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Draft Proclamation

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(TEMPLATE ONLY: PLEASE MODIFY TO YOUR NEEDS)

 

PROCLAMATION

NATIONAL PENICILLIN ALLERGY DAY: SEPTEMBER 28, 2018

 

WHEREAS, penicillin is the most commonly reported drug allergy with 10% of all US patients—30 million Americans, or more than 1.25 million Illinoisans—reporting having an allergic reaction to a penicillin-class antibiotic in their past1; and

WHEREAS, penicillin allergy history is often inaccurate, with research showing that 9 out of 10 patients reporting as penicillin allergic—about 27 million Americans, or up to 1.15 million Illinoisans—are not truly allergic to penicillin1; and

WHEREAS, inaccurate diagnosis of penicillin allergy can adversely impact medical costs for both patients and healthcare systems: research shows that antibiotic costs for patients reporting penicillin allergies are up to 63% higher than for those who do not report being penicillin-allergic2; and

WHEREAS, in the hospital setting, history of penicillin allergy translates to about 10% more hospital days, 30% higher incidence of VRE infections, 23% higher incidence of C difficile infections, and 14% higher incidence of MRSA infections2; and

WHEREAS, these adverse events occur because penicillin “allergic” patients are given more broad spectrum antibiotics2, which contributes to the public health problem of antibiotic resistance3; and

WHEREAS, National Penicillin Allergy Day is being organized to raise awareness of false penicillin allergy and encourage the de-labeling of patients erroneously labeled penicillin-allergic by promoting penicillin allergy skin testing;

THEREFORE, I, Bruce Rauner, Governor of Illinois, do hereby proclaim September 28, 2018, as NATIONAL PENICILLIN ALLERGY DAY in the state of Illinois.

 

References:

  1. Joint Task Force on Practice Parameters representing the American Academy of Allergy, Asthma, and Immunology; American College of Allergy, Asthma, and Immunology; Joint Council of Allergy, Asthma and Immunology. Drug allergy: an updated practice parameter. Ann Allergy Asthma Immunol. 2010 Oct;105(4):259-273
  2. Macy, E. M., & Contreras, R. (2014). Healthcare Utilization and Serious Infection Prevalence Associated With Penicillin “Allergy” In Hospitalized Patients: A Cohort Study. Journal of Allergy and Clinical Immunology,133(2). http://dx.doi.org/10.1016/j.jaci.2013.09.021
  3. Dellit, TH, Owens, RC, McGowan JE, Jr et al. Infectious Disease Society of America and the Society for Healthcare Epidemiology of America Guidelines for Developing Institutional Programs to Enhance Antimicrobial Stewardship. Clin Infect Dis. 2007;44-150-77.