For which patients could you consider direct oral amoxicillin challenge as opposed to skin testing for penicillin allergy de-labeling?

Are you routinely administering an oral amoxicillin challenge for penicillin allergy de-labeling in patients with low-risk penicillin allergy?

• I am currently using a screening tool like PEN-FAST to determine who is a candidate for an oral challenge
• I am currently only administering an oral challenge if history is not compatible with an allergy
• I am currently referring any patient with history of reported penicillin allergy for skin testing
• Other