{
  "abstract": "In this international, multicenter prospective study, implementing penicillin direct oral challenge (DOC) using a digital toolkit was acceptable, feasible, and sustainable. Audit and feedback increased activity, particularly among pharmacists. Safety was maintained across heterogeneous DOC protocols, validating a pragmatic, scalable approach that supports local adaptation.",
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  "authors": [
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      "name": "Elise Mitri"
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      "name": "Sara Vogrin"
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    {
      "name": "Camille Paynter"
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    {
      "name": "Luke Fletcher"
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    {
      "name": "Jonny Peter"
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    {
      "name": "Neil Powell"
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    {
      "name": "Sara Barnes"
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    {
      "name": "Philip Li"
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    {
      "name": "Ana Maria Copaescu"
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    {
      "name": "Nicholas Turner"
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    {
      "name": "Fiona James"
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    {
      "name": "Richard Sullivan"
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    {
      "name": "Maryam Sherkat Masoum"
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    {
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    {
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    {
      "name": "Patricia Kilfoyle"
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    {
      "name": "Daniel Forster"
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    {
      "name": "Morgan Rose"
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    {
      "name": "Raquel Cowan"
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    {
      "name": "Kylie Alcorn"
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    {
      "name": "Anna Brischetto"
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    {
      "name": "Andrew Mahony"
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    {
      "name": "Andrew Redmond"
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    {
      "name": "Arindam Chakravorty"
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    {
      "name": "Zaal Meher-Homji"
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    {
      "name": "Chino Yuson"
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    {
      "name": "Simeon Crawford"
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    {
      "name": "Greg Weeks"
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    {
      "name": "Sasheela Sri La Sri Ponnampalavanar"
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    {
      "name": "Constance Katelaris"
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    {
      "name": "Priscilla Tran"
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    {
      "name": "Jennifer O'Hern"
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    {
      "name": "Jack Godsell"
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    {
      "name": "Trisha Peel"
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    {
      "name": "Indy Sandaradura"
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    {
      "name": "David New"
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    {
      "name": "Candice Holland"
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    {
      "name": "Tim Cutfield"
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    {
      "name": "Sarah Coghill"
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    {
      "name": "Caitlin Hand"
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    {
      "name": "Jacob Williams"
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    {
      "name": "Jaclyn Bishop"
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    {
      "name": "Belinda Lambros"
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    {
      "name": "Cascia Day"
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    {
      "name": "Courtney Ierano"
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    {
      "name": "Natasha Holmes"
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    {
      "name": "Jason A. Roberts"
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    {
      "name": "Suran Fernando"
    },
    {
      "name": "Marlena Klaic"
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    {
      "name": "Jason Trubiano"
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    {
      "name": "Jennifer O’hern"
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    {
      "name": "Kyra Chua"
    },
    {
      "name": "Joseph de Luca"
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    {
      "name": "Gemma Reynolds"
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    {
      "name": "Evelyn Andrews"
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    {
      "name": "Daniel Lapirow"
    },
    {
      "name": "Abby Douglas"
    },
    {
      "name": "Tanya Crichton"
    },
    {
      "name": "Kate Guy"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bbc0pfrekaz8q.bib",
  "cited_by": 2,
  "doi": "10.1093/cid/ciag083",
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  "id": "bbc0pfrekaz8q",
  "issns": [
    "1058-4838",
    "1537-6591"
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  "landing_url": "https://hal.science/hal-05834910v1",
  "language": "en",
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      "hal",
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      "openalex",
      "2736|Drug-Induced Adverse Reactions"
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  "pdf_url": "https://hal.science/hal-05834910/document",
  "pmcid": null,
  "pmid": "41921037",
  "published": "2026-06-15",
  "publisher": "Oxford University Press (OUP)",
  "ris": "https://research.draconitic.com/paper/bbc0pfrekaz8q.ris",
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2736|Drug-Induced Adverse Reactions",
      "subfield": "pharmacology-toxicology"
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  ],
  "title": "Direct Oral Challenge for Penicillin Allergy: A Hospital Implementation Evaluation Via the International Network of Antibiotic Allergy Nations (iNAAN) Study",
  "title_text": "Direct Oral Challenge for Penicillin Allergy: A Hospital Implementation Evaluation Via the International Network of Antibiotic Allergy Nations (iNAAN) Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:00Z",
  "url": "https://research.draconitic.com/paper/bbc0pfrekaz8q",
  "venue": "Clinical Infectious Diseases",
  "versions": []
}