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A qualitative study conducted in Egypt, Sri Lanka, Barbados, and Trinidad and Tobago found that these countries lack equitable drug allergy management pathways. The study suggests that computerized decision support systems, along with basic training and education, could improve accurate labeling and de-labeling of drug allergies. The participants expressed concerns about the lack of standardized policies and guidelines for managing drug allergies, as well as a lack of clarity among healthcare professionals regarding the distinction between drug allergies and other adverse drug reactions. The study also highlights the need for more allergy specialists and resources in these countries. [Extracted from the article]

Keywords: anaphylaxis; angioedema; clinical immunology; drug allergy; IgE EN anaphylaxis angioedema clinical immunology drug allergy IgE 781 784 4 07/05/23 20230701 NES 230701 Key messages The prevalence of unverified drug allergy labels (DALs) was 5.6%. In all, seven (6.37%) patients reported an allergy but could not recall the names of the drugs and five patients reported an allergy to anti-TB drugs and could not recall the name of the implicated drug. The most common drug classes implicated were antibiotics - 59 (53.15%), followed by nonsteroidal anti-inflammatory drugs (NSAIDs) - 20 (18.01%), radio-contrast medium - 12 (10.8%) and antihistamines - 6 (5.40%). [Extracted from the article]