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• Up to 95% of children labelled as antibiotic-allergic are not truly allergic; most labels arise from viral rashes in early childhood, but incorrectly attributed to antibiotics, particularly amoxicillin. • Inaccurate labels drive use of broader-spectrum antibiotics, increasing the risk of antimicrobial resistance, Clostridium difficile infection, and treatment failure. • A structured allergy history can be safely used to ‘de-label’ patients in primary care.
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