Antibiotic Allergy De-Labelling and Management

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About this Research Topic

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Background

Antibiotics are one of the most common causes of moderate to severe immune-mediated drug reactions. However, many antibiotic reactions documented as allergies are unknown or not remembered by the patient. In addition, cutaneous reactions unrelated to drug hypersensitivity, drug-infection interactions, or drug intolerances can sometimes be confused as antibiotic allergies.

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.

Given the public health importance of antibiotic allergy, this Research Topic provides a global update on antibiotic allergy de-labeling and management.

As part of this section's mission to publish robust research on antibiotic allergy de-labelling, this Research Topic calls for papers covering, but not limited to the following themes:

- De-labeling penicillin allergy: populations at risk
- Cost/ benefit of de-labeling penicillin allergy
- Assessing penicillin allergy: Role of skin testing vs. direct oral challenge
- Penicillin allergy impact in the pediatric population
- Impact of penicillin allergy on surgical antibiotic prophylaxis
- Penicillin allergy and perioperative anaphylaxis
- Multidrug hypersensitivity syndrome: diagnosis and management
- Delayed reactions to beta lactam antibiotics
- Immediate reactions including anaphylaxis to beta lactam antibiotics
- Cross-reactivity between penicillin and cephalosporins : diagnosis and management
- Incidence and prevalence of beta lactam antibiotics allergy in the world
- Systematic approach and evaluation of beta lactam antibiotics allergy
- Beta lactam antibiotics allergy in children
- Safety of beta lactam antibiotics allergy evaluation in clinic
- (In-)appropriate overrides of clinical decision support warnings against antibiotic allergies
- De-labelling antibiotic allergy by natural language processing or machine learning
- Electronic phenotyping: True antibiotic allergy vs. hypersensitivity

All article types accepted by Frontiers are welcome.



Conflict of interest declarations: Miguel Park serves/served on the Data Safety Monitoring Board (DSMB) for a clinical trial for the company ImmunogenX. Mariana Castells Castells works with Blueprint as PI for two tryptase kinase inhibitor studies.

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Keywords: antibiotic, allergy, penicillin, cephalosporins, cross-reactivity

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