The penicillin toolkit has been created for you, the ACAAI member, because you know the facts about penicillin allergy, and have information your patients and primary care physicians may not have. You have the ability to raise awareness about how common it is for people to believe they are penicillin-allergic, although they have never been tested.
The elements of the toolkit will help you in all facets of penicillin allergy testing, from listing the supplies needed and costs of penicillin toolkits, to providing template materials for you to promote the idea of testing to patients and the media.
The following toolkit materials can be used for your community outreach efforts.
When you click on an item, it will automatically download to your computer.
- Insurance guidelines on penicillin and cephalosporin skin testing and oral challenge - This document guides you through what insurance companies need to know about testing. It answers questions about indications for penicillin testing and oral challenge, contraindications to penicillin testing, when to perform penicillin skin tests and what to do with penicillin skin test results. This document includes suggested references.
- Beta lactam skin testing and oral challenge - from the ACAAI 2015 Drug Allergy and Anaphylaxis Committee - this 13-page worksheet walks you through instructions for penicillin skin testing, dosing, equipment and supplies needed and treatment of an acute reaction.
- Cephalosporin skin test worksheet - a recording form for the patient with a history of Cephalosporin allergy.
- Consent form for desensitization
- Consent form for oral test dosing and challenge
- Consent form for skin testing
- Cost and supplies of penicillin testing
- CPT codes and expected reimbursement for drug allergy
- Insurance letter template for PCN allergy testing reimbursement - template letter to send to insurance companies to request a reconsideration for denial of reimbursement for penicillin or cephalosporin testing and oral challenge.
- Just the facts on penicillin allergy - this document is intended, not for patients, but for third party payers, PCPs that want more info, and perhaps allergists when preparing for an interview or lecture.
- Negative PCN testing challenge brief confirmation letter
- Penicillin skin test worksheet
- Penicillin toolbox marketing materials - materials designed to help you get the word out – to the media and the public – on the importance of testing for penicillin allergy.
- Protocol for delayed penicillin and cephalosporin skin testing
- Reading and interpretation of drug allergy patch testing
- Reference list for beta-lactam toolkit
- Beta-lactam toolkit lecture - a PowerPoint presentation to help you inform other clinicians.
- Patient factsheet: Frequently asked questions about penicillin allergy
- Penicillin allergy: Facts for patients
- Patient factsheet: I might be allergic to penicillin. Why should I get tested?
These three fact sheets communicate a variety of information to patients who are considering testing for penicillin allergy, or who have already tested positive for the allergy. These fact sheets are web-based, customizable PDFs in which you can insert your name, practice name, and contact information. Once you have customized the fact sheets, save the PDFs to your computer. (If you have trouble customizing the form, please make sure you have the latest version of Adobe Acrobat Reader. The program can be downloaded for free at www.get.adobe.com/reader/.)
These fact sheets can be handed out to patients, placed in your waiting room or exam rooms, or uploaded to your practice website and social media sites.
- Template for letter regarding patient labeled PCN-allergic - template letter for PCPs to send to patients to recommend penicillin allergy testing.
- PCP letter template for PCN allergy referrals - letter on the benefits of penicillin allergy testing - to be sent to PCPs who might have patients with penicillin allergy listed in their charts, but who have never been tested.