Work

Direct oral challenges safely reduce the burden of low-risk cephalosporin allergy labels

Year: 2025
Type: article
Abstract: Approximately 1% to 2% of the population reports a cephalosporin allergy label (CAL).1 However, many of these labels are misclassified as allergies, and only approximately 8% of CALs correlate with positive skin testing.1 Furthermore, individuals with true prior IgE- mediated reactions, estimated to be 10%/year or higher, may have loss of hypersensitivity over time and are not truly allergic when tested and rechallenged.2 Carrying a label of cephalosporin allergy is consequential and often leads to treatment with alternative agents with inferior outcomes, infections owing to multidrug-resistant organisms, and higher health care–related costs.
Language: English
Subfield: Pharmacology
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $4,000
OpenAlex ID: W4411079307
FWCI: 2.806
Cites: 9
Cited by: 5
Related to: 10