Journal of Urgent Care Medicine

Does Your Patient Really Have Penicillin Allergy? Probably Not.

A large international study found that direct oral challenge (DOC) can be a safe and effective strategy for identifying patients who have a true penicillin allergy. Researchers evaluated hospitalized adults who self-reported a penicillin allergy—a label that historically is attached to about 10% of patients, according to the study presented in Clinical Infectious Diseases. Among the 5,121 patients assessed, 30.7% underwent DOC; of these, 95.5% (95% confidence interval, 94.3%–96.5%) were safely “delabeled,” after assessing and …

Allergic Rhinitis Rarely Emerges in Adulthood

While many urgent care patients present in the early days of spring with the common symptoms of stuffy nose and sneezing, an allergic rhinitis diagnosis can be somewhat nuanced, according to a review in JAMA Network. Allergic rhinitis, seasonal allergic rhinitis, perennial allergic rhinitis, and non-allergic rhinitis each have different typical symptoms, and therefore, there can be differences in treatment, according to the authors. In a follow-up, MedPage Today reports the majority of allergic rhinitis …

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