Antibiotic allergy.
Journal
Lancet (London, England)
ISSN: 1474-547X
Titre abrégé: Lancet
Pays: England
ID NLM: 2985213R
Informations de publication
Date de publication:
12 01 2019
12 01 2019
Historique:
received:
31
05
2018
revised:
25
08
2018
accepted:
04
09
2018
pubmed:
19
12
2018
medline:
8
2
2019
entrez:
19
12
2018
Statut:
ppublish
Résumé
Antibiotics are the commonest cause of life-threatening immune-mediated drug reactions that are considered off-target, including anaphylaxis, and organ-specific and severe cutaneous adverse reactions. However, many antibiotic reactions documented as allergies were unknown or not remembered by the patient, cutaneous reactions unrelated to drug hypersensitivity, drug-infection interactions, or drug intolerances. Although such reactions pose negligible risk to patients, they currently represent a global threat to public health. Antibiotic allergy labels result in displacement of first-line therapies for antibiotic prophylaxis and treatment. A penicillin allergy label, in particular, is associated with increased use of broad-spectrum and non-β-lactam antibiotics, which results in increased adverse events and antibiotic resistance. Most patients labelled as allergic to penicillins are not allergic when appropriately stratified for risk, tested, and re-challenged. Given the public health importance of penicillin allergy, this Review provides a global update on antibiotic allergy epidemiology, classification, mechanisms, and management.
Identifiants
pubmed: 30558872
pii: S0140-6736(18)32218-9
doi: 10.1016/S0140-6736(18)32218-9
pmc: PMC6563335
mid: NIHMS1006987
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Penicillins
0
beta-Lactamases
EC 3.5.2.6
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
183-198Subventions
Organisme : FIC NIH HHS
ID : K43 TW011178
Pays : United States
Organisme : NIGMS NIH HHS
ID : P50 GM115305
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI110527
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI139021
Pays : United States
Organisme : NIAID NIH HHS
ID : R34 AI136815
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
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