Table 2.

Risk stratification recommendations by risk level

Risk	Colour on antibiotic allergy assessment Tool8	Recommendation
Low	White or green	Recommendation for point-of-care oral penicillin provocation (if eligible) Point-of-care oral penicillin provocation can be performed on day of appointment or in intervening period between assessment and surgery if modifiable exclusion criteria initially met (eg, antihistamine utilisation) Recommendation for cefazolin perioperatively
Moderate	Orange	Recommendation for NO point-of-care oral penicillin provocation Referral for routine clinical outpatient penicillin allergy testing If unable to attend outpatient allergy testing prior to surgery Recommendation for cefazolin perioperatively
High	Red	Recommendation for NO point-of-care oral penicillin provocation Referral for routine clinical outpatient penicillin allergy testing If unable to attend allergy testing prior to surgery Recommendation for use of non-beta lactam for perioperative prophylaxis Utilise a ≥3rd generation cephalosporin or carbapenem (not for high risk delayed) for infective complications post-surgery (as per indication)