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The Lancet · Randomized Controlled Trial · 2026-07-15
Strong Evidence

Beta-lactam allergy delabeling via direct oral challenge in low-risk patients: a randomized trial

Why it matters. A concrete stewardship lever, delabeling expands access to preferred, narrower agents.

Study design

Design
Multicenter RCT
Population
Low-risk penicillin-allergy-labeled adults
Setting
Multi-site
Sample size
n = 900
Intervention
Direct oral amoxicillin challenge
Comparator
Standard skin testing pathway

Provenance

Source
The Lancet
Source type
peer_reviewed
Content analyzed
abstract

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