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Antibiotic allergy — GPhC CRA MCQ

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ModerateInfection ManagementAntibiotic allergyGPhC CRA

A patient prescribed amoxicillin for sinusitis reports previous immediate facial swelling and wheeze after penicillin. The surgery is closed for lunch and the patient is waiting. What is the most appropriate action?

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Correct answer: A — Do not supply amoxicillin and contact the prescriber for an alternative

Facial swelling and wheeze after penicillin suggest a serious immediate hypersensitivity reaction. Amoxicillin should not be supplied without prescriber review and an appropriate alternative. Giving an antihistamine or test dose does not make the supply safe.

Reference: BNF; NICE CKS