Evidence map›Paper›PMID 41914531›Full record

ArticleAllergy, asthma & immunology research2026

Comprehensive Study of Drug-Associated Severe Allergic Reactions: An Analysis of High-Risk Medications and Epidemiological Trends Based on the FAERS Database.

Wei Mo, Mingyuan Ouyang, Hui Yang, Weili Kong

Abstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2026. 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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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Wei Mo *Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, P. R. China.ORCID https://orcid.org/0009-0006-7597-0919
Mingyuan Ouyang *Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, P. R. China.ORCID https://orcid.org/0009-0008-3612-9697
Hui YangDepartment of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, P. R. China. yh8806@163.com.ORCID https://orcid.org/0000-0003-0039-4364
Weili KongDepartment of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, P. R. China. kong3320@wchscu.cn.ORCID https://orcid.org/0000-0002-1248-5522

Funding

National Key Research and Development Program of China 2023YFC3403304National Natural Science Foundation of China 82371134Sichuan University-Zigong Municipal Government Science and Technology Cooperation Special Fund 2023CDZG-18
6 · The paper itself

Abstract

purposeDrug-induced anaphylactic shock (DIAS) is a severe adverse drug reaction. This study aimed to identify drugs significantly associated with DIAS through the real-time updated analysis of large-sample data.

methodsThis retrospective cohort study analyzed 20,748,017 adverse event reports from the Food and Drug Administration Adverse Event Reporting System database spanning from the first quarter of 2004 to the fourth quarter of 2023 to identify the main drugs causing anaphylactic shock. Descriptive statistical analysis was used to report the basic characteristics, while disproportionality analysis was employed to assess the correlation between specific drugs and DIAS events using metrics such as the reporting odds ratio (ROR), proportional reporting ratio (PRR), and χ² test values. Additionally, detailed descriptive analyses were performed to examine yearly trends, sex and age distributions, and the sources and countries of reported DIAS events.

resultsThere were a total of 21,073 DIAS events, accounting for 0.10% of all reports. The median weight of the DIAS patients was 70 kg, the median age was 55 years, and the incidence of DIAS was significantly higher among females (56.57%) than among males (35.24%). DIAS was primarily associated with indications such as anesthesia, sclerosis, and arthritis. The top 10 drugs most strongly associated with anaphylactic shock were amoxicillin, propofol, moxifloxacin, infliximab, omalizumab, carboplatin, paclitaxel, cefuroxime, ceftriaxone, natalizumab, and rocuronium bromide. Asymmetric analysis revealed that the top 10 drugs with the strongest signals were remifentanil, carboplatin, propofol, ceftriaxone, iopromide, atracurium, meloxicam, cefuroxime, desflurane, and ringer lactate. (all ROR > 3, PRR > 2, χ² > 4,

conclusionsAntibiotics, anesthetics, monoclonal antibodies (mAbs), and antitumor drugs are the main categories of drugs associated with anaphylactic shock. Specifically, high clinical vigilance should be given to β-lactam antibiotics, intravenous anesthetics, antitumor drugs, and mAbs. Future research on DIAS should further explore its mechanisms, evaluate risk factors, and develop effective prevention strategies to enhance the safety and efficacy of drug therapy.

Indexed as

adverse drug reaction reporting systemsAnaphylaxisdrug hypersensitivitydrug-related side effects and adverse reactions

Identifiers

PMID41914531
PMCPMC13047432

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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.