunologic diseases. 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Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience

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