Evidence map›Paper›PMID 35694005›Full record

ReviewThe World Allergy Organization journal2022

Standards for practical intravenous rapid drug desensitization & delabeling: A WAO committee statement.

Emilio Alvarez-Cuesta, Ricardo Madrigal-Burgaleta, Ana D Broyles, Javier Cuesta-Herranz, Maria Antonieta Guzman-Melendez, Michelle C Maciag, Elizabeth J Phillips, Jason A Trubiano, Johnson T Wong, Ignacio Ansotegui and 2 more

Abstract readReview
In one paragraph

Review in The World Allergy Organization journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
–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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Quality and Consistency of Penicillin Allergy Delabelling Guidelines: A Systematic Review.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Article
  8. Breakthrough reactions in pediatric chemotherapeutic desensitization: Outcomes and associated risk factors.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Observational
  9. Article
  10. Article
  11. Updates in Pediatric Drug Allergy.Current allergy and asthma reports · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Observational
  19. Article
  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

12 authors.

Emilio Alvarez-CuestaRamon y Cajal University Hospital, Madrid, Spain.
Ricardo Madrigal-BurgaletaAllergy & Severe Asthma Service, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Ana D BroylesDivision of Allergy & Immunology, Boston Children's Hospital, Boston, MA, USA.
Javier Cuesta-HerranzDepartment of Allergy and Immunology, FIIS-Fundación Jiménez Díaz, UAM, Madrid, Spain.
Maria Antonieta Guzman-MelendezSection of Immunology, HIV and Allergy, Department of Medicine, Clinical Hospital University of Chile, Chile.
Michelle C MaciagDivision of Allergy & Immunology, Boston Children's Hospital, Boston, MA, USA.
Elizabeth J PhillipsDepartment of Medicine & Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Jason A TrubianoDepartment of Infectious Diseases and Centre for Antibiotic Allergy and Research, Austin Health, Heidelberg, Australia.
Johnson T WongDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, USA.
Ignacio AnsoteguiHospital Quironsalud Bizkaia, Bilbao-Erandio, Spain.
Steering Committee Authors
Review Panel Members

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug hypersensitivity reactions (DHRs) to intravenous drugs can be severe and might leave patients and doctors in a difficult position where an essential treatment or intervention has to be suspended. Even if virtually any intravenous medication can potentially trigger a life-threatening DHR, chemotherapeutics, biologics, and antibiotics are amongst the intravenous drugs most frequently involved in these reactions. Admittedly, suspending such treatments may negatively impact the survival outcomes or the quality of life of affected patients. Delabeling pathways and rapid drug desensitization (RDD) can help reactive patients stay on first-choice therapies instead of turning to less efficacious, less cost-effective, or more toxic alternatives. However, these are high-complexity and high-risk techniques, which usually need expert teams and allergy-specific techniques (skin testing,

Indexed as

Antibiotic desensitizationAntibioticsBetalactamsBiological agentsChemotherapyDelabelingDrug allergyDrug challengeDrug desensitizationDrug provocation testPenicillinsPersonalized medicinePrecision medicineRisk stratificationSkin test

Identifiers

PMID35694005
PMCPMC9163606

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.