Virginia Infection Prevention & Control Training Alliance (VIPTA)

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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, Recommendations, & Regulatory 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: Conjunctivitis (09/11/2026)
CDC
Any Practice Setting
The CDC recommends excluding healthcare personnel with suspected or confirmed infectious conjunctivitis, including epidemic keratoconjunctivitis (EKC), from work for the duration of their symptoms. These recommendations emphasize strict hand hygiene, appropriate cleaning and disinfection of surfaces and shared medical equipment, and prompt identification and management of cases to prevent transmission and healthcare-associated outbreaks.
CDC: Viral Respiratory Infections (09/11/2026)
CDC
Any Practice Setting
The CDC provides updated recommendations for managing healthcare personnel exposed to or infected with viral respiratory infections, including work restrictions, symptom monitoring, and source control. Asymptomatic exposed personnel may continue working with source control through at least five days after their last exposure, while infected personnel should be excluded from work for at least three days and meet additional symptom-based return-to-work criteria, followed by source control through at least day seven.
CDC: Preventing Respiratory Infections in the Workplace (08/28/2026)
CDC
Any Practice Setting
The CDC provides recommendations to help employers prevent and respond to respiratory infections in the workplace through improved ventilation, engineering controls, environmental cleaning and disinfection, and policies that encourage sick employees to stay home.  These recommendations also emphasize using respiratory illness surveillance data to inform workplace prevention strategies, including masking and remote work, to reduce transmission and protect employee health.

Society for Healthcare Epidemiology of America (SHEA)

Infection Prevention and Control of Candida auris in Pediatric Settings (6/23/2026) The guidance recommends identifying at-risk pediatric patients through targeted screening, using appropriate isolation and room-placement precautions, and coordinating closely with infection prevention and public health partners when Candida auris is suspected or confirmed. It also emphasizes prevention through meticulous hand hygiene, effective environmental cleaning and disinfection, and careful...


VCU Health Tappahannock Hospital

This month we are highlighting the great infection prevention work at VCU Health Tappahannock Hospital. They haven’t had a reportable catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection, ventilator-associated event, MRSA bacteremia laboratory-identified event, or surgical site infection following a colon procedure in 2023 or 2024 so far! They are a small facility (only 37 beds), so even one healthcare-associated infection causes their standardized infection ratio to be high.

According to Director of Infection Prevention, Donna Tignor, and Director of Quality, Kate Bradshaw, they are most proud of their work on CAUTI reduction. VCU Health Tappahannock Hospital has the standard CAUTI prevention practices in place, such as a CAUTI prevention bundle and discussing necessity every day in interdisciplinary rounds. However, the initiative with the biggest impact was the facility’s effort to empower nurses to follow the nurse-driven protocol for urinary catheter removal. Despite having a nurse-driven protocol in place, nurses were still calling physicians for permission to remove the catheter. Infection prevention and nursing leaders rounded with staff to share their support for the nurse-driven protocol and empower nursing staff to follow the protocol. These leaders made a commitment to back up the nursing teams if the decision to remove a catheter under the protocol was called into question. Infection prevention at Tappahannock also performs in-person onboarding with new physicians so they can review the nurse-driven catheter removal protocol with them. This ensures that physicians are aware of the facility’s protocols and that this is a part of their culture. Great work VCU Health Tappahannock Hospital!


IPC Education & Training Library

Search the VIPTA library of curated infection prevention and control (IPC) education and training resources. The IPC Education & Training Resource Library includes state and national resources related to healthcare-associated infections, antimicrobial resistance and/or IPC. Visit the VIPTA FAQ page to learn more about VIPTA library content.

 

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