The Cost of Penicillin Allergy Evaluation.

ABSTRACT:

Background

Unverified penicillin allergy leads to adverse downstream clinical and economic sequelae. Penicillin allergy evaluation can be used to identify true, IgE-mediated allergy.

Objective

To estimate the cost of penicillin allergy evaluation using time-driven activity-based costing (TDABC).

Methods

We implemented TDABC throughout the care pathway for 30 outpatients presenting for penicillin allergy evaluation. The base-case evaluation included penicillin skin testing and a 1-step amoxicillin drug challenge, performed by an allergist. We varied assumptions about the provider type, clinical setting, procedure type, and personnel timing.

Results

The base-case penicillin allergy evaluation costs $220 in 2016 US dollars: $98 for personnel, $119 for consumables,

SUBMITTER: Blumenthal KG 

PROVIDER: S-EPMC5862726 | biostudies-literature | 2018 May - Jun

REPOSITORIES: biostudies-literature