Antibiotic Allergies

The Department will periodically contact patients waiting for an outpatient clinic appointment via SMS, with a link to an electronic form.  This is part of routine waitlist auditing to ensure patient details are up to date.  If you receive this SMS, please update your details.


North South North West Statewide

Pre-referral work-up


This condition is treated in the  Tasmanian Specialist Immunisation and Allergy Clinic (SIAC).

Priority is given to the following patients:

  • Immunocompromised and/or high risk for severe infection.
  • Recurrent infections with treatment options limited by antibiotic allergy history.
  • A chronic condition with multiple drug allergies and a limited range of antibiotics available.
  • Need for long term antibiotics where history of antibiotic allergy compromises patients’ treatment or means they are on broader spectrum antibiotics than indicated.

Referral Process

All referrals should comply with the Referral Standards and specifically include:

  • Antibiotic (brand name, route of administration & dose).
  • Date of reaction or (how many years ago did the reaction occur?)
  • Documented symptoms and severity, time interval between exposure and reaction.
  • Management of allergic reaction e.g. medical attention required, adrenaline
  • Which other antibiotics have been safely taken since the reaction?

The patient will be assessed in our clinic and where appropriate follow-up antibiotic testing can be offered. If testing (skin prick tests, intradermal skin tests, oral challenge tests, or desensitisation) is required we will arrange this.

If the request is urgent, please phone the clinical nurse consultant and we will endeavour to assist.

Referral instructions

The clinical information provided in the referral will determine the evaluation of possible antibiotic allergy, the level of patient risk, and for deciding whether skin testing, oral challenge, or desensitisation is indicated. A lack of clinical information may result in the referral being rejected pending further information.

Clinical consultants
Associate Professor Paul Cameron: Immunologist
Dr Jennifer O’Hern: Infectious Diseases Specialist

To refer a patient, complete a referral form (RHH templates are accepted for LGH) and send your referral to Outpatients by fax to (03) 6777 5227 or email

For further information contact:
Clinical Nurse Consultant: Fiona Taylor
Office Phone:  6777 4075
Mobile:    0457229474

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent / category 2

We will endeavour to see these patients within 12 weeks

Routine / category 3

Next available appointment

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.