Enfermedades Infecciosas y Microbiologia Clinica 41 2023 181-186Enfermedades Infecciosas yaMicrobiologia ClinicaELSEVIERwww.elsevier.es/eimcConsensus documentManagement of patients with suspected or confirmed antibioticallergy.Executive summary of guidance from the Spanish Society ofInfectious Diseases and Clinical Microbiology (SEIMC),the SpanishSociety of Allergy and Clinical Immunology(SEAIC),the SpanishSociety of Hospital Pharmacy(SEFH)and the Spanish Society ofIntensive Medicine and Coronary Care Units(SEMICYUC)r,☆☆，☆☆☆Jose Ramon Pano-Pardoa.*,Esther Moreno Rodilla b.c.d.e,Sara Cobo SacristanfJose Luis Cubero Saldana,Leonor Perianez Parraga,Jose Luis del Pozo Leon',Pilar Retamar Genti.k.,Alejandro Rodriguez Oviedo m.,Maria Jose Torres Jaen,Pablo Vidal-CortesP,Carlos Colas SanzDivision of Infectious Diseases,Hospital Cinico Universitario,Instituto de Investigacion Sanitaria Aragon,ClBER en Enfemedades Infecciosas(CIBERINFEC Zaragoza,SpainAllergy Service,University Hospital of Salamanca,Salamanca,SpainIBSAL (Institute for Biomedical Research of Salamanca).Salamanca,SpainDepartment of Biomedical and Diagnostic Sciences Salamanca Medical School University of Salamanca,Salamanca,Spaine RETIC de Asma,Reacciones adversas y Alergicas (ARADYAL)Madrid.SpainDepartment of Pharmacy.Hospital Universitari de Bellvitge-IDIBELL Hospitalet de Lobregat,Barcelona,SpainDepartment of Allergy,Hospital Clinico Universitario,Instituto de Investigacion Sanitaria Aragon,Zaragoza,SpainFammacin Hospitalarin,Hospital Universitari Son Espases,CBER en Enfermedades Infecciosas (CBERINFEC).SpainDivision of Infectious Diseases,Department of Microbiology,Cinica Universidad de Navarra,SpainUnidad Clinica de Enfemedades Infecciosas y Microbiologia,Hospital Universitario Virgen Macarena,Sevilla,SpainInstituto de Biomedicina de Sevilla/Departamento de Medicina.Universidad de Sevilla/CSIC.Sevilla.SpainCentro de Investigacion Biomedica en Red en Enfemmedades Infecciosas(CBERINFEC)Instituto de Salud Carlos IIl Madrid.Spainm Servicio de Medicina Intensiva,Hospital Universitari de Tarragona Joan XXIIL Tarragona,SpainIISPV.CBERES SpainAllergy Unit,Hospital Regional Universitario de Malaga-HRUM,Medicine Department,Universidad de Mailaga-UMA,IBIMA-ARADyAL,Malaga,SpainServicio de Medicina Intensiva,Hospital Universitario de Ourense,Orense,SpainABSTRACTKeywordsSuspected or confirmed antibiotic allergy is a frequently encountered clinical circumstance that influ-Antibiotic allergyences antimicrobial prescribing and often leads to the avoidable use of less efficacious and/or moreDrug hypersensitivity reactiontoxic or costly drugs than first-line antimicrobials.Optimizing antimicrobial therapy in patients withSkin testsDrug provocation testantibiotic allergy labels has become one of the priorities of antimicrobial stewardship programs (ASP)inAllergy labelseveral countries.This guidance document aims to make recommendations for the systematic approachAntimicrobial stewardshipto patients with su
