Antibiotic allergy

KG Blumenthal, JG Peter, JA Trubiano, EJ Phillips - The Lancet, 2019 - thelancet.com
Antibiotics are the commonest cause of life-threatening immune-mediated drug reactions
that are considered off-target, including anaphylaxis, and organ-specific and severe …

Evaluation and management of penicillin allergy: a review

ES Shenoy, E Macy, T Rowe, KG Blumenthal - Jama, 2019 - jamanetwork.com
Importance β-Lactam antibiotics are among the safest and most effective antibiotics. Many
patients report allergies to these drugs that limit their use, resulting in the use of broad …

The impact of a reported penicillin allergy on surgical site infection risk

KG Blumenthal, EE Ryan, Y Li, H Lee… - Clinical Infectious …, 2018 - academic.oup.com
Background A reported penicillin allergy may compromise receipt of recommended
antibiotic prophylaxis intended to prevent surgical site infections (SSIs). Most patients with a …

Practical guidance for the evaluation and management of drug hypersensitivity: specific drugs

AD Broyles, A Banerji, S Barmettler, CM Biggs… - The Journal of Allergy …, 2020 - Elsevier
Allergists and clinical immunologists around the world are increasingly faced with the task of
addressing drug allergy and hypersensitivity due to the increase in drug reactions …

Risk of meticillin resistant Staphylococcus aureus and Clostridium difficile in patients with a documented penicillin allergy: population based matched cohort study

KG Blumenthal, N Lu, Y Zhang, Y Li, RP Walensky… - bmj, 2018 - bmj.com
Objective To evaluate the relation between penicillin allergy and development of meticillin
resistant Staphylococcus aureus (MRSA) and C difficile. Design Population based matched …

Penicillin allergy

M Castells, DA Khan, EJ Phillips - New England Journal of …, 2019 - Mass Medical Soc
Penicillin Allergy Many more patients are labeled as penicillin-allergic than actually are
allergic. The label should be analyzed with skin testing and test exposure. Patients with true …

The challenge of de‐labeling penicillin allergy

CA Stone Jr, J Trubiano, DT Coleman, CRF Rukasin… - Allergy, 2020 - Wiley Online Library
Abstract Background Even though 8%‐25% of most populations studied globally are labeled
as penicillin allergic, most diagnoses of penicillin allergy are made in childhood and relate …

Cross-reactivity in β-lactam allergy

RJ Zagursky, ME Pichichero - The Journal of Allergy and Clinical …, 2018 - Elsevier
β-Lactam drugs (penicillins, amoxicillin, and cephalosporins) account for 42.6% of all severe
drug-induced anaphylaxis. In this review, we focus on clinically significant immunologic …

Penicillin allergy is not necessarily forever

JA Trubiano, NF Adkinson, EJ Phillips - Jama, 2017 - jamanetwork.com
Penicillin allergy is often diagnosed early in life, and the history of penicillin allergy persists
in a patient's medical record for many years without verification. Some physicians' …

Penicillin allergy delabeling: a multidisciplinary opportunity

ML Staicu, D Vyles, ES Shenoy, CA Stone… - The Journal of Allergy …, 2020 - Elsevier
The penicillin allergy label has been consistently linked with deleterious effects that span the
health care spectrum, including suboptimal clinical outcomes, the emergence of bacterial …