The 3 Cs of Antibiotic Allergy-Classification, Cross-Reactivity, and Collaboration

J Allergy Clin Immunol Pract. Nov-Dec 2017;5(6):1532-1542. doi: 10.1016/j.jaip.2017.06.017. Epub 2017 Aug 23.

Abstract

Antibiotic allergy labeling is highly prevalent and negatively impacts patient outcomes and antibiotic appropriateness. Reducing the prevalence and burden of antibiotic allergies requires the engagement of key stakeholders such as allergists, immunologists, pharmacists, and infectious diseases physicians. To help address this burden of antibiotic allergy overlabeling, we review 3 key antibiotic allergy domains: (1) antibiotic allergy classification, (2) antibiotic cross-reactivity, and (3) multidisciplinary collaboration. We review the available evidence and research gaps of currently used adverse drug reaction classification systems, antibiotic allergy cross-reactivity, and current and future models of antibiotic allergy care.

Keywords: Antibiotic allergy; Antimicrobial allergy; Cephalosporin allergy; Cross-reactivity; Penicillin allergy; Prevalence.

Publication types

  • Review

MeSH terms

  • Allergens / immunology*
  • Animals
  • Anti-Bacterial Agents / immunology*
  • Anti-Bacterial Agents / therapeutic use
  • Cross Reactions*
  • Drug Hypersensitivity / classification
  • Drug Hypersensitivity / immunology*
  • Drug Hypersensitivity / therapy
  • Humans
  • Infections / drug therapy
  • Interdisciplinary Communication*

Substances

  • Allergens
  • Anti-Bacterial Agents