Antibiotic Cross Sensitivity Chart

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VCH-PHC PHARMACY DEPARTMENT

ANTIBIOTIC CROSS-ALLERGY CHART


KEY TO SYMBOLS:
Blank = Not cross-sensitive as different structure
X = AVOID. Potential for cross-sensitivity due to similar structure
or based on clinical reports of cross-senstivity
* = USE WITH CAUTION. Similar side chain - Potential for cross
reaction. Monitor first dose closely (vital signs at 15, 30, and

Amikacin
60 minutes post-first dose)

Amoxicillin
NF = Non-formulary drug

Ampicillin
Azithromycin
Cefadroxil (NF)
Amikacin Note: AVOID all penicillins, cephalosporins and carbapenems if
Amoxicllin patient reports history of severe delayed skin allergy to ANY
beta-lactam antibiotic (i.e. Steven-Johnson syndrome (SJS),
Ampicillin X toxic epidermal necrolysis (TEN), drug rash with eosinophilia and

Cefazolin
systemic symptoms (DRESS), acute generalized exanthematous

Cefepime
Azithromycin pustolosis (AGEP)).
Cefadroxil (NF) X X

Cefixime
Cefotaxime
Cefazolin

Cefprozil (NF)
Cefepime

Cefoxitin
Cefixime *

Ceftazidime
Cefotaxime X *

Ceftriaxone
Cefoxitin

Cefuroxime

Chloramphenicol
Cefprozil (NF) X X X

Cephalexin
Ceftazidime * * *
* X *

Ciprofloxacin
Ceftriaxone X

Clarithromycin
X * X X * X

Cotrimoxazole (Sulfa)
Cefuroxime

Clindamycin
Cephalexin X X X X
Chloramphenicol

Cloxacillin
Ciprofloxacin

Daptomycin
Clarithromycin X
Clindamycin

Ertapenem
Erythromycin
Cloxacillin X X
Cotrimoxazole (Sulfa)

Gentamicin
Daptomycin

Imipenem
Levofloxacin
Ertapenem

Meropenem

Piperacillin/Tazobactam
Erythromycin X X

Metronidazole
Gentamicin X

Moxifloxacin
Imipenem X
Levofloxacin X

Penicillin
Meropenem X X

Streptomycin
Metronidazole
Moxifloxacin X X

Tigecycline
*

Tobramycin
Penicillin X X X

Vancomycin
Piperacillin/Tazobactam X X * * * X X
Streptomycin X X
Tigecycline
Tobramycin X X X
Vancomycin
Ref: Adapted with permssion from Beta-lactam Antibiotic Cross-Allergy Chart, Interior Health Authority
Updated: May 2021 PHARMACY/ASPIRES

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