Evidence map›Paper›PMID 31495420›Full record

ReviewThe journal of allergy and clinical immunology. In practice

Cephalosporin Allergy: Current Understanding and Future Challenges.

David A Khan, Aleena Banerji, Jonathan A Bernstein, Basar Bilgicer, Kimberly Blumenthal, Mariana Castells, Daniel Ein, David M Lang, Elizabeth Phillips

Open access · greenAbstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
9.1field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 121 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Direct challenges are safe and effective in children with low-risk allergies to oral cephalosporins.The journal of allergy and clinical immunology. In practice · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Efficacy of Three Kayviruses AgainstAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Evaluation of cephalosporin allergy: Survey of drug allergy experts.The journal of allergy and clinical immunology. Global · 2025
    Article
  12. Article
  13. [A multicenter clinical study on the incidence and influencing factors of cephalosporin-induced anaphylaxis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2024
    Article
  14. Cephalosporin Allergy: Updates on Diagnostic Testing.Current allergy and asthma reports · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. 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

9 authors at 8 institutions in 1 country.

David A KhanDepartment of Internal Medicine, Division of Allergy & Immunology, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: dave.khan@utsouthwestern.edu.
Aleena BanerjiDepartment of Medicine, Division of Rheumatology, Allergy & Immunology, Massachusetts General Hospital, Boston, Mass.
Jonathan A BernsteinDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Basar BilgicerDepartment of Chemical and Biomedical Engineering, Notre Dame, Ind.
Kimberly BlumenthalDepartment of Medicine, Division of Rheumatology, Allergy & Immunology, Massachusetts General Hospital, Boston, Mass.
Mariana CastellsDepartment of Medicine, Division of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, Mass.
Daniel EinDepartment of Internal Medicine, George Washington University Medical Center, Washington, DC.
David M LangDepartment of Internal Medicine, Cleveland Clinic, Respiratory Institute, Department of Allergy and Clinical Immunology, Cleveland, Ohio.
Elizabeth PhillipsDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Massachusetts General Hospital · USBrigham and Women's Hospital · USCleveland Clinic · USGeorge Washington University · USThe University of Texas Southwestern Medical Center · USUniversity of Cincinnati Medical Center · USUniversity of Notre Dame · USVanderbilt University Medical Center · US

Funding

Designing Selective Inhibitors of IgE-mediated Mast Cell DegranulationR01AI108884 · NIAID · UNIVERSITY OF NOTRE DAME · PI BILGICER, ZIHNI BASAR · 2015 to 2024
$3.6M
Determining the Accuracy of Cephalosporin Allergy TestingR34AI134569 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI KHAN, DAVID A · 2019 to 2019
$293k
NIAID NIH HHS R01 AI108884NIAID NIH HHS R34 AI134569
6 · The paper itself

Abstract

Cephalosporins are commonly used antibiotics both in hospitalized patients and in outpatients. Hypersensitivity reactions to cephalosporins are becoming increasingly common with a wide range of immunopathologic mechanisms. Cephalosporins are one of the leading causes for perioperative anaphylaxis and severe cutaneous adverse reactions. Patients allergic to cephalosporins tend to tolerate cephalosporins with disparate R1 side chains but may react to other beta-lactams with common R1 side chains. Skin testing for cephalosporins has not been well validated but appears to have a good negative predictive value for cephalosporins with disparate R1 side chains. In vitro tests including basophil activation tests have lower sensitivity when compared with skin testing. Rapid drug desensitization procedures are safe and effective and have been used successfully for immediate and some nonimmediate cephalosporin reactions. Many gaps in knowledge still exist regarding cephalosporin hypersensitivity.

Indexed as

AnaphylaxisBasophil Degranulation Testbeta-LactamsCephalosporinsCross ReactionsDesensitization, ImmunologicDrug EruptionsDrug HypersensitivityHumansPerioperative PeriodPharmacogenomic VariantsSerum SicknessSkin Testsbeta-LactamsCephalosporinsAllergyAnaphylaxisBeta-lactamCephalosporinCross-reactivityPenicillinSkin test

Identifiers

PMID31495420
PMCPMC6955146
OpenAlexW2971662524

What OpenQuestion holds

Textmetadata
LicenceTDM
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.