Evidence map›Paper›PMID 38175321›Full record

ReviewClinical reviews in allergy & immunology2023

A Comprehensive Review of Sulfonamide Hypersensitivity: Implications for Clinical Practice.

Bruno Serrano-Arias, Adriana Araya-Zúñiga, Johan Waterhouse-Garbanzo, Zoe Rojas-Barrantes, Sebastián Arguedas-Chacón, Esteban Zavaleta-Monestel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical reviews in allergy & immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. A General Metallaphotoredox Platform forJournal of the American Chemical Society · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Genetic Variations and Antibiotic-Related Adverse Events.Pharmaceuticals (Basel, Switzerland) · 2024
    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

6 authors.

Bruno Serrano-AriasPharmacy Department, Centro de Investigación y Manejo de Càncer, San José, Costa Rica.ORCID http://orcid.org/0000-0002-9571-0878
Adriana Araya-ZúñigaMedicine Department, Hospital Calderón Guardia, San José, Costa Rica.ORCID http://orcid.org/0000-0003-4995-0464
Johan Waterhouse-GarbanzoMedicine Department, Hospital México, San José, Costa Rica.ORCID http://orcid.org/0000-0002-5860-083X
Zoe Rojas-BarrantesPharmacy Department, Hospital Clínica Bíblica, San José, Costa Rica.ORCID http://orcid.org/0009-0006-2119-0255
Sebastián Arguedas-ChacónPharmacy Department, Hospital Clínica Bíblica, San José, Costa Rica.ORCID http://orcid.org/0000-0001-8547-7745
Esteban Zavaleta-MonestelPharmacy Department, Hospital Clínica Bíblica, San José, Costa Rica. ezavaleta@clinicabiblica.com.ORCID http://orcid.org/0000-0003-3726-0079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sulfonamides, which are drugs commonly prescribed in hospital and outpatient settings, have historically been associated with a high incidence of hypersensitivity reactions. It is believed that there is an increased risk of cross-reactions with other drugs that contain this functional group in their structure. However, it has not been conclusively established that the sulfonamide group is the sole cause of hypersensitivity reactions, as non-antibiotic sulfonamides do not share the same accessory groups with antibiotic sulfonamides. Therefore, cross-reactivity between different types of sulfonamides and sulfonamide-type antibiotics is not clearly demonstrated, and allergic reactions may involve other mechanisms. Misinformation about this topic can lead to inappropriate use of alternative antibiotics with lower efficacy or higher adverse effects, contributing to antibiotic resistance. It is crucial to individualize and monitor patients with a history of allergies to sulfonamide-type antibiotics when introducing a new drug containing sulfa and manage any adverse reactions promptly. Desensitization protocols may be a viable option for patients who specifically benefit from these antibiotics, particularly those who are immunosuppressed. This article provides a descriptive bibliographic review to update information on sulfa allergy, its prevalence, management, and recommendations to prevent such reactions and optimize pharmacotherapy, without underusing these drugs.

Indexed as

Drug HypersensitivityAnti-Bacterial AgentsCross ReactionsHumansSulfanilamideSulfonamidesAnti-Bacterial AgentsSulfanilamideSulfonamidesAllergyCross-reactionDesensitizationHypersensitivitySulfonamide

Identifiers

What OpenQuestion holds

Textmetadata
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.