Evidence map›Paper›PMID 29760877›Full record

ReviewClinical and translational allergy2018

An EAACI task force report: recognising the potential of the primary care physician in the diagnosis and management of drug hypersensitivity.

I Doña, J C Caubet, K Brockow, M Doyle, E Moreno, I Terreehorst, M J Torres

Open access · goldAbstract readReview
In one paragraph

Review in Clinical and translational allergy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Editorial: Drug allergy in children.Frontiers in allergy · 2024
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Paracetamol Allergy: A Case of a 9-Year-Old Female with a History of Atopy.Pediatric allergy, immunology, and pulmonology · 2021
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Management of the child with allergy to non-antibiotic drugs.Acta bio-medica : Atenei Parmensis · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 4 countries.

I Doña1Allergy Unit (Pavilion C), Regional University Hospital of Malaga, UMA, IBIMA, National Network ARADyAL, Plaza del Hospital Civil, 29009 Malaga, Spain.
J C Caubet2Department of Child and Adolescent, Medical School of the University of Geneva, University Hospitals of Geneva, Geneva, Switzerland.
K Brockow3Department of Dermatology and Allergy Biederstein, Technische Universität München, Munich, Germany.
M DoyleIndigo Medical, Saint Helier, Jersey.
E Moreno5Allergy Service, University Hospital of Salamanca, National Network ARADyAL, Salamanca, Spain.
I Terreehorst8Department of ENT, Academisch Medisch Centrum, Amsterdam, The Netherlands.
M J Torres1Allergy Unit (Pavilion C), Regional University Hospital of Malaga, UMA, IBIMA, National Network ARADyAL, Plaza del Hospital Civil, 29009 Malaga, Spain.
Academic Medical Center · NLHospital Regional Universitario de Málaga · ESInstituto de Investigación Biomédica de Málaga · ESTechnical University of Munich · DEUniversidad de Salamanca · ESUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse drug reactions include drug hypersensitivity reactions (DHRs), which can be immunologically mediated (allergy) or non-immunologically mediated. The high number of DHRs that are unconfirmed and often self-reported is a frequent problem in daily clinical practice, with considerable impact on future prescription choices and patient health. It is important to distinguish between hypersensitivity and non-hypersensitivity reactions by adopting a structured diagnostic approach to confirm or discard the suspected drug, not only to avoid life-threatening reactions, but also to reduce the frequent over-diagnosis of DHRs. Primary care physicians are often the first point of contact for the sufferer of a reaction, as such they have a key role in deciding whether to discard the diagnosis or send the patient for further investigation. In this review, we highlight the importance of diagnosing DHRs, analysing in detail the role of primary care physicians. We describe the common patterns of DHRs and signs of its progression, as well as the indications and contraindications for referring the patient to an allergist. The diagnostic process is described and the possible tests are discussed, which often depend on the drug involved and the type of DHR suspected. We also describe recommendations regarding the avoidance of medication suspected to have caused the reaction and the use of alternatives.

Indexed as

AnaphylaxisBetalactamDrug allergyDrug provocation testExanthemHypersensitivityNon-steroidal anti-inflammatory drugsSkin testUrticaria

Identifiers

PMID29760877
PMCPMC5944153
OpenAlexW2806647429

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.