Is it Really a Penicillin Allergy?

Did you know that 10% of U.S. patients report a penicillin allergy, but fewer than 1% are actually allergic? Taking the time to clarify whether a penicillin allergy is real or not can make a big difference in patient care. As we approach U.S. Antibiotic Awareness Week (USAAW), November 18-24, it’s the perfect opportunity to confirm if that reported allergy is accurate.

By doing so, healthcare providers can help reduce the unnecessary use of broad-spectrum antibiotics—lowering healthcare costs and decreasing the risk of antimicrobial resistance. A simple conversation or assessment can go a long way!

Ready to take action? Here are some helpful resources to get started:

Penicillin Allergy Education: The CDC’s flyer “Is it Really a Penicillin Allergy?” provides key insights for healthcare professionals on the importance of evaluating reported penicillin allergies.
Allergy Assessment Tool: The AHRQ tool helps clinicians safely evaluate reported penicillin allergies, supporting accurate diagnosis and improved patient care.
CDC Toolkit for USAAW: Use the toolkit and daily themes to inspire your activities throughout Antibiotic Awareness Week.

Target Audience: Intermediate IPC education level

Guidance & Regulation Updates

VIPTA members track guidance and regulation resources to share source documents that guide infection prevention and control practices for public health staff and clinical and non-clinical healthcare personnel.

The date of the regulation or guidance update is included in each post. Please check linked content to be sure it is the most up to date and recommended practice.

CDC: Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026)

CDC

Acute Care Hospital

Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)

Assisted Living Facility (ALF)

Department of Health

Hospice and Palliative Care

Nursing Home / Skilled Nursing Facility (SNF)

Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026) The Diagnostic excellence (DxEx) provides guidance to implement actionable strategies within hospitals to enhance diagnostic accuracy through improved diagnostic reasoning, testing methodologies, and communication processes, ultimately elevating patient safety standards. It encourages the implementation of systematic approaches and evidence-based practices for improving diagnostic processes, ultimately aiming to reduce errors and increase patient safety across healthcare settings.

CDC: Clostridioides difficile Infection (CDI) Surveillance (March 19, 2026)

CDC

Any Practice Setting

Department of Health

Surveillance

Clostridioides difficile Infection (CDI) Surveillance (March 19, 2026) The guidance on Clostridioides difficile (C. diff) emphasizes the importance of implementing prevention strategies, including appropriate antibiotic use, enhanced infection control practices, and patient education to reduce the incidence of C. diff infections in healthcare settings. It highlights the role of the Emerging Infections Program (EIP) in monitoring C. diff cases, promoting research on infection trends, and improving response efforts to effectively manage outbreaks and improve patient care.

VDH: Clinician Letter – Updates on Virginia Department of Health Vaccine Recommendations (2/19/2026)

VDH

Department of Health

Pediatric / NICU

Vaccination

Clinician Letter: Updates on Virginia Department of Health Vaccine Recommendations (2/19/2026) The clinician letter reports that Virginia recommends continued use of the American Academy of Pediatrics 2026 immunization schedule despite recent federal changes, emphasizing that current vaccine guidance should remain grounded in established scientific evidence and clinical best practices. The letter also states that there are no changes to Virginia school immunization requirements and urges clinicians to continue offering recommended vaccines and use clinical judgment in shared decision-making with patients and families.

CDC: Considerations for Reducing Risk – Water in Healthcare Facilities (2/6/2026)

CDC

Any Practice Setting

Water Management

Centers for Disease Control and Prevention (CDC) Considerations for Reducing Risk: Water in Healthcare Facilities (February 6, 2026) CDC recommends establishing a water management program that identifies risk areas in a facility’s water system and implements controls to prevent harmful pathogens like Legionella. The program should be routinely monitored, documented, and adjusted to ensure it remains effective and responsive to changing conditions.

ASHRAE: Ventilation of Healthcare Facilities (2/16/2026)

Any Practice Setting

Air Quality

Ventilator

The American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) Ventilation of Healthcare Facilities (02/16/2026) The 2025 edition of ANSI/ASHRAE/ASHE Standard 170 outlines minimum ventilation requirements for health care facilities, emphasizing compliance and best practices for HVAC system design. Key updates include the option for natural ventilation, total outdoor air calculations for combined spaces, and clarified requirements for imaging and outpatient areas.

Bug of the Month

The infection prevention team at Ballad Health continually seeks new and creative ways to educate more than 13,500 team members across 20 hospitals on important infection prevention topics. Supporting this effort is Krista Hess, an infection preventionist at Russell County Hospital in southwest Virginia, who leads the Bug of the Month Committee.

With full creative control, the committee develops a one-page educational flyer each month that is shared by leaders, highlighted during huddles, and featured in internal communication, such as Ballad Health News. Now celebrating its two-year anniversary, Bug of the Month continues to gain momentum. October’s “Say Boo to the Flu” achieved the highest engagement yet.

Over the past two years, the Bug of the Month Committee has spotlighted topics such as C. difficile, Candida auris, hand hygiene, and environmental cleaning. Congratulations to Krista Hess and the entire Ballad Health team for championing innovative approaches that keep team members informed on vital infection prevention topics!