ARTICLE IN PRESSClinical Microbiology and Infection xxx (xxxx)xxxContents lists available at ScienceDirectCMⅫCLINICALClinical Microbiology and InfectionMICROBIOLOGYAND INFECTIONELSEVIERjournal homepage:www.clinicalmicrobiologyandinfection.com效ESCMID=GuidelinesThe Dutch Working Party on Antibiotic Policy(SWAB)guideline forthe approach to suspected antibiotic allergyRoos Wijnakker1.15.,Maurits S.van Maaren 2,Lonneke G.M.Bode3,Maja Bulatovic4,Bart J.C.Hendriks5,Masja C.M.Loogman 6,Suzanne P.M.Lutgens,Ananja Middel 8Chris M.G.Nieuwhof Eveline E.Roelofsen 10,Jan W.Schoones Kim C.E.Sigaloff2Aline B.Sprikkelman 13,Lieke M.M.de Vrankrijker 14,Mark G.J.de Boer 15)Department of ternal Medicine.Tergooi Medical Center.Hrnd Department of nctiouDiseases,Leiden University Medical Center.Leiden.theNe therandsSection Allergology.Department of Intemal Medicine.Erasmus Medical Center.Rotterdam,the Netherkands)DepartmentofMedica Microbiologyd fectius Diseases.Erasmus Medical Center.Rotterdam the Netherands)Department of Rheumatology and Cinical Immunolgy.University Medical Center Urecht.Utrecht the Netherlands5)Department of inc Pharmacyand Toxicology.Leiden University Medical Center.Leiden,the Netherlands)Dutch College of Gneral Practitioners,the NetherkandsDepartment of Medical Microbiology.Jeroen Bosch Hospital,'s-Hertogenbosch,the NetherlandsDepartment of nteral Medicine.University Medical CenterGngGn the NetherlandsDepartment of nternal Medicine and Allergology.Maastricht University Medical Center.Maastricht,the NetherandsDepartment of Clinical Phamacy.Medical Center Haaglanden.The Hague,the NetherlandsLeiden University Medical Center.Leiden,the NetherkandsDeparment of nctious Diseases Amsterdam University Medical Center.Amsterdam,the Netherlands)Department of Pediatric Pulmonology and Allergology.University Medical Center Groningen,Groningen,the Netherlands)Section Infectious Diseases,Department of Pediatric Infectious Diseases,University Medical Center Utrecht,Utrecht,the Netherands)Department of fectious Diseases and Department of nEpidemiology.Leiden University Medical Center,Leiden,the NetherlandsARTICLE INF OABSTRACTArticle history:Objectives:Prudent handling of reported antibiotic allergies is an important aspect of antibiotic stew-Received 12 January 2023ardship.The Dutch Working Party on Antibiotic Policy (SWAB)constituted a multidisciplinary expertReceived in revised form28 March 2023committee to provide evidence-based recommendations for bedside decision-making in antibioticAccepted 7 April 2023therapy in patients that report an antibiotic allergy.Available online xxxMethods:The guideline committee generated 12 key questions,most of which were population,inter-vention,comparison,and outcome questions relevant to both children and adults with suspected anti-Editor:L Leibovicibiotic allergies.For each question,a systematic literature search was performed and reviewed for the bestavailable evidence according to the Grading of Recommendations Assessment,