Evidence map›Paper›PMID 33004778›Full record

ArticleActa bio-medica : Atenei Parmensis2020

Drug Allergy in children: focus on beta-lactams and NSAIDs.

Claudio Cravidi, Silvia Caimmi, Maria De Filippo, Alberto Martelli, Carlo Caffarelli, Michele Miraglia Del Giudice, Mauro Calvani, Maria Angela Tosca, Fabio Cardinale, Gian Luigi Marseglia and 3 more

Abstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Claudio CravidiAgenzia Tutela della Salute, ATS (National Healthcare System), Pavia, Italy. claudiocravidi@gmail.com.
Silvia CaimmiPediatric Clinic Department of Pediatrics, Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy. s.caimmi@smatteo.pv.it.
Maria De FilippoPediatric Clinic Department of Pediatrics, Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy. maria_defilippo@hotmail.it.
Alberto MartelliDepartment of Pediatrics, G.Salvini Hospital, Garbagnate Milanese, Milan, Italy. agmartelli@asst-rhodense.it.
Carlo CaffarelliClinica Pediatrica, Dipartimento di Medicina e Chirurgia, Università di Parma, Italy. carlo.caffarelli@unipr.it.
Michele Miraglia Del GiudiceDepartment of Woman, Child and of General and Specialized Surgery. University of Campania"Luigi Vanvitelli" Naples, Italy. michele.miraglia@unicampania.it.
Mauro CalvaniUOC di Pediatria. Azienda Ospedaliera S. Camillo Forlanini, Roma, Italy. maurocalvani58@gmail.com.
Maria Angela ToscaAllergy Center, Department of Pediatrics, Istituto G. Gaslini, Genoa, Italy. mariangelatosca@gaslini.org.
Fabio CardinaleDepartment of Pediatrics and Emergency, Pediatric Allergy and Pulmunology Unit, Azienda Ospedaliera-Universitaria Consorziale-Policlinico, Ospedale Pediatrico Giovanni XXIII, Bari, Italy.. fabiocardinale@libero.it.
Gian Luigi MarsegliaPediatric Clinic Department of Pediatrics, Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy. gl.marseglia@smatteo.pv.it.
Sara MantiUOC Broncopneumologia Pediatrica e Fibrosi Cistica, AOUP "Vittorio-Emanuele", San Marco Hospital, Università di Catania, Catania, Italy. saramanti@hotmail.it.
Elena ChiappiniDivision of Paediatric Infectious Disease, Anna Meyer Children's University Hospital, Department of Health Sciences, University of Florence, Florence, Italy. elena.chiappini@unifi.it.
Davide CaimmiDepartment of Pulmonology, Division of Allergy, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Univ Montpellier, Montpellier, France. UMR-S 1136 INSERM-Sorbonne Université, Equipe EPAR - IPLESP, Paris, France. davide.caimmi@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug hypersensitivity reactions (DHRs) are adverse reactions to a drug. In children, most common drugs inducing such reactions include beta-lactams (BLs) and non-steroidal anti-inflammatory drugs (NSAIDs). The aim of the present work was to provide current knowledge on the management of DHRs in the pediatric population, focusing on BLs and NSAIDs hypersensitivity. The clinical feature of DHRs include immediate and non-immediate (delayed and accelerated) reactions, that may be severe or non-severe. A systematic approach to the patient based on the reported clinical history is essential to organize a safe and adapted allergy work-up. Skin tests are the first step to assess a possible DHRs, especially in immediate reactions to BLs. Drugs concentrations for these tests are standardized and validated. The drug provocation test remains the gold standard to reach a firm diagnosis. In selected cases, a therapeutic desensitization protocol may be proposed in children with a confirmed diagnosis of drug hypersensitivity. Clinicians should be aware of the diagnostic and therapeutic options, to provide the best management in children having experienced a history of DHR.

Indexed as

beta-LactamsDrug HypersensitivityAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalChildHumansSkin TestsAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-Steroidalbeta-Lactams

Identifiers

PMID33004778
PMCPMC8023070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.