Evidence map›Paper›PMID 42366578›Full record

ArticleActa dermato-venereologica2026

Reported Penicillin Allergy Affects the Length of Hospital Stay in Patients with Erysipelas.

Atlas Shahmoradi, Julian Kögel, Naomi Scheithe, Florian Hitzenbichler, Sigrid Karrer, Konstantin Drexler

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Atlas ShahmoradiHospital Barmherzige Brüder Regensburg, Regensburg, Germany.
Julian KögelDepartment of Dermatology, University Medical Center Regensburg, Regensburg, Germany.
Naomi ScheitheJewish Hospital Berlin, Berlin, Germany.
Florian HitzenbichlerDepartment of Infection Prevention and Infectious Diseases, University Medical Center Regensburg University, Regensburg, Germany.
Sigrid KarrerDepartment of Dermatology, University Medical Center Regensburg, Regensburg, Germany.
Konstantin DrexlerDepartment of Dermatology, University Medical Center Regensburg, Regensburg, Germany. konstantin.drexler@ukr.de.ORCID 0009-0004-6601-6299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with a reported penicillin allergy are often treated with less effective antibiotics. This study examined the impact of anamnestic penicillin allergy on the length of hospital stay in patients with erysipelas, a condition for which penicillin is considered the first-line therapy and addresses the question: Does anamnestic penicillin allergy directly affect the length of hospital stay in patients with erysipelas? This retrospective analysis included patients who were admitted to the University Medical Center Regensburg for the treatment of erysipelas. The data analysed were sex, age at diagnosis, body temperature at admission, C-reactive protein, leucocyte count, procalcitonin, length of hospital stay, Charlson Comorbidity Index and antibiotic therapy. Patients were divided into 2 groups: with and without the label anamnestic penicillin allergy. Multiple regression analysis showed that patients with anamnestic penicillin allergy stayed 1.83 days longer in hospital than patients without anamnestic penicillin allergy (mean length of stay 12.17±7.01 days for patients with anamnestic penicillin allergy compared to 10.34±4.80 days for patients without anamnestic penicillin allergy, as determined by a t-test p=0.046). According to our data, anamnestic penicillin allergy is associated with prolonged hospital stay. Therefore, delabelling of penicillin allergy should be widely implemented.

Indexed as

Anti-Bacterial AgentsDrug HypersensitivityErysipelasLength of StayPenicillinsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeAnti-Bacterial AgentsPenicillins

Identifiers

PMID42366578
PMCPMC13310847

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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.