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Journal Article
Review
Direct Challenges are the Gold Standard for Most Antibiotic Allergy Evaluations.
Annals of Allergy, Asthma & Immunology 2023 April 9
Antibiotic allergies are frequently encountered in clinical practice, and delabeling of these allergies have individual and public health benefits. This review focuses on the evidence supporting graded challenges without preceding skin testing in adult and pediatric patients to the major groups of antibiotics including penicillins, cephalosporins, sulfamethoxazole, fluoroquinolones, tetracyclines, macrolides, metronidazole, carbapenems, and aztreonam. The cost savings, time savings, and evidence for performing graded challenges outside of an allergy/immunology office is also reviewed for graded challenges to penicillins.
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