Evidence map›Paper›PMID 35884838›Full record

ArticleBiomedicines2022

Changes in Sensitization Patterns in the Last 25 Years in 619 Patients with Confirmed Diagnoses of Immediate Hypersensitivity Reactions to Beta-Lactams.

María Del Valle Campanón Toro, Esther Moreno Rodilla, Alicia Gallardo Higueras, Elena Laffond Yges, Francisco J Muñoz Bellido, María Teresa Gracia Bara, Cristina Martin García, Vidal Moreno Rodilla, Eva M Macías Iglesias, Sonia Arriba Méndez and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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 at 1 institution in 1 country.

María Del Valle Campanón ToroAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-0680-8142
Esther Moreno RodillaAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-0953-3025
Alicia Gallardo HiguerasAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-0675-7787
Elena Laffond YgesAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.
Francisco J Muñoz BellidoAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.
María Teresa Gracia BaraAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.
Cristina Martin GarcíaAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0003-3458-3593
Vidal Moreno RodillaDepartment of Computer Science and Automatic, University of Salamanca, 37008 Salamanca, Spain.ORCID 0000-0002-9411-3158
Eva M Macías IglesiasAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.
Sonia Arriba MéndezAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.
Miriam Sobrino GarcíaAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-8644-8441
Ignacio DávilaAllergy Service, University Hospital of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0001-8485-5513
Universidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Beta-lactam (BL) drugs are the antibiotics most prescribed worldwide due to their broad spectrum of action. They are also the most frequently implied in hypersensitivity reactions with a known specific immunological mechanism. Since the commercialization of benzylpenicillin, allergic reactions have been described; over the years, other new BL drugs provided alternative treatments to penicillin, and amoxicillin is now the most prescribed BL in Europe. Diagnosis of BL allergy is mainly based on skin tests and drug provocation tests, defining different sensitization patterns or phenotypes. In this study, we evaluated 619 patients with a confirmed diagnosis of BL-immediate allergy during the last 25 years, using the same diagnostic procedures with minor adaptations to the successive guidelines. The initial eliciting drug was benzylpenicillin, which changed to amoxicillin with or without clavulanic acid and cephalosporins in recent years. In skin tests, we found a decrease in sensitivity to major and minor penicillin determinants and an increase in sensitivity to amoxicillin and others; this might reflect that the changes in prescription could have influenced the sensitization patterns, thus increasing the incidence of specific reactions to side-chain selective reactions.

Indexed as

beta-lactamdrug allergydrug provocation testimmediate hypersensitivity reactionssensitization patternsskin tests

Identifiers

PMID35884838
PMCPMC9312895
OpenAlexW4283690515

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.