Millions of people in the UK are mistakenly labelled as allergic to penicillin, including myself.
This common medical note can prevent individuals from receiving the most effective treatment for a wide range of bacterial infections.
You might think that alternative antibiotics are just as good, but that’s not the case.
Penicillin remains one of the best options, not only for its effectiveness but also because it tends to have fewer side effects than many alternatives.
It’s crucial to avoid ruling out this treatment unless you have a genuine allergy.
The Misunderstanding Around Penicillin Allergies
Surprisingly, about 90% of people who think they’re allergic to penicillin are not, according to Antibiotic Research UK.
Many of us grow out of childhood reactions, while others may have had reactions linked to illnesses like glandular fever or mistakenly misidentified symptoms like nausea or bloating.
In fact, a lot of people self-diagnose their allergy after experiencing side effects like diarrhea or headaches while on the medication.
Without further testing, these symptoms get added to their medical records, leading to a lifelong allergy label.
The Dangers of an Incorrect Allergy Label
The Royal Pharmaceutical Society has found that a penicillin allergy label can be dangerous, leading to a higher mortality rate.
Those who are wrongly labelled may miss out on life-saving treatments.
When this label stays on your medical record without verification, it can increase hospital stays, complications, and the risk of infections acquired during treatment.
This is particularly concerning, as penicillin has been responsible for saving countless lives since its discovery in 1928.
The Discovery of Penicillin
Penicillin’s discovery was accidental.
In 1928, Alexander Fleming, a bacteriology professor at the University of London, left on holiday without knowing that a world-changing breakthrough would take place in his absence.
When he returned, he noticed that a mold on a Petri dish had killed the bacteria surrounding it.
This mold was identified as Penicillium notatum, and its ability to combat bacterial infections led to the development of penicillin as a treatment.
The discovery of penicillin changed the course of medicine and earned Fleming the Nobel Prize in 1945.
My Personal Experience with Penicillin and Allergies
At 17, I was diagnosed with tonsillitis and prescribed amoxicillin, a type of penicillin.
However, I didn’t get better and later developed a rash after visiting a friend who had glandular fever.
This rash, which was likely caused by the interaction of the drug and the fever, led to my incorrect belief that I was allergic to penicillin.
Despite no further issues with antibiotics, I kept the allergy label.
The Challenges of Being Labeled as Allergic to Penicillin
Several years later, while pregnant with my second child, I had a urinary tract infection and was given an antibiotic.
Soon after, I broke out in itchy, red bumps, which reinforced my belief that I was allergic.
Without further investigation, the label stuck.
For years, I avoided penicillin, not realizing that my experiences were unrelated to true allergic reactions but rather side effects or conditions like glandular fever.
The Growing Need for De-Labelling Penicillin Allergies
Today, I’m in my 60s, and I realize the importance of having the allergy label removed if it’s inaccurate.
In 2022, the British Society for Allergy and Clinical Immunology introduced guidelines to help hospitals de-label patients who are wrongly identified as allergic to penicillin.
This initiative aims to ensure that people like me have access to the best possible treatments.
However, the UK faces a shortage of allergists, so the process relies on non-specialists working in hospitals.
How De-Labelling Clinics Are Helping Patients
A new clinic at Imperial College Healthcare NHS Trust is taking steps toward addressing this issue.
The clinic uses a two-step approach.
First, patients are asked to review their medical records and answer questions about any symptoms they may have experienced.
If they’re considered low-risk, they are given a dose of penicillin and monitored.
If there’s any doubt, they’re referred for further testing, including skin tests.
These tests help determine if a person truly has a penicillin allergy or if it was a false alarm.
The Future of Penicillin Allergy De-Labelling
While this approach is a promising start, the process of de-labelling people will take time.
Dr. Sophie Farooque, a consultant allergist, and her team are working on a national allergy strategy, but for now, those who think they might be wrongly labelled can request a referral to a de-labelling clinic.
Dr. Tom Swaine, an infectious diseases specialist, advises those with a suspected inaccurate allergy label to contact their GP for a referral.
Once the clinic is fully operational, it will offer an essential service to people who need access to the best treatments available.
As for me, I’ll be asking my GP to refer me to the de-labelling clinic as soon as it’s up and running, so I can ensure I have the best treatment options if I ever need them.
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