Searched for: person:sternh01
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A Curious Case of Hypocalcemia-Induced Seizure From Early Childhood Food Avoidance
Hershberger, Sarah; Bogale, Kaleb; Stern, Heather; Jhaveri, Pooja
PMID: 37974464
ISSN: 2154-1671
CID: 5603072
Persistent Penicillin Allergy Label in Pharmacies after Penicillin Allergy De-labeling [Meeting Abstract]
Diaz, A M; Fonacier, L; Stern, H; Mawhirt, S; Banta, E; Sani, S
Rationale: Carrying a penicillin allergy label is associated with increased healthcare costs and adverse events. De-labeling a penicillin allergy can optimize antimicrobial stewardship and improve patient care.
Method(s): We performed an IRB-approved retrospective study of patients over 11 years-old, who were de-labeled of penicillin allergy (negative skin testing and aminopenicillin oral challenge) in our clinic between May 2019 and May 2022. Patients had their penicillin allergy removed from our electronic medical record (EMR) and were given a wallet card denoting results. A letter with fax confirmation of receipt was sent to both primary care physician and pharmacy. EMR review and phone interviews with patients and pharmacies were subsequently conducted to determine penicillin allergy status and antibiotic prescribing patterns.
Result(s): A total of 78 charts were reviewed: 68 underwent phone interviews, 9 were lost to follow up, and 1 was deceased. From these charts, 77 (99%) remained de-labeled in our EMR, whereas 24 (31%) had an active penicillin allergy listed in their pharmacy. Out of 68 patients interviewed, 66 (97%) recalled a negative penicillin allergy result, 30 (44%) took penicillins since de-labeling, 31 (46%) were not prescribed penicillins, 4 (6%) avoided penicillins, while 3 (4%) reported unknown antibiotic use.
Conclusion(s): This study demonstrates that our pencillin de-labeling protocol is effective in maintaining a non-allergic status and allowing for subsequent penicillin administration. However, the discrepancy in allergy records between our EMR and patients' pharmacies exemplifies the need to identify barriers in universally de-labeling patients.
Copyright
EMBASE:2022489344
ISSN: 1097-6825
CID: 5509742
Needs Assessment for Eosinophilic Esophagitis Education in School Nurses
Bogale, Kaleb; Stern, Heather; Jhaveri, Punit; Jhaveri, Pooja
Over the past 2 decades, eosinophilic esophagitis (EoE) has become increasingly recognized as a common cause of gastrointestinal morbidity in children. A mainstay of treatment is food avoidance, which must be implemented in both the home and school settings for school-aged children. The aim of this study is to assess school nurses' familiarity with EoE with regard to food avoidance and treatment in the school setting. We conducted a 19-question online survey of 60 school nurses (elementary through high school) recruited from Dauphin, Lebanon, and Lancaster Counties in Pennsylvania. Results indicated that 62% of respondents were familiar with EoE. However, only 22% felt comfortable distinguishing between symptoms of EoE and food-dependent anaphylaxis. Almost all respondents (97%) were interested in learning more about EoE. We report significantly increased familiarity with food-dependent anaphylaxis in comparison with EoE among school nurses. There is an interest and need for increasing education on EoE.
PMID: 33438514
ISSN: 1546-8364
CID: 5327992
Strategies to identify and prevent penicillin allergy mislabeling and appropriately de-label patients
Stern, Heather; Lutzkanin, Kristen; Lutzkanin, Andrew
Taking a good drug allergy history is critical, followed by removing the "penicillin-allergic" label in certain low-risk patients and referring for testing those at high risk.
PMID: 34818164
ISSN: 1533-7294
CID: 5328002
A Novel RAC2 Variant Presenting as Severe Combined Immunodeficiency [Letter]
Stern, Heather; Donkó, Agnes; Shapiro, Teresa; Hsu, Amy P; Leto, Thomas L; Holland, Steven M; Andreae, Doerthe Adriana
PMID: 33188496
ISSN: 1573-2592
CID: 5327982
Evaluating Reported Penicillin Allergy in Preteen and Adolescent Females: A Retrospective Study and Quality Improvement Project [Meeting Abstract]
Stern, Heather; Ajewole, Oyindamola; Horwitz, Alexandra
ISI:000517092700171
ISSN: 0091-6749
CID: 5328012
Analysis of Salivary MicroRNAs in Pediatric Eosinophilic Esophagitis [Meeting Abstract]
Lambert, Kristin; Stern, Heather; Ishmael, Faoud; Jhaveri, Punit; Alexander, Chandran; Jhaveri, Pooja
ISI:000517092700131
ISSN: 0091-6749
CID: 5328022
Quality Assessment of the Care of Acquired Angioedema Patients at our Institution [Meeting Abstract]
Stern, Heather H.; Craig, Timothy J.
ISI:000457771200518
ISSN: 0091-6749
CID: 5265862
A NOVEL MUTATION IN RAC2 IN AN INFANT WITH COMBINED IMMUNE DEFICIENCY [Meeting Abstract]
Stern, H.; Shapiro, T.; Andreae, D.
ISI:000496175500327
ISSN: 1081-1206
CID: 5328032
IS IT HYPEREOSINOPHILIC SYNDROME, CUTANEOUS T CELL LYMPHOMA, OR BOTH? [Meeting Abstract]
Dziewa, I.; Stern, H.; Ghaffari, G.
ISI:000496175500423
ISSN: 1081-1206
CID: 5328042