Evidence map›Paper›PMID 40866903›Full record

ArticleItalian journal of pediatrics2025

A survey of current management practices for delayed maculopapular exanthemas during antibiotic treatment among primary care pediatricians.

Lucia Liotti, Annamaria Bianchi, Giuseppe Crisafulli, Silvia Caimmi, Paolo Bottau, Fabrizio Franceschini, Rocco Luigi Valluzzi, Sara Riscassi, Francesca Saretta, Michele Miraglia Del Giudice and 2 more

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Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Lucia LiottiPediatric Unit, Salesi Hospital, Ancona, Italy.
Annamaria BianchiPediatric Unit, San Camillo Forlanini Hospital, Roma, Italy.
Giuseppe CrisafulliAllergology Unit, Pediatric Department, University of Messina, Messina, Italy.
Silvia CaimmiClinica Pediatrica Unit, San Matteo Hospital, University di Pavia, Pavia, Italy.
Paolo BottauPediatric and Neonatology Unit, Imola Hospital, Imola, Italy.
Fabrizio FranceschiniPrivate Practice in Allergy, Ancona, Italy.
Rocco Luigi ValluzziAllergology Unit, Pediatric Department, Bambino Gesu' Pediatric Hospital, Roma, Italy.
Sara RiscassiPediatric Department, Bolzano Hospital, Bolzano, Italy.
Francesca SarettaPrimary Care Pediatrician, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Michele Miraglia Del GiudiceDepartment of Woman, Child and of General and Specialized Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Carlo CaffarelliDepartment of Medicine and Surgery, Clinica Pediatrica, University of Parma, Parma, Italy. carlo.caffarelli@gmail.com.ORCID http://orcid.org/0000-0001-7710-6995
Francesca MoriAllergy Unit, Meyer Children's Hospital IRCCS, Florence, Italy.

Funding

Società italiana di Allergologia e immunologia Pediatrica Società italiana di Allergologia e immunologia Pediatrica
6 · The paper itself

Abstract

backgroundSeveral guidelines recommended how to manage delayed maculopapular exanthemas during antibiotic treatment. The aim of the present survey was to assess knowledge gaps of primary care pediatricians in managing children with delayed maculopapular exanthemas during a course of antibiotics.

methodsWe conducted an online survey among primary care pediatricians in Italy, focusing on the management of children with maculopapular exanthemas occurring during antibiotic administration.

resultsWe found that 41% of pediatricians continued with the same antibiotic after the onset of mild to moderate maculopapular exanthemas. Additionally, only 25% took pictures of the skin manifestations during the acute phase, and 66% recorded the latency of the reaction.

conclusionsPrimary care management of children with suspected antibiotic induced maculopapular exanthemas is heterogeneous. Primary care physicians and allergists need to share common decisions and protocols to avoid mislabelling children as allergic to antibiotics.

Indexed as

Anti-Bacterial AgentsDrug EruptionsExanthemaPediatriciansPractice Patterns, Physicians'ChildFemaleHumansItalyMalePrimary Health CareSurveys and QuestionnairesAnti-Bacterial AgentsAntibiotics allergyChildrenDrug allergyDrug hypersensitivity reactionMaculopapular exanthemas

Identifiers

PMID40866903
PMCPMC12392540

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