Management of Insect Sting Hypersensitivity: An Update
نویسندگان
چکیده
Reactions to Hymenoptera insect stings are common. While most are self-limited, some induce systemic allergic reactions or anaphylaxis. Prompt recognition, diagnosis, and treatment of these reactions are important for improving quality-of-life and reducing the risk of future sting reactions. This review summarizes the current recommendations to diagnose and treat Hymenoptera sting induced allergic reactions and highlights considerations for various populations throughout the world.
منابع مشابه
Multicenter study of emergency department visits for insect sting allergies.
BACKGROUND An earlier study of food-related anaphylaxis in the emergency department (ED) suggested low concordance with national guidelines for anaphylaxis management. OBJECTIVE To extend these findings, we performed a chart review study to describe current ED management of insect sting allergy. METHODS The Multicenter Airway Research Collaboration performed a chart review study in 15 North...
متن کاملDevelopment of Insect Sting Allergy
Stinging insect allergy is a relatively common medical problem, responsible for an estimated 40 fatalities per year in the USA and considerable anxiety and lifestyle modification. There are no criteria to identify people at risk of initial venom anaphylaxis. Reactions may occur at any age and are unrelated to the time interval of prior venom exposure. There is an approximate 60% re-sting reacti...
متن کاملFood allergy and anaphylaxis – 2037. Emergency department management of insect-sting allergic reactions in a community hospital in the United States
Background A general consensus on the definition and clinical diagnostic criteria for anaphylaxis has been reached and recommended national and global guidelines for its management have been published. However, few studies in the United States have examined the extent to which emergency management of insect-sting allergic reactions adheres to these guidelines. The objective of this project was ...
متن کاملDiagnosis of Hymenoptera venom allergy.
The purpose of diagnostic procedure is to classify a sting reaction by history, identify the underlying pathogenetic mechanism, and identify the offending insect. Diagnosis of Hymenoptera venom allergy thus forms the basis for the treatment. In the central and northern Europe vespid (mainly Vespula spp.) and honeybee stings are the most prevalent, whereas in the Mediterranean area stings from P...
متن کاملApproaches to the Management of Presumed Immediate Hymenoptera Venom Allergy and Non-Detectable IgE
Objective: To provide a comprehensive evaluation in patients with a convincing history of immediate insect allergy but negative skin test and/or specific IgE results, adequately addressing the question of how best to manage them. Data sources: Observational peer-reviewed studies and case reports were searched on Pub-Med database from 1998 up to March 2009 using the following keywords: Hymenopte...
متن کامل