ArticleOpen forum infectious diseases2026
Penicillin Allergy Labels and High-risk Antibiotic Prescribing Among Incarcerated Individuals Receiving Antibiotics Across Four US Carceral Systems.
Article in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Penicillin allergy labels and antibiotic prescribing in carceral settings: expanding evidence from a statewide cohort.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
Background: Optimization of antibiotic prescribing is critical to reducing antimicrobial resistance, yet antimicrobial stewardship programs remain relatively uncommon in carceral settings. Despite the disproportionate health burden faced by incarcerated populations, limited data exist on the prevalence of penicillin allergy labels (PALs) in these sites. This study examined the carceral systems in 4 states (Maine, New Hampshire, Washington, and Minnesota's Hennepin County Jail) and determined the prevalence of PALs, their demographic predictors, and the relationship between PALs and the prescription of high-risk antibiotics for Methods: We conducted a retrospective cohort study using the de-identified data from 4 carceral systems, restricted to incarcerated people who received at least 1 antibiotic prescription between 2020 and 2023. We performed univariate and multivariate logistic regression analyses, adjusting for age, sex, race, and ethnicity. We reported adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: The final study cohort consisted of 10 603 individuals, with a PAL prevalence of 10.2%. Individuals with PALs were less likely to be male (aOR, 0.462; 95% CI, 0.355-0.601) or Hispanic (aOR, 0.500; 95% CI, 0.272-0.920) and more likely to be White non-Hispanic (aOR, 1.458; 95% CI, 1.075-1.978), or American Indian/Alaska Native (aOR, 2.466; 95% CI, 1.641-3.707). PALs were significantly associated with increased odds of receiving high-risk antibiotics for CDI (aOR, 2.412; 95% CI, 1.893-3.074). Conclusions: Our findings highlight the need for targeted antimicrobial stewardship and penicillin allergy de-labeling efforts among incarcerated individuals needing antibiotics.
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