Penicillin Allergy De-Labelling — FRCA Final MCQ

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ModeratePreoperative AssessmentPenicillin Allergy De-LabellingFRCA Final

A 55-year-old with 'penicillin allergy' (childhood rash 30 years ago). Correct approach?

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Correct answer: C — Refer to allergy clinic for formal assessment

~90% of labelled patients not truly allergic. BSACI/NICE: formal allergy assessment for low-risk histories. De-labelling allows optimal antimicrobial prophylaxis. Antibiotic allergy de-labelling is a patient safety priority.

Reference: BSACI – 2023 – Drug allergy; NICE – 2023