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Do you still perform skin testing prior to giving IV antibiotic?

Medications   (29,857 Views | 31 Replies)

3,674 Profile Views; 49 Posts

I was wondering if it is still a practice to do skin test prior to administration of antibiotics in the hospital that you're working or if it's still effective?

Edited by plethoraldork

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psu_213 has 6 years experience as a BSN, RN and specializes in Emergency, Telemetry, Transplant.

3,869 Posts; 28,054 Profile Views

What type of skin testing are you talking about?

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Hay Nars, RN has 2 years experience and specializes in Med-Surg.

51 Posts; 2,588 Profile Views

Sorry, I' have never heard of this before.

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49 Posts; 3,674 Profile Views

is perform to check if your patient is allergic to that certain antibiotic. a drop of antibiotic is placed under the patient's skin (ID injection)

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Hay Nars, RN has 2 years experience and specializes in Med-Surg.

51 Posts; 2,588 Profile Views

Maybe they stopped this because antibiotics are not supposed to go into the subcutaneous tissue. They are ordered IV and even then they can be very harsh on veins. :-/ See an infiltrated IV from antibiotics? Not fun.

Sounds like a deliberate extravasation.

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RNFiona has 13 years experience and specializes in ER.

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Huh? I have been an ER nurse 10 years and have never even heard of that..so I would say ummm..no?

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Creamsoda is a ASN, RN and specializes in ICU.

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I wonder if that was a "old school" thing. Never heard of it, I can get the rationalle, but ive never heard of it till now.

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Do-over is a ASN, RN and specializes in CICU.

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I was ordered to perform a scratch test one time, probably about a year ago, prior to given an antibiotic. Don't remember if it was the physician or pharmacy that ordered it, but it was the only time I've ever done it.

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TheCommuter has 10 years experience as a BSN, RN and specializes in Case mgmt., rehab, (CRRN), LTC & psych.

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I was wondering if it is still a practice to do skin test prior to administration of antibiotics in the hospital that you're working or if it's still effective?

Based on the responses so far, I would conjecture that skin-testing prior to ABT administration is no longer a common practice. Personally, I've never heard of it being done until I started reading this thread.

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Creamsoda is a ASN, RN and specializes in ICU.

723 Posts; 12,257 Profile Views

Maybe they might do it, or like another poster mentioned, a scratch test if they want to give an ABX that is in a similar family to what the patient could be allergic to. Sometimes they may not be allergic to all in that family but they may need it for whatever reason as they may not be sensitive to the others.

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