Obstetric and Gynecologic Care as an Opportunity for Penicillin Allergy Testing: Results From a Novel Survey [ID 1162]

INTRODUCTION: Penicillin allergy is the most frequent antibiotic allergy despite 80% of childhood penicillin allergies resolving in 10 years. Obstetrics and gynecology (ob-gyn) providers possess an opportunity to counsel, educate, and encourage penicillin allergy testing. We examine patient knowledge and attitudes toward allergy testing during and outside of pregnancy. METHODS: We constructed an anonymous, online, English and Spanish survey that queried patient personal history and knowledge and attitudes surrounding penicillin allergy testing. Ob-gyn patients with documented penicillin allergies were offered participation. Surveys were completed via QR code or link sent through electonic medical records from January to March 2024. RESULTS: Of 194 eligible patients approached via MyChart message (n=55, 28%) or in-person QR code (n=134, 72%), 37 (19%) patients completed the survey. Responders were primarily 30+ years old (n=29, 78%), Black (n=26, 68%), non-Hispanic (n=31, 81.6%), and publicly insured (n=21, 55%). Allergies were most often identified between 3 and 15 years (n=12, 31%). Only 63% (n=24) had heard of allergy testing. Notably, patients would consider allergy testing, particularly during pregnancy, if their provider discussed testing with them (X2(1)=7.30, P <.01), although provider discussion did not increase patient knowledge regarding how to obtain testing (X2(1)=0.37, P =.55). Twenty-six (70%) patients scored 80% or higher on knowledge questions. CONCLUSIONS/IMPLICATIONS: Patients have a basic knowledge about penicillin allergies and reported considering testing during pregnancy after provider discussion. Incorporation of allergy testing counseling and referral to an allergy clinic may influence patients’ future care.