What is a pcn allergy

What is a pcn allergy

Susanna Silverman, MD | Allergy & Asthma Care of New York

Dr. Susanna Silverman is  Board Certified by the American Board of Allergy & Immunology as well as the American Board of Internal Medicine. Dr. Silverman completed her undergraduate education at Harvard University, followed by Medical School at the NYU School of Medicine. She completed her Internal Medicine residency at NYU Langone Medical Middle and her Allergy & Immunology Fellowship at the Hospital for the University of Pennsylvania. She treats both adults and children for allergy (penicillin, food, seasonal) , asthma & immunological conditions. Dr. Silverman tailors her evaluation and treatment of each patient to fit their specific needs.

Her unique experience allows her to get to the bottom of even the most complicated symptoms.

EDUCATION AND MEDICAL TRAINING

  1. New York University School of Medicine, Internal Medicine Residency
  2. University of Pennsylvania Health System, Allergy and Immunology Fellowship
  3. New York University School of Medicine, Medical School
  4. Harvard University, Undergraduate

BOARD CERTIFICATIONS

  1. American Board of Allergy and Immunology, 2015
  2. American Board of Internal Medicine, 2012

HOSPITAL AFFILIATIONS

  1. New York University Langone Medical Center

PROFESSIONAL AFFILIATIONS

  1. American Academy of Allergy, Asthma, and Immunology
  2. American College of Allergy, Asthma, and Immunology
  3. New York Allergy and Asthma Society

LANGUAGES

PUBLICATIONS

  1. Silverman S, Apter A.

    Prevalence of chronic urticaria in adult patients with self-reported penicillin allergy. The Journal of Allergy and Clinical Immunology. 2015 Feb; 135(2): Supplement, AB385. (Abstract).

  2. Silverman S, Localio R, Apter AJ. Association between chronic urticaria and self-reported penicillin allergy. Annals of Allergy, Asthma, and Immunology. 2016 Jan; 116(4): 317-320.
  3. Gupta M, Jafri K, Sharim R, Silverman S, Sindher SB, Shahane A, Kwan M. Immune reconstitution inflammatory syndrome associated with biologic therapy.

    What is a pcn allergy

    Current Allergy and Asthma Reports. 2015 Feb; 15(2): 499.

  4. Silverman S, Bassett C, Rothstein E. Dysphagia, Stricture, and Family History in 45 Adult Patients with Eosinophilic Esophagitis. Annals of Allergy, Asthma, and Immunology. 2011 Nov; 107 (5): Supplement 1. (Abstract).
  5.  Silverman S, Bassett C, Rothstein R.

    What is a pcn allergy

    The Potential Benefit of Immunotherapy in the Treatment of Eosinophilic Esophagitis in Adult Patients. The Journal of Allergy and Clinical Immunology. 2012 Feb; 129 (2): Supplement, AB956. (Abstract).

  6. Silverman S, Bassett C, Rothstein E. Association between Eosinophilic Esophagitis, Food Allergy, and Airborne Allergy in a Cohort of 45 Adult Patients.

    What is a pcn allergy

    Annals of Allergy, Asthma, and Immunology. 2011 Nov; 107 (5): Supplement 1. (Abstract).

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Allergy & Asthma Care of New York accepts most insurance plans.

If you own any questions for the NYC allergists or would love to schedule a consultation with the allergists please feel free to contact Allergy & Asthma Care of New York (212) 964-1295 or (212) 759-8644 and indicate which NYC office (Financial District, Gramercy, Midtown) you would love to be seen.

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Susanna Silverman, MD | Allergy & Asthma Care of New York

Dr.

Susanna Silverman is  Board Certified by the American Board of Allergy & Immunology as well as the American Board of Internal Medicine. Dr. Silverman completed her undergraduate education at Harvard University, followed by Medical School at the NYU School of Medicine. She completed her Internal Medicine residency at NYU Langone Medical Middle and her Allergy & Immunology Fellowship at the Hospital for the University of Pennsylvania. She treats both adults and children for allergy (penicillin, food, seasonal) , asthma & immunological conditions.

Dr. Silverman tailors her evaluation and treatment of each patient to fit their specific needs. Her unique experience allows her to get to the bottom of even the most complicated symptoms.

EDUCATION AND MEDICAL TRAINING

  1. New York University School of Medicine, Internal Medicine Residency
  2. University of Pennsylvania Health System, Allergy and Immunology Fellowship
  3. New York University School of Medicine, Medical School
  4. Harvard University, Undergraduate

BOARD CERTIFICATIONS

  1. American Board of Allergy and Immunology, 2015
  2. American Board of Internal Medicine, 2012

HOSPITAL AFFILIATIONS

  1. New York University Langone Medical Center

PROFESSIONAL AFFILIATIONS

  1. American Academy of Allergy, Asthma, and Immunology
  2. American College of Allergy, Asthma, and Immunology
  3. New York Allergy and Asthma Society

LANGUAGES

PUBLICATIONS

  1. Silverman S, Apter A.

    Prevalence of chronic urticaria in adult patients with self-reported penicillin allergy. The Journal of Allergy and Clinical Immunology. 2015 Feb; 135(2): Supplement, AB385. (Abstract).

  2. Silverman S, Localio R, Apter AJ. Association between chronic urticaria and self-reported penicillin allergy. Annals of Allergy, Asthma, and Immunology. 2016 Jan; 116(4): 317-320.
  3. Gupta M, Jafri K, Sharim R, Silverman S, Sindher SB, Shahane A, Kwan M. Immune reconstitution inflammatory syndrome associated with biologic therapy. Current Allergy and Asthma Reports.

    2015 Feb; 15(2): 499.

  4. Silverman S, Bassett C, Rothstein E. Dysphagia, Stricture, and Family History in 45 Adult Patients with Eosinophilic Esophagitis. Annals of Allergy, Asthma, and Immunology. 2011 Nov; 107 (5): Supplement 1.

    What is a pcn allergy

    (Abstract).

  5.  Silverman S, Bassett C, Rothstein R. The Potential Benefit of Immunotherapy in the Treatment of Eosinophilic Esophagitis in Adult Patients. The Journal of Allergy and Clinical Immunology. 2012 Feb; 129 (2): Supplement, AB956. (Abstract).
  6. Silverman S, Bassett C, Rothstein E.

    What is a pcn allergy

    Association between Eosinophilic Esophagitis, Food Allergy, and Airborne Allergy in a Cohort of 45 Adult Patients. Annals of Allergy, Asthma, and Immunology. 2011 Nov; 107 (5): Supplement 1. (Abstract).

[/two_third]

Allergy & Asthma Care of New York accepts most insurance plans.

If you own any questions for the NYC allergists or would love to schedule a consultation with the allergists please feel free to contact Allergy & Asthma Care of New York (212) 964-1295 or (212) 759-8644 and indicate which NYC office (Financial District, Gramercy, Midtown) you would love to be seen.

Abstract

Objectives To estimate the prevalence of and identify modifiable risk factors for alternative antibiotics for group B Streptococcus (GBS) prophylaxis in penicillin-allergic women.

Methods Retrospective cohort study of pregnant women within a health care network from January 1, 2014, to December 31, 2017.

Included women were GBS colonized, delivered at ≥ 37 weeks’ gestation, and reported penicillin/cephalosporin allergy. The primary outcome was the use of alternate antibiotics GBS prophylaxis, defined per Centers for Disease Control and Prevention guidelines as antibiotics other than penicillin, ampicillin, or cefazolin.

Results We identified 190 GBS-colonized pregnant women self-reporting a penicillin/cephalosporin allergy; 5% reported anaphylaxis, 44% high-risk symptoms (isolated hives, shortness of breath, swelling, or vomiting), and 51% low-risk symptoms (isolated rash, itching, or nausea).

Two-thirds (63%) had alternative antibiotic prophylaxis. In adjusted analyses, nonwhite race (adjusted odds ratio [aOR]: 2.42; 95% confidence interval [CI]: 1.19–4.94) and high-risk allergic reaction (aOR: 2.42; 95% CI: 1.30–4.49) were associated with higher odds of alternative antibiotics prophylaxis compared with low-risk allergic reaction. Low-risk allergic reaction group was less likely to get alternative antibiotic prophylaxis (aOR: 0.36; 95 CI%: 0.19–0.66).

Conclusion Alternative antibiotic use for GBS prophylaxis is frequent with penicillin/cephalosporin allergies. Efforts to confirm allergy and act out penicillin hypersensitivity testing may increase compliance with guidelines for antibiotic istration.

Keywords

GBS prophylaxis — penicillin allergy — cephalosporin allergy

In the outpatient clinic, fellows will work directly with the attending, residents and students, seeing new and returning patients.

What is a pcn allergy

Fellows will be rotated to work with every the faculty members to ensure a well-rounded training experience. Responsibilities in clinic include teaching the residents and students, as the clinic is respected for its excellence in teaching.

Fellows will also be responsible for inpatient consultations, which range from drug desensitizations, penicillin skin testing, anaphylaxis, angioedema and immunodeficiency evaluations.

Fellows will be supervised specifically by either pediatric or adult faculty according to the age of the patient. Every patient encounter is supervised to obtain maximal educational benefits for the fellows. There is no inpatient allergy and immunology service; the division members serve primarily as consultants.

Each year during training, it is anticipated that each fellow will present at least three abstracts. Fellows generally attend the ACAAI, AAAAI and PAAA conferences each year, and are required to submit abstracts to present at these three meetings.

There is also a continuing education event each year when each fellow gives a 10-minute presentation on a topic in allergy/immunology to improve teaching and oral presentation skills.

In addition, fellows present journal clubs; however, the majority of core lectures are the responsibility of the faculty.

All fellows, as noted above, are required to act out research.

What is a pcn allergy

In addition, they are expected to present their research each year at the Wednesday allergy conference. Presentation of each fellow’s research is expected at a national meetings, and faculty will aid in mentorship in research pursuits. At least one submitted manuscript is also required, but most fellows graduate with three or more publications.

A QA/QI/safety project is also required of every fellow. Annual updates during the Wednesday morning meeting are expected. The primary goal of this requirement is improvement in patient care and safety.

Fellows will also enroll and take a graduate-level basic immunology course in innate and adaptive immunity during their first year.

The class is generally one to two hours, three days a week, from January through March, and provides the needed foundation in immunology.


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