{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:21:06Z","timestamp":1778102466444,"version":"3.51.4"},"reference-count":77,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jaci-inpractice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Allergy and Clinical Immunology: In Practice"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.jaip.2025.12.012","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T06:39:06Z","timestamp":1766126346000},"page":"1050-1057","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Inpatient Penicillin Allergy Evaluation\u2014Skin Testing Versus Direct Oral Challenge?"],"prefix":"10.1016","volume":"14","author":[{"given":"Deanna L.","family":"McDanel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise A.","family":"Mitri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James T.","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Knut","family":"Brockow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaip.2025.12.012_bib1","doi-asserted-by":"crossref","first-page":"e619","DOI":"10.1016\/S2214-109X(18)30186-4","article-title":"Antimicrobial consumption and resistance in adult hospital inpatients in 53 countries: results of an internet-based global point prevalence survey","volume":"6","author":"Versporten","year":"2018","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.jaip.2025.12.012_bib2","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1016\/j.jaci.2022.08.028","article-title":"Drug allergy: a 2022 practice parameter update","volume":"150","author":"Khan","year":"2022","journal-title":"J Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib3","doi-asserted-by":"crossref","DOI":"10.1016\/j.jinf.2025.106429","article-title":"The global prevalence of reported penicillin allergy: a systematic review and meta-analysis","volume":"90","author":"Luintel","year":"2025","journal-title":"J Infect"},{"key":"10.1016\/j.jaip.2025.12.012_bib4","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1001\/jama.2017.6510","article-title":"Penicillin allergy is not necessarily forever","volume":"318","author":"Trubiano","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.jaip.2025.12.012_bib5","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/all.13848","article-title":"The challenge of de-labeling penicillin allergy","volume":"75","author":"Stone","year":"2020","journal-title":"Allergy"},{"key":"10.1016\/j.jaip.2025.12.012_bib6","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1056\/NEJMra1807761","article-title":"Penicillin allergy","volume":"381","author":"Castells","year":"2019","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib7","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1001\/jama.2018.19283","article-title":"Evaluation and management of penicillin allergy: a review","volume":"321","author":"Shenoy","year":"2019","journal-title":"JAMA"},{"key":"10.1016\/j.jaip.2025.12.012_bib8","doi-asserted-by":"crossref","first-page":"2819","DOI":"10.1001\/archinte.160.18.2819","article-title":"The incidence of antimicrobial allergies in hospitalized patients: implications regarding prescribing patterns and emerging bacterial resistance","volume":"160","author":"Lee","year":"2000","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib9","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0140-6736(18)32218-9","article-title":"Antibiotic allergy","volume":"393","author":"Blumenthal","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.jaip.2025.12.012_bib10","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/S1473-3099(25)00019-2","article-title":"The burden of \u03b2-lactam allergy labels in health care: a systematic review and meta-analysis","volume":"25","author":"Fu","year":"2025","journal-title":"Lancet Infect Dis"},{"key":"10.1016\/j.jaip.2025.12.012_bib11","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1093\/jac\/dkw008","article-title":"Antimicrobial allergy \u2018labels\u2019 drive inappropriate antimicrobial prescribing: lessons for stewardship","volume":"71","author":"Trubiano","year":"2016","journal-title":"J Antimicrob Chemother"},{"key":"10.1016\/j.jaip.2025.12.012_bib12","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1016\/j.jaip.2024.03.021","article-title":"How to define and manage low-risk drug allergy labels","volume":"12","author":"Copaescu","year":"2024","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib13","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1080\/14787210.2023.2296068","article-title":"Low-risk penicillin allergy delabeling: a scoping review of direct oral challenge practice, implementation, and multi-disciplinary approaches","volume":"22","author":"Mitri","year":"2024","journal-title":"Expert Rev Anti Infect Ther"},{"key":"10.1016\/j.jaip.2025.12.012_bib14","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jaip.2017.04.045","article-title":"Designing predictive models for beta-lactam allergy using the drug allergy and hypersensitivity database","volume":"6","author":"Chiriac","year":"2018","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib15","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.1016\/j.jaip.2019.03.015","article-title":"Identifying low-risk beta-lactam allergy patients in a UK tertiary centre","volume":"7","author":"Siew","year":"2019","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib16","doi-asserted-by":"crossref","first-page":"2182","DOI":"10.1016\/j.jaip.2019.05.045","article-title":"Risk stratification and prediction in beta-lactam allergic patients","volume":"7","author":"Ramsey","year":"2019","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib17","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1001\/jamainternmed.2020.0403","article-title":"Development and validation of a penicillin allergy clinical decision rule","volume":"180","author":"Trubiano","year":"2020","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib18","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1001\/jamainternmed.2023.2986","article-title":"Efficacy of a clinical decision rule to enable direct oral challenge in patients with low-risk penicillin allergy: the PALACE randomized clinical trial","volume":"183","author":"Copaescu","year":"2023","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib19","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.anai.2021.07.005","article-title":"Predictive factors of amoxicillin IgE-mediated hypersensitivity and validation of PEN-FAST clinical decision rule","volume":"128","author":"Piotin","year":"2022","journal-title":"Ann Allergy Asthma Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib20","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/j.jaip.2018.07.048","article-title":"Pathways to improved antibiotic allergy and antimicrobial stewardship practice: the validation of a beta-lactam antibiotic allergy assessment tool","volume":"7","author":"Devchand","year":"2019","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib21","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1164\/rccm.202001-0089LE","article-title":"Risk-stratified management to remove low-risk penicillin allergy labels in the ICU","volume":"201","author":"Stone","year":"2020","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib22","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.jaip.2014.11.002","article-title":"Improving the effectiveness of penicillin allergy de-labeling","volume":"3","author":"Bourke","year":"2015","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib23","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.anai.2018.07.024","article-title":"Direct oral amoxicillin challenge without antecedent penicillin skin testing in low-risk patients","volume":"121","author":"Kuruvilla","year":"2018","journal-title":"Ann Allergy Asthma Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib24","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.2025.12.012_bib25","doi-asserted-by":"crossref","first-page":"3626","DOI":"10.1016\/j.jaip.2023.09.045","article-title":"Asthma & Immunology Milwaukee, Wis. Penicillin allergy evaluation should be performed proactively in patients with a penicillin allergy label","volume":"11","year":"2023","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib26","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1056\/NEJM197107012850104","article-title":"Routine use of penicillin skin testing on an inpatient service","volume":"285","author":"Adkinson","year":"1971","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib27","first-page":"120","article-title":"Penicillin allergy skin testing in the inpatient setting","volume":"7","author":"Justo","year":"2019","journal-title":"Pharmacy (Basel)"},{"key":"10.1016\/j.jaip.2025.12.012_bib28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr7004a1","article-title":"Sexually transmitted infections treatment guidelines, 2021","volume":"70","author":"Workowski","year":"2021","journal-title":"MMWR Recomm Rep"},{"key":"10.1016\/j.jaip.2025.12.012_bib29","doi-asserted-by":"crossref","first-page":"2728","DOI":"10.1016\/j.jaip.2025.07.027","article-title":"Prevalence of positive penicillin allergy testing in hospitalized adult patients: a systematic review and meta-analysis","volume":"13","author":"Ouranos","year":"2025","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib30","article-title":"Delabeling, safety, and impact of \u03b2-lactam allergy testing: a systematic review","volume":"2","author":"Loprete","year":"2023","journal-title":"J Allergy Clin Immunol Glob"},{"key":"10.1016\/j.jaip.2025.12.012_bib31","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.2025.12.012_bib32","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.anai.2022.09.012","article-title":"Follow-up of penicillin allergy labels 1 year after successful penicillin delabeling","volume":"130","author":"Pinto","year":"2023","journal-title":"Ann Allergy Asthma Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib33","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1016\/j.jaip.2025.05.037","article-title":"Progressively simplified testing in the evaluation of nonimmediate reactions to penicillins","volume":"13","author":"Romano","year":"2025","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib34","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.jaip.2016.09.045","article-title":"A proactive approach to penicillin allergy testing in hospitalized patients","volume":"5","author":"Chen","year":"2017","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib35","doi-asserted-by":"crossref","first-page":"156","DOI":"10.3389\/fmed.2020.00156","article-title":"Intradermal tests with drugs: an approach to standardization","volume":"7","author":"Barbaud","year":"2020","journal-title":"Front Med (Lausanne)"},{"key":"10.1016\/j.jaip.2025.12.012_bib36","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1093\/cid\/ciw118","article-title":"Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America","volume":"62","author":"Barlam","year":"2016","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2025.12.012_bib37","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1016\/j.jaip.2024.11.028","article-title":"Nonallergist delabeling\u2014should penicillin allergy delabeling only be performed by allergists?","volume":"13","author":"Chow","year":"2025","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib38","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1093\/ajhp\/61.12.1271","article-title":"Pharmacist-managed service providing penicillin allergy skin tests","volume":"61","author":"Wall","year":"2004","journal-title":"Am J Health Syst Pharm"},{"key":"10.1016\/j.jaip.2025.12.012_bib39","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1111\/jcpt.12530","article-title":"Next step in antibiotic stewardship: pharmacist-provided penicillin allergy testing","volume":"42","author":"Gugkaeva","year":"2017","journal-title":"J Clin Pharm Ther"},{"key":"10.1016\/j.jaip.2025.12.012_bib40","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.2025.12.012_bib41","doi-asserted-by":"crossref","first-page":"9820","DOI":"10.1001\/jamanetworkopen.2021.9820","article-title":"Evaluation of a pharmacist-led penicillin allergy assessment program and allergy delabeling in a tertiary care hospital","volume":"4","author":"Turner","year":"2021","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jaip.2025.12.012_bib42","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1016\/j.jaip.2017.11.012","article-title":"Use of a penicillin allergy screening algorithm and penicillin skin testing for transitioning hospitalized patients to first-line antibiotic therapy","volume":"6","author":"Ramsey","year":"2018","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib43","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1016\/j.jaip.2025.07.006","article-title":"The pragmatic removal of penicillin allergy electronic health record labels (PROPEL) trial: a randomized clinical trial","volume":"13","author":"Stone","year":"2025","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib44","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1093\/ajhp\/zxy043","article-title":"A practical guide for pharmacists to successfully implement penicillin allergy skin testing","volume":"76","author":"Bland","year":"2019","journal-title":"Am J Health Syst Pharm"},{"key":"10.1016\/j.jaip.2025.12.012_bib45","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1001\/jamainternmed.2024.4606","article-title":"Reaction risk to direct penicillin challenges: a systematic review and meta-analysis","volume":"184","author":"Blumenthal","year":"2024","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib46","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 Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib47","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.2025.12.012_bib48","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/all.15996","article-title":"EAACI\/ENDA position paper on drug provocation testing","volume":"79","author":"Barbaud","year":"2024","journal-title":"Allergy"},{"key":"10.1016\/j.jaip.2025.12.012_bib49","doi-asserted-by":"crossref","first-page":"142","DOI":"10.5415\/apallergy.0000000000000122","article-title":"APAAACI clinical pathway on direct provocation testing for penicillin allergy delabeling","volume":"13","author":"Li","year":"2023","journal-title":"Asia Pac Allergy"},{"key":"10.1016\/j.jaip.2025.12.012_bib50","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1007\/s00134-024-07448-x","article-title":"Oral challenge vs routine care to assess low-risk penicillin allergy in critically ill hospital patients (ORACLE): a pilot safety and feasibility randomised controlled trial","volume":"50","author":"Rose","year":"2024","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.jaip.2025.12.012_bib51","doi-asserted-by":"crossref","DOI":"10.1016\/j.jinf.2024.01.015","article-title":"A multicentre observational study to investigate feasibility of a direct oral penicillin challenge in de-labelling \u2018low risk\u2019 patients with penicillin allergy by non-allergy healthcare professionals (SPACE study): implications for healthcare systems","volume":"88","author":"Krishna","year":"2024","journal-title":"J Infect"},{"key":"10.1016\/j.jaip.2025.12.012_bib52","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1093\/jac\/dkad081","article-title":"CATALYST: challenging antibiotic allergy status","volume":"78","author":"Brayson","year":"2023","journal-title":"J Antimicrobl Chemother"},{"key":"10.1016\/j.jaip.2025.12.012_bib53","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1093\/cid\/ciad156","article-title":"The who, what, when, and where of inpatient direct oral penicillin challenge \u2013 implications for health services implementation","volume":"77","author":"Trubiano","year":"2023","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2025.12.012_bib54","doi-asserted-by":"crossref","DOI":"10.1016\/j.jaci.2022.12.208","article-title":"De-labelling penicillin allergy in the emergency department","volume":"151","author":"Alqurashi","year":"2023","journal-title":"J Allergy Clin Immunol"},{"key":"10.1016\/j.jaip.2025.12.012_bib55","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1016\/j.jaip.2022.01.041","article-title":"Low-risk penicillin allergy delabeling through a direct oral challenge in immunocompromised and\/or multiple drug allergy labeled patients in a critical care setting","volume":"10","author":"Koo","year":"2022","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib56","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.2025.12.012_bib57","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1542\/hpeds.2021-006369","article-title":"Feasibility of a centralized, pharmacy-led penicillin allergy delabeling program","volume":"12","author":"Antoon","year":"2022","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jaip.2025.12.012_bib58","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.2025.12.012_bib59","doi-asserted-by":"crossref","first-page":"2294","DOI":"10.1016\/j.jaip.2020.02.033","article-title":"Direct challenges to penicillin-based antibiotics in the inpatient setting","volume":"8","author":"Ramsey","year":"2020","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib60","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.2025.12.012_bib61","article-title":"Direct oral challenge for penicillin allergy: the International Network of Antibiotic Allergy Nations (iNAAN) study","author":"Mitri","year":"2025","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2025.12.012_bib62","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0330724","article-title":"International Network of Antibiotic Allergy Nations (iNAAN): protocol for a type 2 hybrid effectiveness-implementation multicentre prospective cohort and target trial emulation study evaluating penicillin allergy delabeling via direct oral challenge","volume":"20","author":"Mitri","year":"2025","journal-title":"PLoS One"},{"key":"10.1016\/j.jaip.2025.12.012_bib63","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 Antimicrob Chemother"},{"key":"10.1016\/j.jaip.2025.12.012_bib64","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1542\/hpeds.2020-001636","article-title":"A multidisciplinary quality improvement initiative to facilitate penicillin allergy delabeling among hospitalized pediatric patients","volume":"11","author":"Bauer","year":"2021","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jaip.2025.12.012_bib65","doi-asserted-by":"crossref","first-page":"1338.e1","DOI":"10.1016\/j.cmi.2023.06.024","article-title":"Removal of incorrect penicillin allergy labels in a UK hospital","volume":"29","author":"Hearsey","year":"2023","journal-title":"Clin Microbiol Infect"},{"key":"10.1016\/j.jaip.2025.12.012_bib66","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012647","article-title":"Systematic review of pathways for the delivery of allergy services","volume":"7","author":"Diwakar","year":"2017","journal-title":"BMJ Open"},{"key":"10.1016\/j.jaip.2025.12.012_bib67","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1016\/j.jaip.2019.05.037","article-title":"Comparing direct challenge to penicillin skin testing for the outpatient evaluation of penicillin allergy: a randomized controlled trial","volume":"7","author":"Mustafa","year":"2019","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.1016\/j.jaip.2025.12.012_bib68","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1017\/ice.2019.50","article-title":"Outcomes from an inpatient beta-lactam allergy guideline across a large US health system","volume":"40","author":"Blumenthal","year":"2019","journal-title":"Infect Control Hosp Epidemiol"},{"key":"10.1016\/j.jaip.2025.12.012_bib69","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.2025.12.012_bib70","doi-asserted-by":"crossref","DOI":"10.1016\/j.cmicom.2024.105055","article-title":"The long-term sustainability of a pharmacist-led antimicrobial stewardship penicillin allergy delabelling ward round: a prospective cohort study","volume":"1","author":"Mitri","year":"2024","journal-title":"CMI Communications"},{"key":"10.1016\/j.jaip.2025.12.012_bib71","article-title":"Non-allergist healthcare workers views on delivering a penicillin allergy de-labelling inpatient pathway: identifying the barriers and enablers","volume":"6","author":"Powell","year":"2024","journal-title":"JAC Antimicrob Resist"},{"key":"10.1016\/j.jaip.2025.12.012_bib72","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1111\/cea.14217","article-title":"BSACI guideline for the set-up of penicillin allergy de-labelling services by non-allergists working in a hospital setting","volume":"52","author":"Savic","year":"2022","journal-title":"Clin Exp Allergy"},{"key":"10.1016\/j.jaip.2025.12.012_bib73","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1111\/imj.16543","article-title":"Adult penicillin allergy programmes in Australian hospitals: a practical guide from the National Antibiotic Allergy Network","volume":"54","author":"Hannah","year":"2024","journal-title":"Intern Med J"},{"key":"10.1016\/j.jaip.2025.12.012_bib76","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1093\/cid\/ciaa194","article-title":"Penicillin allergy testing is cost-saving: an economic evaluation study","volume":"72","author":"Sousa-Pinto","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jaip.2025.12.012_bib77","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/imj.15532","article-title":"Penicillin allergy delabeling program: an exploratory economic evaluation in the Australian context","volume":"53","author":"Brusco","year":"2023","journal-title":"Intern Med J"},{"key":"10.1016\/j.jaip.2025.12.012_bib78","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1001\/jamasurg.2025.0279","article-title":"Perioperative penicillin and cephalosporin antibiotic allergy assessment and testing: the PREPARE pilot randomized clinical trial","volume":"160","author":"De Luca","year":"2025","journal-title":"JAMA Surg"},{"key":"10.1016\/j.jaip.2025.12.012_bib79","doi-asserted-by":"crossref","first-page":"2994","DOI":"10.1016\/j.jaip.2024.08.053","article-title":"Examining the utility of penicillin allergy clinical decision rules: how low will you go?","volume":"12","author":"Vogrin","year":"2024","journal-title":"J Allergy Clin Immunol Pract"}],"container-title":["The Journal of Allergy and Clinical Immunology: In Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2213219825011821?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2213219825011821?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T10:05:02Z","timestamp":1778061902000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2213219825011821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":77,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S2213219825011821"],"URL":"https:\/\/doi.org\/10.1016\/j.jaip.2025.12.012","relation":{},"ISSN":["2213-2198"],"issn-type":[{"value":"2213-2198","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inpatient Penicillin Allergy Evaluation\u2014Skin Testing Versus Direct Oral Challenge?","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.2025.12.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 American Academy of Allergy, Asthma & Immunology","name":"copyright","label":"Copyright"}]}}