{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:19:54Z","timestamp":1791879594705,"version":"4.3.4"},"reference-count":56,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["jaci-inpractice.org","clinicalkey.fr","clinicalkey.jp","clinicalkey.com.au","clinicalkey.es","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Allergy and Clinical Immunology: In Practice"],"published-print":{"date-parts":[[2023,10]]},"DOI":"10.1016\/j.jaip.2023.06.025","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T23:02:55Z","timestamp":1687388575000},"page":"3133-3145.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":42,"title":["The Burden of Self-Reported Antibiotic Allergies in Health Care and How to Address It: A Systematic Review of the Evidence"],"prefix":"10.1016","volume":"11","author":[{"given":"Annabelle","family":"Arnold","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda L.","family":"Coventry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandie J.","family":"Foster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Koplin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Lucas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaip.2023.06.025_bib1","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.4065\/mcp.2011.0358","article-title":"Antimicrobial stewardship","volume":"86","author":"Doron","year":"2011","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.jaip.2023.06.025_bib2","doi-asserted-by":"crossref","first-page":"2276","DOI":"10.1016\/j.clinthera.2017.09.012","article-title":"Impact of penicillin allergy on time to first dose of antimicrobial therapy and clinical outcomes","volume":"39","author":"Conway","year":"2017","journal-title":"Clin Ther"},{"key":"10.1016\/j.jaip.2023.06.025_bib3","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1093\/jac\/dky575","article-title":"Implementation of a pharmacist-led penicillin allergy de-labelling service in a public hospital","volume":"74","author":"du Plessis","year":"2019","journal-title":"J\u00a0Antimicrob Chemother"},{"key":"10.1016\/j.jaip.2023.06.025_bib4","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/j.jaip.2018.09.003","article-title":"Antibiotic allergy labels in children are associated with adverse clinical outcomes","volume":"7","author":"Lucas","year":"2019","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib5","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.2146\/ajhp170400","article-title":"Initiative to reduce aztreonam use in patients with self-reported penicillin allergy: effects on clinical outcomes and antibiotic prescribing patterns","volume":"75","author":"Phan","year":"2018","journal-title":"Am J Health Syst Pharm"},{"key":"10.1016\/j.jaip.2023.06.025_bib6","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1093\/cid\/ciw462","article-title":"Impact of reported beta-lactam allergy on inpatient outcomes: a multicenter prospective cohort study","volume":"63","author":"MacFadden","year":"2016","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib7","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1111\/imj.13223","article-title":"The revolving door: antibiotic allergy labelling in a tertiary care centre","volume":"46","author":"Knezevic","year":"2016","journal-title":"Intern Med J"},{"key":"10.1016\/j.jaip.2023.06.025_bib8","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.jaci.2017.02.005","article-title":"Tackling inpatient penicillin allergies: assessing tools for antimicrobial stewardship","volume":"140","author":"Blumenthal","year":"2017","journal-title":"J\u00a0Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib9","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-0471","article-title":"Allergy testing in children with low-risk penicillin allergy symptoms","volume":"140","author":"Vyles","year":"2017","journal-title":"Pediatrics"},{"key":"10.1016\/j.jaip.2023.06.025_bib10","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jaci.2015.05.009","article-title":"Time trends in Australian hospital anaphylaxis admissions in 1998\u20131999 to 2011\u20132012","volume":"136","author":"Mullins","year":"2015","journal-title":"J\u00a0Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib11","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1111\/j.1399-3038.2011.01169.x","article-title":"Allergy to betalactam antibiotics in children: results of a 20-year study based on clinical history, skin and challenge tests","volume":"22","author":"Ponvert","year":"2011","journal-title":"Pediatr Allergy Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib12","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/QCO.0000000000000449","article-title":"The impact of paediatric antimicrobial stewardship programmes on patient outcomes","volume":"31","author":"Patel","year":"2018","journal-title":"Curr Opin Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib13","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1007\/s11882-014-0476-y","article-title":"Penicillin and beta-lactam allergy: epidemiology and diagnosis","volume":"14","author":"Macy","year":"2014","journal-title":"Curr Allergy Asthma Rep"},{"key":"10.1016\/j.jaip.2023.06.025_bib14","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/pai.12493","article-title":"Direct oral provocation tests in non-immediate mild cutaneous reactions related to beta-lactam antibiotics","volume":"27","author":"Vezir","year":"2016","journal-title":"Pediatr Allergy Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib15","doi-asserted-by":"crossref","first-page":"232","DOI":"10.2146\/ajhp160233","article-title":"Penicillin skin testing as an antimicrobial stewardship initiative","volume":"74","author":"Jones","year":"2017","journal-title":"Am J Health Syst Pharm"},{"key":"10.1016\/j.jaip.2023.06.025_bib16","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.jaci.2020.04.058","article-title":"Accuracy of penicillin allergy diagnostic tests: a systematic review and meta-analysis","volume":"147","author":"Sousa-Pinto","year":"2021","journal-title":"J\u00a0Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib17","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1111\/all.13168","article-title":"Clinical outcomes following inpatient penicillin allergy testing: a systematic review and meta-analysis","volume":"72","author":"Sacco","year":"2017","journal-title":"Allergy"},{"key":"10.1016\/j.jaip.2023.06.025_bib18","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.amjmed.2019.09.017","article-title":"A\u00a0closer look at penicillin allergy history: systematic review and meta-analysis of tolerance to drug challenge","volume":"133","author":"DesBiens","year":"2020","journal-title":"Am J Med"},{"key":"10.1016\/j.jaip.2023.06.025_bib19","doi-asserted-by":"crossref","first-page":"624","DOI":"10.11124\/JBIES-21-00075","article-title":"Effectiveness of interventions that support penicillin allergy assessment and de-labeling of patients by non-allergy specialists: a systematic review protocol","volume":"20","author":"Powell","year":"2022","journal-title":"JBI Evid Synth"},{"key":"10.1016\/j.jaip.2023.06.025_bib20","first-page":"420","article-title":"The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review","volume":"106","author":"Eriksen","year":"2018","journal-title":"J\u00a0Med Libr Assoc"},{"key":"10.1016\/j.jaip.2023.06.025_bib21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"10.1016\/j.jaip.2023.06.025_bib35","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1111\/bcp.15038","article-title":"Impact of antibiotic allergy labels on patient outcomes in a tertiary paediatric hospital","volume":"88","author":"Catalano","year":"2022","journal-title":"Br J Clin Pharmacol"},{"key":"10.1016\/j.jaip.2023.06.025_bib36","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1111\/imj.15003","article-title":"Antibiotic allergy labels and optimal antimicrobial stewardship","volume":"52","author":"Chakravorty","year":"2022","journal-title":"Intern Med J"},{"key":"10.1016\/j.jaip.2023.06.025_bib37","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1093\/cid\/ciaa653","article-title":"The Penicillin Allergy Delabeling Program: a multicenter whole-of-hospital health services intervention and comparative effectiveness study","volume":"73","author":"Chua","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib38","first-page":"124","article-title":"Prevalence of antibiotic allergy labels and their consequences in people presenting to a teaching hospital emergency department; a retrospective chart review","volume":"39","author":"Gulholm","year":"2021","journal-title":"Asian Pac J Allergy Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib24","doi-asserted-by":"crossref","first-page":"153","DOI":"10.2500\/aap.2021.42.200128","article-title":"Safety and efficacy of direct two-step penicillin challenges with an inpatient pharmacist-driven allergy evaluation","volume":"42","author":"Ham","year":"2021","journal-title":"Allergy Asthma Proc"},{"key":"10.1016\/j.jaip.2023.06.025_bib25","doi-asserted-by":"crossref","first-page":"ofw155","DOI":"10.1093\/ofid\/ofw155","article-title":"Implementation of an infectious disease fellow-managed penicillin allergy skin testing service","volume":"3","author":"Heil","year":"2016","journal-title":"Open Forum Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib26","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1093\/cid\/ciy037","article-title":"The impact of reported beta-lactam allergy in hospitalized patients with hematologic malignancies requiring antibiotics","volume":"67","author":"Huang","year":"2018","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib27","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1017\/ice.2020.424","article-title":"The impact of beta-lactam allergy labels on hospitalized children","volume":"42","author":"Jones","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.jaip.2023.06.025_bib44","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/j.anai.2019.08.005","article-title":"Safety of direct drug provocation testing in adults with penicillin allergy and association with health and economic benefits","volume":"123","author":"Li","year":"2019","journal-title":"Ann Allergy Asthma Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib39","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.anai.2021.04.008","article-title":"Single-step direct drug provocation testing is safe for delabelling selected non-low-risk penicillin allergy labels","volume":"127","author":"Li","year":"2021","journal-title":"Ann Allergy Asthma Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib45","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1111\/imj.14978","article-title":"Oral amoxicillin challenge for low-risk penicillin allergic patients","volume":"52","author":"Livirya","year":"2022","journal-title":"Intern Med J"},{"key":"10.1016\/j.jaip.2023.06.025_bib28","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jaip.2017.02.012","article-title":"The effect of penicillin allergy testing on future health care utilization: a matched cohort study","volume":"5","author":"Macy","year":"2017","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib29","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.1016\/j.clinthera.2019.10.001","article-title":"Impact of beta-lactam allergy on treatment of outpatient infections","volume":"41","author":"Mason","year":"2019","journal-title":"Clin Ther"},{"key":"10.1016\/j.jaip.2023.06.025_bib30","doi-asserted-by":"crossref","DOI":"10.1111\/tid.13175","article-title":"Penicillin allergy skin testing as an antibiotic stewardship intervention reduces alternative antibiotic exposures in hematopoietic stem cell transplant recipients","volume":"21","author":"Modi","year":"2019","journal-title":"Transpl Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib47","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1159\/000520644","article-title":"Impact of penicillin allergy label on length of stay and mortality in hospitalized patients through a clinical administrative national dataset","volume":"183","author":"Perez-Encinas","year":"2022","journal-title":"Int Arch Allergy Immunol"},{"key":"10.1016\/j.jaip.2023.06.025_bib31","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1017\/ice.2021.232","article-title":"The impact of patient-reported penicillin or cephalosporin allergy on surgical site infections","volume":"43","author":"Seidelman","year":"2022","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.jaip.2023.06.025_bib32","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.japh.2016.05.005","article-title":"Impact of a pharmacist-driven beta-lactam allergy interview on inpatient antimicrobial therapy: a pilot project","volume":"56","author":"Sigona","year":"2016","journal-title":"J\u00a0Am Pharm Assoc"},{"key":"10.1016\/j.jaip.2023.06.025_bib48","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1186\/s12879-021-06794-1","article-title":"De-labelling penicillin allergy in acutely hospitalized patients: a pilot study","volume":"21","author":"Steenvoorden","year":"2021","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib33","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s11096-016-0248-y","article-title":"A\u00a0multidimensional antimicrobial stewardship intervention targeting aztreonam use in patients with a reported penicillin allergy","volume":"38","author":"Swearingen","year":"2016","journal-title":"Int J Clin Pharmacol"},{"key":"10.1016\/j.jaip.2023.06.025_bib34","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1016\/j.jaip.2019.03.025","article-title":"Safety, efficacy, and clinical impact of penicillin skin testing in immunocompromised cancer patients","volume":"7","author":"Taremi","year":"2019","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib40","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1186\/s12879-015-1303-3","article-title":"The prevalence and impact of antimicrobial allergies and adverse drug reactions at an Australian tertiary centre","volume":"15","author":"Trubiano","year":"2015","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib41","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13756-015-0063-6","article-title":"The impact of antimicrobial allergy labels on antimicrobial usage in cancer patients","volume":"4","author":"Trubiano","year":"2015","journal-title":"Antimicrob Resist Infect Control"},{"key":"10.1016\/j.jaip.2023.06.025_bib42","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1093\/jac\/dkw008","article-title":"Antimicrobial allergy \u201clabels\u201d drive inappropriate antimicrobial prescribing: lessons for stewardship","volume":"71","author":"Trubiano","year":"2016","journal-title":"J\u00a0Antimicrob Chemother"},{"key":"10.1016\/j.jaip.2023.06.025_bib43","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1093\/cid\/cix244","article-title":"Impact of an integrated antibiotic allergy testing program on antimicrobial stewardship: a multicenter evaluation","volume":"65","author":"Trubiano","year":"2017","journal-title":"Clin Infect"},{"key":"10.1016\/j.jaip.2023.06.025_bib49","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1016\/j.jaip.2016.03.009","article-title":"The high impact of penicillin allergy registration in hospitalized patients","volume":"4","author":"van Dijk","year":"2016","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib22","first-page":"b92","article-title":"Guidance on the conduct of narrative synthesis in systematic reviews","author":"Popay","year":"2006","journal-title":"A product from the ESRC methods programme Version 1, (1)"},{"key":"10.1016\/j.jaip.2023.06.025_bib23","series-title":"Systematic reviews of prevalence and incidence. Joanna Briggs Institute Reviewer\u2019s Manual","first-page":"1","volume":"Chapter 5","author":"Munn","year":"2017"},{"key":"10.1016\/j.jaip.2023.06.025_bib46","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jhin.2021.04.011","article-title":"The impact of penicillin allergy de-labelling on the WHO AWaRe antibiotic categories: a retrospective cohort study","volume":"115","author":"Powell","year":"2021","journal-title":"J\u00a0Hosp Infect"},{"key":"10.1016\/j.jaip.2023.06.025_bib51","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.jaip.2017.03.014","article-title":"Positive skin test or specific IgE to penicillin does not reliably predict penicillin allergy","volume":"5","author":"Tannert","year":"2017","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib52","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s11882-017-0706-1","article-title":"Evaluation of penicillin allergy in the hospitalized patient: opportunities for antimicrobial stewardship","volume":"17","author":"Chen","year":"2017","journal-title":"Curr Allergy Asthma Rep"},{"key":"10.1016\/j.jaip.2023.06.025_bib53","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1111\/all.14122","article-title":"Towards a more precise diagnosis of hypersensitivity to beta-lactams\u2014an EAACI position paper","volume":"75","author":"Romano","year":"2020","journal-title":"Allergy"},{"key":"10.1016\/j.jaip.2023.06.025_bib54","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.jhin.2018.04.022","article-title":"Characteristics of antimicrobial stewardship programmes in rural East Texas hospitals","volume":"100","author":"Cho","year":"2018","journal-title":"J\u00a0Hosp Infect"},{"key":"10.1016\/j.jaip.2023.06.025_bib55","doi-asserted-by":"crossref","first-page":"2104","DOI":"10.1016\/j.jaip.2021.01.005","article-title":"Maintaining penicillin allergy delabeling: a quality improvement initiative","volume":"9","author":"Lutfeali","year":"2021","journal-title":"J\u00a0Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2023.06.025_bib50","doi-asserted-by":"crossref","first-page":"ofw153","DOI":"10.1093\/ofid\/ofw153","article-title":"Improving antimicrobial stewardship by antibiotic allergy delabeling: evaluation of knowledge, attitude, and practices throughout the Emerging Infections Network","volume":"3","author":"Trubiano","year":"2016","journal-title":"Open Forum Infect Dis"},{"key":"10.1016\/j.jaip.2023.06.025_bib56","doi-asserted-by":"crossref","first-page":"AB194","DOI":"10.1016\/j.jaci.2018.12.595","article-title":"Multiple interventions can reduce rates of false penicillin \u201callergy\u201d relabeling after negative testing","volume":"143","author":"Lutfeali","year":"2019","journal-title":"J Allergy Clin Immunol"}],"container-title":["The Journal of Allergy and Clinical Immunology: In Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2213219823006682?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2213219823006682?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T08:07:29Z","timestamp":1734422849000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2213219823006682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":56,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["S2213219823006682"],"URL":"https:\/\/doi.org\/10.1016\/j.jaip.2023.06.025","relation":{},"ISSN":["2213-2198"],"issn-type":[{"value":"2213-2198","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Burden of Self-Reported Antibiotic Allergies in Health Care and How to Address It: A Systematic Review of the Evidence","name":"articletitle","label":"Article Title"},{"value":"The Journal of Allergy and Clinical Immunology: In Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaip.2023.06.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology.","name":"copyright","label":"Copyright"}]}}