Penicillin and amoxicillin are go-to antibiotics for many common childhood illnesses, but what happens when a child is labeled as allergic? Surprisingly, most children who carry this label aren't truly allergic. Dr. Maricarmen Shields, Pediatrician, and the team at Palouse Pediatrics are working to improve the accuracy of penicillin allergy diagnoses in the community, because getting it right can make a big difference in a child’s care. Here are three things that you should know:
Many allergy labels come from childhood symptoms like rashes or upset stomachs, which are often side effects or illness-related, not true allergic reactions. In fact, Dr. Shields says that “out of 100 children with penicillin or amoxicillin allergies listed, only one will need to avoid the medication.” These labels can stay in a child's medical record for years without being reevaluated.
When a child is labeled as allergic, doctors often have to use alternative antibiotics. These options may be less effective, cause more side effects, cost more, and contribute to antibiotic resistance. “Penicillins are usually the best choice for treating common infections like strep throat and ear infections in children,” says Dr. Shields. “They tend to work better, taste better in liquid form, and are easier on the body.”
Palouse Pediatrics is actively reviewing allergy histories and talking with families about whether their child might be a good candidate for allergy testing or a supervised dose of amoxicillin. The team looks closely at the type, timing, and severity of past reactions. Many children can safely try a monitored dose in the office, and if there's no reaction, the allergy label can be removed. For more complex cases, skin testing is a safe, proven method that can be conducted at an Allergist's office.
If you think your child might be eligible for testing or are interested in reviewing your child's allergy history, please talk with your child's provider. Rechecking an old allergy could mean better treatment and fewer risks down the road.
To learn more or schedule an evaluation, please contact Palouse Pediatrics in Pullman (509) 332-2605 or Moscow (208) 882-2247.