Penicillin allergy de-labelling resources

SAPG has updated its penicillin allergy de-labelling pathway to support removal of inaccurate penicillin allergy labels and improve access to appropriate antibiotic treatment. 

This page contains the full range of resources for the SAPG penicillin allergy de-labelling toolkit.  

Resources for clinicians  

• Penicillin Allergy De-Labelling (PADL) Algorithm  
• Protocol for implementing penicillin allergy de-labelling in adult patients in acute hospitals  
• Frequently asked questions for clinicians completing PADL
• Pre-test patient consent form for oral challenge 
• Protocol for administering oral penicillin challenge
• Management of allergic symptoms following oral challenge
• Penicillin allergy card

Resources for Patients  

• Penicillin allergy information sheet 
• Oral penicillin challenge information leaflet
• Patient post-assessment information- No penicillin allergy
• Patient post-challenge information- No penicillin allergy
• Patient post-challenge information - penicillin allergy confirmed
• Patient post-assessment information - High risk penicillin allergy

Resources for GPs 

• GP post-assessment letter- No penicillin allergy 
• GP post-challenge letter - No penicillin allergy  
• GP post-challenge letter- Penicillin allergy confirmed  

These are available to adapt for local use in Scotland. Outside Scotland Attribution-Non Commercial (CC BY-NC) copyright applies.  

Scottish Antimicrobial Prescribing Group (SAPG) |August 2026 for review Aug 2029

Content update October 2026