Validity of PEN-FAST as a clinical decision tool in pregnant patients

PEN-FAST can be used to improve risk stratification of reported penicillin allergies among pregnant patients, enhancing delabeling in this population. Our data also support the idea that skin testing and oral challenge are well tolerated at a wide range of gestational ages as young as 16 weeks. In our large cohort of more than 300 pregnant patients, the majority were low-risk and all who underwent oral challenge passed without any severe adverse events.

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Publication Details

Journal
Journal of Allergy and Clinical Immunology Global
Published
2026-02-14
DOI
https://doi.org/10.1016/j.jacig.2026.100671
Primary Topic
Cardiovascular Issues in Pregnancy
Type
article
Field-Weighted Citation Impact
0.00
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article

Validity of PEN-FAST as a clinical decision tool in pregnant patients

Martina S. Burn, Jason A. Trubiano, Moeun Son, Jason Kwah et al.
Journal of Allergy and Clinical Immunology Global
Cardiovascular Issues in Pregnancy
article

Validity of PEN-FAST as a clinical decision tool in pregnant patients

Martina S. Burn, Jason A. Trubiano, Moeun Son, Jason Kwah, Chang Su, Ami P. Belmont, Lucia You, Jane Liao
article en

Abstract

PEN-FAST can be used to improve risk stratification of reported penicillin allergies among pregnant patients, enhancing delabeling in this population. Our data also support the idea that skin testing and oral challenge are well tolerated at a wide range of gestational ages as young as 16 weeks. In our large cohort of more than 300 pregnant patients, the majority were low-risk and all who underwent oral challenge passed without any severe adverse events.

Journal of Allergy and Clinical Immunology GlobalVol. 5(3)
University of Minnesota (US), Montefiore Medical Center (US), Cornell University (US), Yale University (US), Austin Health (AU)
Gender equality
Openalex Percentile: Top 58%
Cardiovascular Issues in Pregnancy
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