β-Lactam Allergy

Minor β-Lactam Allergy

  • Nonspecific rashes

  • GI intolerance

Cross reactivity with 2nd, 3rd, and 4th generation cephalosporins is low (<3%)

The benefit from beta-lactam antibiotics outweighs the potential risk in these patients

Serious β-Lactam Allergy

  • Anaphylaxis

  • Angioedema

  • Breathing problems

  • Hives

AND

Note

*This is the preferred regimen in the absence of nursing home residence or prior exposure to a fluoroquinolone in the past six months