{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-RMEFUERT/cb6323f8-fcf7-481d-8ad1-3a517522568a/HTML","dcterms:extent":"25 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-RMEFUERT/628b40e9-e4eb-4351-a41d-3237354dc9e8/PDF","dcterms:extent":"80 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-RMEFUERT/ced4e795-a4c3-497a-8efc-5be5ca78e980/TEXT","dcterms:extent":"22 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-RMEFUERT","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2013","dc:creator":["Grošelj, Mateja","Košnik, Mitja","Mrhar, Aleš","Zidarn, Mihaela"],"dc:format":[{"@xml:lang":"sl","#text":"številka:2"},{"@xml:lang":"sl","#text":"letnik:82"},{"@xml:lang":"sl","#text":"str. 80-85"}],"dc:identifier":["ISSN:1318-0347","COBISSID:3428721","URN:URN:NBN:SI:doc-RMEFUERT"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"sl","#text":"farmacevtska intervencija"},{"@xml:lang":"sl","#text":"penicilin"},{"@xml:lang":"en","#text":"penicillin"},{"@xml:lang":"sl","#text":"preobčutljivost"},{"@xml:lang":"sl","#text":"testiranje"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Prepoznavanje in zdravljenje bolnikov s sumom na preobčutljivost za penicilinske antibiotike| Identification and treatment of patients with suspected penicillin allergy|"},"dc:description":[{"@xml:lang":"sl","#text":"Penicillin antibiotics are the most common medicines that are suspected to cause allergy. True penicillin allergy is rarely diagnosed in clinical practice. Many patients with a personal history of penicillin allergy are unnecessarily denied the benefits of penicillin and are given broader-spectrum antibiotics. Such unnecessary prescription of extended-spectrum antibiotics could contribute to the development and spread of multiple drug-resistant bacteria. The aim of our study was to check the identification and treatment of patients with a reported history of penicillin allergy. Methods: In the first part of the study, 21 pharmacies were included. Pharmacists asked adults who came to the pharmacy with a prescription for a non-penicillin antibiotic whether they are penicillin allergic and whether the allergy was confirmed with tests. In the second part of the study the antibiotic prescription pattern was surveyed in patients with ruled-out penicillin allergy. Results: 355/435 (81.6 %) subjects, who came with the prescriptions for non-penicillin antibiotic, were patients - direct users of the prescribed antibiotic. Out of 124 patients with non-penicillin prescriptions, 26 (21 %) claimed penicillin hypersensitivity, however, only in 7 (26.9 %) it had been confirmed by allergy tests. Out of 272 patients with presumed penicillin hypersensitivity, diagnosis was confirmed in only 22 (8 %). 61.4 % patients with ruled-out penicillin allergy got a prescription for antibiotic in the previous year. However, in only 43.9 % of cases these were penicillin antibiotics. Conclusion: We confirmed that many patients report penicillin allergy, however, the allergy is rarely confirmed by tests. Also, after tests that rule out penicillin allergy have been performed, penicillin antibiotics are still prescribed in lesser percent than other antibiotics. We found out that the vast majority of adults who come in the pharmacy with an antibiotic prescription are direct consumers of the prescribed antibiotic. Therefore, there is an opportunity to develop and implement a program of pharmaceutical care also for antibiotic treatment"},{"@xml:lang":"sl","#text":"Izhodišče: Penicilinski antibiotiki so zdravila, ki jih najpogosteje osumimo kot vzrok za preobčutljivostne reakcije. Dejansko preobčutljivost za penicilinske antibiotike v klinični praksi redko dokažemo. Zaradi poročil o preobčutljivosti v anamnezi mnogim bolnikom ne predpišemo penicilinskih antibiotikov, ampak širokospektralne nepenicilinske antibiotike. Neupravičeno predpisovanje slednjih lahko povzroči razvoj in širjenje bakterijskih sevov z večkratno odpornostjo na zdravila. Z raziskavo smo preverili, kako potekata prepoznavanje in obravnava bolnikov, pri katerih sumimo na preobčutljivost za penicilinske antibiotike. Metode: V prvem delu raziskave smo v 21 lekarnah izvedli anketo, s katero so farmacevti med odraslimi, ki so prišli v lekarno zreceptom za nepenicilinski antibiotik preverili, ali je razlog predpisa nepenicilinskega antibiotika sum na preobčutljivost za penicilinski antibiotikin ali so sum preverili s testiranjem. V drugem delu smo med bolniki, pri katerih so s testiranjem ovrgli sum preobčutljivosti za penicilin, preverili vzorec predpisovanja antibiotikov. Rezultati: 355/435 (81,6 %) odraslih, ki so prišli v lekarno z receptom za antibiotik, so bili bolniki - neposredni uporabniki antibiotika. Od 124 bolnikov s predpisanim nepenicilinskim antibiotikom je 26 bolnikov (21 %) navedlo, da so preobčutljivi za penicilin, kar pa je bilo dokazano s testiranjem le pri 7 (26,9 %). Med 272 bolniki s sumom na preobčutljivost za penicilin so diagnozo potrdili le pri 22 (8,1 %). 61,4 % bolnikov, pri katerih je bilo testiranje negativno, je v zadnjem letu vsaj enkrat prejelo antibiotik - penicilin le v 43,9 % primerov. Zaključek: Z raziskavo smo potrdili, da bolniki pogosto poročajo o preobčutljivosti za penicilinske antibiotike, redko pa je pri njih preobčutljivost dokazana s testiranjem. Pri bolnikih, ki so jim preobčutljivost ovrgli s testiranjem, so zdravniki penicilin predpisovali še vedno redkeje kot druge antibiotike. Ugotovili smo tudi, da večina odraslih, ki pridejo v lekarno s predpisanim antibiotikom, tega tudi neposredno uporablja. To ponuja možnost za razvoj in implementacijo programa farmacevtske skrbi tudi na področju zdravljenja z antibiotiki"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-RMEFUERT","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-RMEFUERT"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-RMEFUERT/628b40e9-e4eb-4351-a41d-3237354dc9e8/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-RMEFUERT/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-RMEFUERT"}}}}