The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Skin testing and oral penicillin challenge in patients with a history of remote penicillin allergy.
Abstract
Background Penicillin administration is usually contraindicated in penicillin-allergic patients with positive skin test results.Objective To examine whether penicillin oral challenge for patients with a history of remote non-life-threatening allergic reaction to penicillin can be well tolerated irrespective of skin test results.Methods In a prospective open-label trial, 8,702 individuals were screened between November 1998 and January 2000. Of 687 patients with a non-life-threatening allergic reaction to penicillin, occurring longer than 3 years earlier, 169 were enrolled. Regardless of the response to penicillin skin testing, patients received the usual 1-day dosage of penicillin and amoxicillin, on 2 separate occasions. Two to 6 years later, a follow-up was conducted to assess the outcomes of further penicillin administration.Results A total of 272 combined skin tests and oral challenges were performed on 169 patients. Among 137 challenges with a positive skin test result and 135 patients with a negative skin test result, 9 (6.6%) and 5 (3.7%) (P = .29), respectively, developed a mild rash to oral challenge. At follow-up, 2 to 6 years afterward, 3 of 55 patients (5.5%) who were given a full treatment course of penicillin developed a mild skin eruption.Conclusions Positive penicillin skin test results for patients with a remote history of non-life-threatening allergic reaction to penicillin were not associated with a greater prevalence of adverse reactions to oral challenge with penicillin than negative results. Because skin testing is considered the gold standard and the safest method for predicting tolerance to penicillin administration, oral penicillin challenge may be used as a diagnostic method only in these specific patients when skin testing is not feasible.
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“Moreover, in studies that have incorporated penicillin skin testing and graded oral challenge among persons with reported penicillin allergy, the true rates of allergy are low, ranging from 1.5% to 6.1% (665–667).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [666]
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Metadata
- Authors
- Goldberg, A., & Confino-Cohen, R.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- Goldberg, Arnon
- Venue
- Annals of Allergy, Asthma & Immunology
- Publisher
- Elsevier BV
- Published
- 2008-01
- Volume
- 100
- Issue
- 1
- Pages
- 37-43
- ISSN
- 1081-1206 (ISSN-L)
- OpenAlex
- W2015194386
- Cited by
- 83
- References
- 35
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 1 · 2019: 9 · 2018: 10 · 2017: 6 · 2016: 4 · 2015: 3 · 2014: 6 · 2013: 4 · 2012: 1
- FWCI
- 3.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Allergy Asthma & Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Drug-Induced Adverse Reactions
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
- Keywords
- penicillin allergy, penicillin skin testing, drug tolerance, amoxicillin, drug hypersensitivity diagnosis, adverse drug reactions
- MeSH terms
- Administration, Oral, Adolescent, Adult, Aged, Aged, 80 and over, Amoxicillin, Ampicillin, Child, Child, Preschool, Drug Hypersensitivity, Female, Follow-Up Studies, Humans, Male, Middle Aged, Penicillin G, Penicillin V, Penicillins, Predictive Value of Tests, Prospective Studies, Skin Tests, Benzeneacetamides
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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