Evidence map›Paper›PMID 37286334›Full record

ArticleJournal of medical ethics2023

Ethics of antibiotic allergy.

Yu Yi Xiang, George S Heriot, Euzebiusz Jamrozik

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Ethics of Antibiotic Course Duration: Shorter is Better.The American journal of bioethics : AJOB · 2026
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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

3 authors at 3 institutions in 2 countries.

Yu Yi XiangWestern Health, Footscray, Victoria, Australia.ORCID 0000-0002-8001-5813
George S HeriotDepartment of Infectious Diseases, The Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Euzebiusz JamrozikEthox and Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK euzebiusz.jamrozik@ethox.ox.ac.uk.
Footscray Hospital · AUPeter Doherty Institute · AUThe Royal Melbourne Hospital · AU

Funding

Wellcome Trust 203132Wellcome Trust 221719
6 · The paper itself

Abstract

Antibiotic allergies are commonly reported among patients, but most do not experience reactions on rechallenge with the same agents. These reported allergies complicate management of infections in patients labelled as having penicillin allergy, including serious infections where penicillin-based antibiotics are the first-line (most effective and least toxic) treatment option. Allergy labels are rarely questioned in clinical practice, with many clinicians opting for inferior second-line antibiotics to avoid a perceived risk of allergy. Reported allergies thereby can have significant impacts on patients and public health, and present major ethical challenges. Antibiotic allergy testing has been described as a strategy to circumvent this dilemma, but it carries limitations that often make it less feasible in patients with acute infections or in community settings that lack access to allergy testing. This article provides an empirically informed ethical analysis of key considerations in this clinical dilemma, using

Indexed as

BacteremiaDrug HypersensitivityHypersensitivityStaphylococcal InfectionsAnti-Bacterial AgentsHumansPenicillinsStaphylococcus aureusAnti-Bacterial AgentsPenicillinsCommunicable DiseasesDecision MakingEthics- MedicalInternal Medicine

Identifiers

PMID37286334
PMCPMC7615378
OpenAlexW4379744692

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.